{"doi":"10.1191/026921500669635136","title":"The Frontal Lobe Score: part I: construction of a mental status of frontal systems","abstract":"<jats:p> Objective: To develop a bedside mental status examination to assess the behavioural effects of damage to the frontal lobes. </jats:p><jats:p> Design: A prospective clinical comparison of patients with cerebral lesions of different locations. </jats:p><jats:p> Subjects: A total of 118 subjects were examined: 27 patients with cerebral lesions confined to the frontal lobes, 25 patients with cerebral lesions without involvement of the frontal lobes, 18 patients with mixed frontal/nonfrontal lesions, and 48 normal control subjects. </jats:p><jats:p> Measures: Twenty-three mental status tests, clinical examinations and rating scales that had been reported as indicative of frontal lobe function were brought together. By statistical analysis, 12 tests and a neurobehavioural rating scale were selected. These constitute the Frontal Lobe Score (FLS). </jats:p><jats:p> Results: The FLS detected pure frontal lesions with a sensitivity of 77.7%. It discriminated patients with frontal lesions from normal control subjects with a specificity of 100%. Differentiation from patients with nonfrontal lesions was obtained with a specificity of 84%. </jats:p><jats:p> Conclusion: The Frontal Lobe Score is a useful screening instrument for the clinical detection of effects of frontal lobe damage. </jats:p>","journal":"Clinical Rehabilitation","year":2000,"id":625108,"datarank":0.5456379239589579,"base_score":3.6375861597263857,"endowment":3.6375861597263857,"self_citation_contribution":0.5456379239589579,"citation_network_contribution":0.0,"self_endowment_contribution":0.5456379239589579,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":37,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1616279,"name":"Udo Kischka","orcid":null,"position":1,"is_corresponding":false},{"id":1616281,"name":"Michael Beckson","orcid":null,"position":2,"is_corresponding":false},{"id":1616282,"name":"Manuela Gaggiotti","orcid":null,"position":3,"is_corresponding":false},{"id":1616283,"name":"Udo Rauchfleisch","orcid":null,"position":4,"is_corresponding":false},{"id":1616284,"name":"D Frank Benson","orcid":null,"position":5,"is_corresponding":false},{"id":1616277,"name":"Thierry M Ettlin","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"The Frontal Lobe Score: part I: construction of a mental status of frontal systems","abstract":"<jats:p> Objective: To develop a bedside mental status examination to assess the behavioural effects of damage to the frontal lobes. </jats:p><jats:p> Design: A prospective clinical comparison of patients with cerebral lesions of different locations. </jats:p><jats:p> Subjects: A total of 118 subjects were examined: 27 patients with cerebral lesions confined to the frontal lobes, 25 patients with cerebral lesions without involvement of the frontal lobes, 18 patients with mixed frontal/nonfrontal lesions, and 48 normal control subjects. </jats:p><jats:p> Measures: Twenty-three mental status tests, clinical examinations and rating scales that had been reported as indicative of frontal lobe function were brought together. By statistical analysis, 12 tests and a neurobehavioural rating scale were selected. These constitute the Frontal Lobe Score (FLS). </jats:p><jats:p> Results: The FLS detected pure frontal lesions with a sensitivity of 77.7%. It discriminated patients with frontal lesions from normal control subjects with a specificity of 100%. Differentiation from patients with nonfrontal lesions was obtained with a specificity of 84%. </jats:p><jats:p> Conclusion: The Frontal Lobe Score is a useful screening instrument for the clinical detection of effects of frontal lobe damage. </jats:p>","is_dataset_classified":null,"base_score":3.6375861597263857,"endowment":3.6375861597263857,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"10868721","pmcid":null,"openalex_id":"https://openalex.org/W2167947476","authors":[],"funders":[],"total_grants":0,"fwci":0.8436,"citation_percentile":0.74300826,"influential_citations":0,"citation_trend":[{"year":2012,"count":2},{"year":2013,"count":1},{"year":2014,"count":2},{"year":2015,"count":8},{"year":2016,"count":1},{"year":2017,"count":1},{"year":2018,"count":1},{"year":2022,"count":2}],"oa_status":"closed","license":"https://journals.sagepub.com/page/policies/text-and-data-mining-license","oa_locations":[{"url":"https://journals.sagepub.com/doi/pdf/10.1191/026921500669635136","host_type":"publisher"},{"url":"https://doi.org/10.1191/026921500669635136","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/10868721","host_type":"repository"}],"fields_of_study":["Dementia and Cognitive Impairment Research","Traumatic Brain Injury Research","Spatial Neglect and Hemispheric Dysfunction","Adult","Aged","Brain Diseases","Female","Frontal Lobe","Humans","Male","Mental Disorders","Middle Aged","Neuropsychological Tests","Prospective Studies","Reference Values","Sensitivity and Specificity","Severity of Illness Index"],"mesh_terms":["Adult","Aged","Mental Disorders","Brain Diseases","Female","Frontal Lobe","Humans","Male","Middle Aged","Neuropsychological Tests","Prospective Studies","Reference Values","Sensitivity and Specificity","Severity of Illness Index"],"keywords":["Frontal lobe","Rating scale","Temporal lobe","Medicine","Lesion","Psychology","Audiology","Surgery","Psychiatry","Epilepsy","Developmental psychology"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Reduced inequalities"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-04T05:49:51.716844Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}