Neurologic Examination: An Illustrated Guide to the Neurological Examination

2020 ◽  
Author(s):  
Robert Schwartzman ◽  
Keyword(s):  
Neurological Examination ◽  
Neurologic Examination

scholarly journals The Virtual Neurologic Exam: Instructional Videos and Guidance for the COVID-19 Era

2020 ◽  
Vol 47 (5) ◽  
pp. 598-603 ◽  
Author(s):  
Mariam Al Hussona ◽  
Monica Maher ◽  
David Chan ◽  
Jonathan A. Micieli ◽  
Jennifer D. Jain ◽  
...  
Keyword(s):  
Movement Disorder ◽  
Neurological Examination ◽  
Cognitive Testing ◽  
Practical Approach ◽  
Neurologic Examination ◽  
Instructional Videos ◽  
Clinical Assessments ◽  
Virtual Visits ◽  
Virtual Medicine

ABSTRACTObjective:To outline features of the neurologic examination that can be performed virtually through telemedicine platforms (the virtual neurological examination [VNE]), and provide guidance for rapidly pivoting in-person clinical assessments to virtual visits during the COVID-19 pandemic and beyond.Methods:The full neurologic examination is described with attention to components that can be performed virtually.Results:A screening VNE is outlined that can be performed on a wide variety of patients, along with detailed descriptions of virtual examination maneuvers for specific scenarios (cognitive testing, neuromuscular and movement disorder examinations).Conclusions:During the COVID-19 pandemic, rapid adoption of virtual medicine will be critical to provide ongoing and timely neurological care. Familiarity and mastery of a VNE will be critical for neurologists, and this article outlines a practical approach to implementation.

The Neurologic Examination

2014 ◽  
pp. 935-940
Author(s):  
Galen V. Henderson
Keyword(s):  
Neurological Examination ◽  
Neurological Disease ◽  
Neurologic Examination ◽  
Patient History ◽  
Neurological Evaluation ◽  
Number Of Individuals

The neurological examination is not challenging or complex. It does have many components and includes a number of skills that can be mastered only through repetition of the same techniques on a large number of individuals with and without neurological disease. Please remember that the purpose of the examination is to simply localize the lesion. Based on patient history alone, 80% of lesion locations should be known, and then a very specific neurological examination is performed to confirm the location. The examination is the less time consuming of the two parts of the patient's neurological evaluation.

Static Ability, Cognitive School Readiness, Minimal Brain Damage: Sex Differences

PEDIATRICS ◽  
1971 ◽  
Vol 47 (1) ◽  
pp. 153-153
Author(s):  
Jerome S. Haller
Keyword(s):  
Sex Differences ◽  
School Readiness ◽  
Neurological Examination ◽  
Neuromuscular Disease ◽  
The Other ◽  
Static Balance ◽  
Neurologic Examination ◽  
Eyes Open ◽  
Definition Of ◽  
Rule Out

In the article by R. Kohen-Raz,1 the author has a remarkable definition of the Romberg position. Classically, the Romberg position is defilled as standing with feet together, parallel, rather than one behind the other, and eyes open. I would suggest that he consider consultation with a neurological textbook, for exampie. The Neurological Examination by Russell DeJong or any other basic handbook for medical students on the neurologic examination. I would hope that all the children included in the study, regardless of grouping, had a neurological examination to rule out any neuromuscular disease that would interfere with maintenance of static balance.

scholarly journals Neuropathic pain post-COVID-19: a case report

2021 ◽  
Vol 14 (7) ◽  
pp. e243459
Author(s):  
Matthew McWilliam ◽  
Michael Samuel ◽  
Fadi Hasan Alkufri
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Hospital Admission ◽  
Skin Biopsy ◽  
Neurological Examination ◽  
Autonomic Failure ◽  
Whole Body ◽  
Shortness Of Breath ◽  
Burning Pain ◽  
Electrophysiological Tests

