Transcription of The Neurological Examination
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The Neurological Examination
1 The Neurological Examination Stephen Deputy, MD Introduction The Neurological Examination is, by necessity, long and cumbersome. That does not mean that every patient with a Neurological chief complaint needs to undergo a complete Neurological exam. (Can you imagine testing each and every sensory dermatome for all modalities of primary sensation and doing a Cremaster reflex on a patient presenting with headaches?). The purpose of the Neuro Exam is to answer questions gleaned from the History, to identify any Neurological deficits, and to localize those deficits on the basis of pertinent findings.
Dysarthria does not localize to the language areas of the brain but may be secondary to motor functions in the frontal lobe, deep sub-cortical basal ganglia regions, brainstem or their connections. “Expressive language” is a function of Broca’s area cortex. This is localized to the dominant hemisphere insular f rontal
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