Temporal Orientation in Patients with Brain Disease

Abstract
A brief schedule of questions, based on empirically derived norms, disclosed significant inaccuracy in temporal orientation in 24% of a group of non-aphasic patients with brain disease. Conventional neurological examination detected temporal disorientation in only 15%. Patients with bilateral lesions showed a higher frequency of temporal disorientation than did those with unilateral lesions. In a group of 15 aphasic patients, 5 (33%) showed evidence of temporal disorientation according to the test while only 3 (20%) were detected on clinical examination. It is suggested that a schedule of questions scored on the basis of empirically derived norms should be incorporated into the neurological examination to assess temporal orientation.

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