The patient provides a verbal response identifying the figure that was drawn. If the patient has a speech or language impairment that prevents them from verbalizing an answer, the answer can be selected from a series of images shown to them.[2] Loss of graphesthesia indicates either parietal lobe damage on the side opposite the hand tested or damage to the dorsal columns pathway at any point between the tested point and the contralateral parietal lobe. The major clinical utility of the test in the 21st century is in the condition, cortico-basal ganglionic degeneration, where, in addition to evidence of basal ganglia dysfunction, the presence of cortical sensory loss is likely to have reasonably high specificity for the diagnosis.