A 61-year-old man with no significant medical history developed fever, headache and mild shortness of breath. He tested positive for SARS-CoV-2 and self-isolated at home, not requiring hospital admission. One week after testing positive, he developed acute severe burning pain affecting his whole body, subsequently localised distally in the limbs. There was no ataxia or autonomic failure. Neurological examination was unremarkable. Electrophysiological tests were unremarkable. Skin biopsy, lumbar puncture, enhanced MRI of the brachial plexus and MRI of the neuroaxis were normal. His pain was inadequately controlled with pregabalin but improved while on a weaning regimen of steroids. This case highlights the variety of possible symptoms associated with SARS-CoV-2 infection.

scholarly journals Ocular Findings and Visual Function in Children Examined during the Zika Health Brigade in the US Virgin Islands, March 2018

2021 ◽  
Vol 6 (2) ◽  
pp. 66
Author(s):  
S. Grace Prakalapakorn ◽  
Lucas Bonafede ◽  
Linda Lawrence ◽  
Daniel Lattin ◽  
Nicola Kim ◽  
...  
Keyword(s):  
Visual Function ◽  
Retrospective Chart Review ◽  
The United States ◽  
Virgin Islands ◽  
Neurologic Examination ◽  
Zikv Infection ◽  
Us Virgin Islands ◽  
Ocular Findings ◽  
Ocular Structure ◽  
The Us

Among children born with laboratory-confirmed Zika virus (ZIKV) infection, visual impairment (VI) can occur despite normal ocular structure. The objective of this report is to describe ocular findings and visual function among children examined during the Department of Health Zika Health Brigade (ZHB) in the United States Virgin Islands in March 2018. This analysis is based on a retrospective chart review of children eligible to participate in the ZHB (i.e., part of the US Zika Pregnancy and Infant Registry) and who were examined by ophthalmologists. Eighty-eight children attended the ZHB. This report includes 81 children [48 (59.3%) males] whose charts were located [average gestational age = 37.6 weeks (range: 27.6–41.3) and average adjusted age at examination = 9.1 months (range: 0.9–21.9)]. Of those examined, 5/81 (6.2%) had microcephaly at birth, 2/81 (2.5%) had a structural eye abnormality, and 19/72 (26.4%) had VI. Among children with normal ocular structure and neurologic examination, 13/51 (25.5%) had VI. Despite a low incidence of abnormal ocular structure and microcephaly, about a quarter of children examined had VI. Our findings emphasize that ophthalmological examinations should be performed in all children with suspicion for antenatal ZIKV infection, even children with normal ocular structure and neurologic examination.

scholarly journals Diagnosing small fiber neuropathy in clinical practice: a deep phenotyping study

2021 ◽  
Vol 14 ◽  
pp. 175628642110043
Author(s):  
Nadine Egenolf ◽  
Caren Meyer zu Altenschildesche ◽  
Luisa Kreß ◽  
Katja Eggermann ◽  
Barbara Namer ◽  
...  
Keyword(s):  
Neurological Examination ◽  
Punch Biopsy ◽  
Small Fiber Neuropathy ◽  
Fiber Density ◽  
Axon Reflex ◽  
Small Fiber ◽  
Corneal Confocal Microscopy ◽  
Intraepidermal Nerve Fiber Density ◽  
Number Of Patients ◽  
Skin Punch Biopsy

Background and aims: Small fiber neuropathy (SFN) is increasingly suspected in patients with pain of uncertain origin, and making the diagnosis remains a challenge lacking a diagnostic gold standard. Methods: In this case–control study, we prospectively recruited 86 patients with a medical history and clinical phenotype suggestive of SFN. Patients underwent neurological examination, quantitative sensory testing (QST), and distal and proximal skin punch biopsy, and were tested for pain-associated gene loci. Fifty-five of these patients additionally underwent pain-related evoked potentials (PREP), corneal confocal microscopy (CCM), and a quantitative sudomotor axon reflex test (QSART). Results: Abnormal distal intraepidermal nerve fiber density (IENFD) (60/86, 70%) and neurological examination (53/86, 62%) most frequently reflected small fiber disease. Adding CCM and/or PREP further increased the number of patients with small fiber impairment to 47/55 (85%). Genetic testing revealed potentially pathogenic gene variants in 14/86 (16%) index patients. QST, QSART, and proximal IENFD were of lower impact. Conclusion: We propose to diagnose SFN primarily based on the results of neurological examination and distal IENFD, with more detailed phenotyping in specialized centers.

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