A Neuro-ontology for the neurological examination

Table 8 Some Examples of Discordant Inter-Concept Distances^a

First Concept	Second Concept	SNOMED CT Inter-concept distance	NEO Inter-concept distance
brisk ankle reflex	absent ankle reflex	.11	.75
brisk biceps reflex	absent biceps reflex	.17	.75
asterixis	hemiparesis	.23	.64
dysdiadochokinesis	athetosis	.27	.69
dysmetria	absent reflexes	.11	1.00^b
apraxia	ataxia	.17	1.00^b
bradykinesia	masked facies	.79	.20
bradykinesia	micrographia	.56	.20
oral dyskinesia	vocal cord paralysis	.33	.67

^aSNOMED CT and NEO. Distances are normalized with 0.0 as minimum distance, 1.0 as maximum distance. Inter-concept distances were calculated by method of Wu and Palmer based on the concept hierarcy
^b When concepts are in different high-order branches of the hierarchy, the distance is 1.0

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