ABSTRACT
The role of the neurologic examination in detection of malingering can be divided into four different areas. A normal examination with discordant findings; abnormal examination findings which rule out malingering or suggest a co-occurring condition; functional neurologic findings on examination, for instance, slowness, stop medicine sign or slowness in the mental status examination and objective findings and presence of objective findings which can and cannot be malingered. The patient would acknowledge they can hear the noise. Then the patient is either blindfolded or asked to close his or her eyes while repeating the examination. When the tuning fork is placed on the vertex of the head the patient has the ability to hear the noise in the good ear, which causes lateralization. Historically, the motor examination has been the most studied out of all the neurological examinations for signs of feigning or malingering.
