NeuroLogic Examination Videos and Descriptions: An Anatomical Approach
NeuroLogic Examination for Adults
Videos and Descriptions
An Anatomical Approach
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Go to Lumbar Puncture Tutorial - The Procedure and CSF Analysis Additional Resource: Lumbar Puncture Tutorial - The Procedure and CSF Analysis

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INTRODUCTION
Window to the Brain

MENTAL STATUS EXAM
Anatomy
Normal Exam
Abnormal Examples
Quiz
Media Resources

CRANIAL NERVE EXAM

Anatomy
Normal Exam
Abnormal Examples
Quiz
Media Resources

COORDINATION EXAM
Anatomy
Normal Exam
Abnormal Examples
Quiz
Media Resources

SENSORY EXAM
Anatomy
Normal Exam
Abnormal Examples
Quiz
Media Resources

MOTOR EXAM
Anatomy
Normal Exam
Abnormal Examples
Quiz
Media Resources

GAIT EXAM
Anatomy
Normal Exam
Abnormal Examples
Quiz
Media Resources


NEUROLOGIC CASES
Case History, Neurologic Exam, Findings, Localization of the Lesion(s), Identification of Damaged Structures, Case Discussion

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ADDITIONAL RESOURCES

Go to the Pediatric Neurologic Exam website Pediatric Neurologic Exam Website
Go to the Brain Dissection Video Lab Video Lab: Brain Dissections
Go to HyperBrain Tutorial Online Tutorial: HyperBrain
Go to Lumbar Puncture Tutorial Lumbar Puncture Tutorial:
nullThe Procedure and CSF Analysis


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Mental Status > Normal

SECTIONS
Orientation, Memory video
Attention-working memory video
Judgement-abstract reasoning video
Set generation video
Receptive language video
Expressive language video
Praxis video
Gnosis video
Dominant parietal lobe function video
Non-dominant parietal lobe function video
Visual recognition video

COMPARISON OF NORMAL versus ABNORMAL EXAM FINDINGS videos


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Orientation, Memory
Asking questions about month, date, day of week and place tests orientation, which involves not only memory but also attention and language. Three-word recall tests recent memory for which the temporal lobe is important. Remote memory tasks such as naming Presidents, tests not only the temporal lobes but also heteromodal association cortices.

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Attention-working memory
Digit span, spelling backwards and naming months of the year backward test attention and working memory which are frontal lobe functions.

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Judgement-abstract reasoning
These frontal lobe functions can be tested by using problem solving, verbal similarities and proverbs.

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Set generation
This is a test of verbal fluency and the ability to generate a set of items which are frontal lobe functions. Most individuals can give 10 or more words in a minute.

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Receptive language
Asking the patient to follow commands demonstrates that they understand the meaning of what they have heard or read. It is important to test reception of both spoken and written language.

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Expressive language
In assessing expressive language it is important to note fluency and correctness of content and grammar. This can be accomplished by tasks that require spontaneous speech and writing, naming objects, repetition of sentences, and reading comprehension.

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Praxis
The patient is asked to perform skilled motor tasks without any nonverbal prompting. Skills tested for should involve the face then the limbs. In order to test for praxis the patient must have normal comprehension and intact voluntary movement. Apraxia is typically seen in lesions of the dominant inferior parietal lobe.

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Gnosis
Gnosis is the ability to recognize objects perceived by the senses especially somatosensory sensation. Having the patient (with their eyes closed) identify objects placed in their hand (stereognosis) and numbers written on their hand (graphesthesia) tests parietal lobe sensory perception.

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Dominant parietal lobe function
Tests for dominant inferior parietal lobe function includes right-left orientation, naming fingers, and calculations.

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Non-dominant parietal lobe function
The non-dominant parietal lobe is important for visual spatial sensory tasks such as attending to the contralateral side of the body and space as well as constructional tasks such as drawing a face, clock or geometric figures.

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Visual recognition
Recognition of colors and faces tests visual association cortex (inferior occiptotemporal area). Achromatopsia (inability to distinguish colors), visual agnosia (inability to name or point to a color) and prosopagnosia (inability to identify a familiar faces) result from lesions in this area.

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COMPARISON OF NORMAL versus ABNORMAL EXAM FINDINGS
EXAM
NORMAL
ABNORMAL
Orientation, Memory
View video in separate page
View video in separate page
Attention-working memory
View video in separate page
View video in separate page
Judgement-abstract reasoning
View video in separate page
View video in separate page
Set generation
View video in separate page
View video in separate page
Receptive language
View video in separate page
View video in separate page
Expressive language
View video in separate page
View video in separate page
Praxis
View video in separate page
View video in separate page
Gnosis
View video in separate page
View video in separate page
Dominant parietal lobe function
View video in separate page
View video in separate page
Non-dominant parietal lobe function
View video in separate page
View video in separate page
Visual recognition
View video in separate page
View video in separate page

 


 

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