Virtual Compared With In-Person Neurologic Examination Study
The high rates of agreement in detecting an abnormality on the VNE and IPNE for some maneuvers and resultant clinical impressions may support the validity of the VNE for initial consultation depending on the clinical scenario. The VNE seems to be a good surrogate evaluation compared with the IPNE for certain chief complaints. The low sensitivity suggests that a normal VNE should warrant further in-person clinical correlation, especially in the context of a highly concerning history. The IPNE is more sensitive in detecting subtle abnormalities on examination, and a low threshold should be used to bring a patient in for an IPNE if the VNE is normal in certain clinical contexts.
Authors
- Houman Khosravani (ORCID: https://orcid.org/0000-0002-4059-9420)
- Lauren Hophing (ORCID: https://orcid.org/0000-0002-1159-6423)
- Tiffany Tse (ORCID: https://orcid.org/0009-0004-5303-0585)
- Saira Saeed Mirza (ORCID: https://orcid.org/0000-0002-0973-2246)
- Aaron Izenberg (ORCID: https://orcid.org/0009-0001-5645-711X)
- Charles D. Kassardjian
- S. Mitchell
- Mario Masellis (ORCID: https://orcid.org/0000-0002-6244-2096)
- Nicole Naimer (ORCID: https://orcid.org/0009-0001-7278-4874)
Institutions
- Sunnybrook Health Science Centre (CA)
- University of Toronto (CA)
- Health Sciences Centre (CA)
- Azrieli Foundation (CA)
- St Michael's Hospital (GB)
Publication Details
- Journal
- Neurology Clinical Practice
- Published
- 2024-08-16
- DOI
- https://doi.org/10.1212/cpj.0000000000200339
- Citations
- 2
- Primary Topic
- Stroke Rehabilitation and Recovery
- Type
- article
- Field-Weighted Citation Impact
- 0.50