Transcription of The Five-Minute Neurological Examination
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The Five-Minute Neurological Examination
1 THE Five-Minute Neurological Examination Ralph F. J zefowicz, MD Introduction The neurologic Examination is considered by many to be daunting. It may seem tedious, time consuming, overly detailed, idiosyncratic, and even capricious. Every neurologist has his/her own version of the Examination , and may appear to use magical thinking to come up with a diagnosis at the end. In reality, the Examination is quite simple. When performing the Neurological Examination , it is important to keep the purpose of the Examination in mind, namely to localize the lesion. A basic knowledge of neuroanatomy is necessary to interpret the Examination .
a. Cognition essentially tested during history taking. b. Language also tested during history taking, except for naming. 2. Cranial Nerves a. Don’t forget visual fields by confrontation – vision is processed by 1/3 of the cerebral hemispheres. b. Check pupils and eye movements – don’t forget testing saccades as well as pursuits
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