Assessment to determine if the nervous system is impaired
Neurological examination
The human nervous system
Specialty
neurology
ICD-9-CM
89.13
MeSH
D009460
[edit on Wikidata]
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history,[1] but not deeper investigation such as neuroimaging. It can be used both as a screening tool and as an investigative tool, the former of which when examining the patient when there is no expected neurological deficit and the latter of which when examining a patient where you do expect to find abnormalities.[2] If a problem is found either in an investigative or screening process, then further tests can be carried out to focus on a particular aspect of the nervous system (such as lumbar punctures and blood tests).
In general, a neurological examination is focused on finding out whether there are lesions in the central and peripheral nervous systems or there is another diffuse process that is troubling the patient.[2] Once the patient has been thoroughly tested, it is then the role of the physician to determine whether these findings combine to form a recognizable medical syndrome or neurological disorder such as Parkinson's disease or motor neurone disease.[2] Finally, it is the role of the physician to find the cause for why such a problem has occurred, for example finding whether the problem is due to inflammation or is congenital.[2]
^Nicholl DJ, appleton JP (May 29, 2014). "Clinical neurology: why this still matters in the 21st century". J Neurol Neurosurg Psychiatry. 86 (2): 229–33. doi:10.1136/jnnp-2013-306881. PMC 4316836. PMID 24879832.
^ abcdFuller, Geraint (2004). Neurological Examination Made Easy. Churchill Livingstone. p. 1. ISBN 0-443-07420-8.
and 27 Related for: Neurological examination information
A neurologicalexamination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired...
specialise in neurological rehabilitation, which may include stroke medicine, as well as traumatic brain injuries.[citation needed] During a neurological examination...
An upper limb neurologicalexamination is part of the neurologicalexamination, and is used to assess the motor and sensory neurons which supply the upper...
obsessive compulsive disorder. Neurological disorders in non-human animals are treated by veterinarians. A neurologicalexamination can, to some extent, assess...
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(TM) (otoscope used in evaluation of ears, nose, and mouth) A neurologicalexamination is usually considered separate from the HEENT evaluation, although...
nerve exam is a type of neurologicalexamination. It is used to identify problems with the cranial nerves by physical examination. It has nine components...
1016/0013-4694(59)90004-5. PMID 13630229. Fisher CM (1969). "The neurologicalexamination of the comatose patient". Acta Neurologica Scandinavica. 45 (S36):...
history does not suggest other neurological symptoms, the diagnosis includes a neurologicalexamination but routine neurological imaging is not indicated because...
commonly supported by an audiogram, and an otolaryngological and neurologicalexamination. How much tinnitus interferes with a person's life may be quantified...
walking (gait). Watching a patient walk is an important part of the neurologicalexamination. Normal gait requires that many systems, including strength, sensation...
hypercholesterolemia. The Achilles tendon is often tested as part of a neurologicalexamination. In this examination, the tendon is hit with a tendon hammer. This tests...
(eds.). Chapter 16: History of the development of the neurologicalexamination. History of Neurology. Vol. 95. Elsevier. pp. 213–233. doi:10.1016/s0072-9752(08)02116-7...
online Wartenberg, Robert (October 16, 1937). "A Pinwheel for NeurologicalExamination". Journal of the American Medical Association. 109 (16): 1294....
The diagnosis is usually provisionally made through a clinical neurologicalexamination. Typical diagnostic tests include: Electrodiagnostics – electromyography...
as pyramidal drift) refers to a pathologic sign seen during a neurologicalexamination. Jean Alexandre Barré is credited with having first described it;...
the neurologicalexamination". In Aminoff, Michael J.; Boller, François; Swaab, Dick F. (eds.). History of Neurology. Handbook of Clinical Neurology. Vol...
Hal Blumenfeld (2009). "The neurologicalexamination of consciousness". In Steven Laureys, Giulio Tononi (eds.). The Neurology of Consciousness: Cognitive...
type of thread A monofilament as used in a monofilament test in a neurologicalexamination Monomolecular wire, a theoretical type of wire consisting of a...
In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical...
"Measuring ataxia: quantification based on the standard neurologicalexamination". Journal of Neurology, Neurosurgery, and Psychiatry. 57 (1): 22–26. doi:10...
perform a neurologicalexamination. Station 4: Tests the candidate's communication skills and the ability to perform abdominal examination. Station 5:...
(Nov. 2006). Xalatan (latanoprost ophthalmic solution) 0.005% (50 μg/mL). Accessed 5 Feb 2011. Facial NeurologicalExamination from University of Toronto...
examination, most importantly neurologicalexamination, must be done to rule out alternative causes for signs and symptoms. Neurologicalexamination is...
clinical history, and a detailed examination. During physical examination, specifically a neurologicalexamination, those with generalized peripheral...
fasciculations can be annoying and interfere with quality of life. If a neurologicalexamination is otherwise normal and EMG testing does not indicate any additional...
area of clinical signs of neurological conditions. He continues to be commemorated by the American Academy of Neurology's annual Robert Wartenberg Lecture...