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Diapositiva  ___________________________________ 
3. The Neurological
Examination
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Motor exam ___________________________________ 
 Posture / Tone 
spasticity, rigidity,
flaccidity
 Bulk  atrophy,
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hypertrophy,
fasciculations
 Abnormal
movements ___________________________________ 
 Strength

 
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
3. The Neurological
Examination
109 
Motor exam ___________________________________ 
 Posture / Tone 
spasticity, rigidity,
flaccidity
 Bulk  atrophy,
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hypertrophy,
fasciculations
 Abnormal
movements ___________________________________ 
 Strength

 
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
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Motor exam ___________________________________ 
 Bulk  atrophy, hypertrophy,
fasciculations

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
123 
Motor exam ___________________________________ 
 Tone  spasticity,
rigidity, flaccidity
 Bulk  atrophy, ___________________________________ 
hypertrophy,
fasciculations
 Abnormal
movements ___________________________________ 
 Strength

 
___________________________________ 

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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
3. The Neurological
Examination
124 
Motor exam ___________________________________ 
 Tone  spasticity,
rigidity, flaccidity
 Bulk  atrophy, ___________________________________ 
hypertrophy,
fasciculations
 Abnormal
movements ___________________________________ 
 Strength

 
___________________________________ 

___________________________________ 

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
125 
Motor exam ___________________________________ 
 Tone  spasticity,
rigidity, flaccidity
 Bulk  atrophy, ___________________________________ 
hypertrophy,
fasciculations
 Abnormal
movements ___________________________________ 
 Strength

 
___________________________________ 

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Diapositiva  ___________________________________ 
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
3. The Neurological
Examination
127 
Motor exam ___________________________________ 
 Tone  spasticity,
rigidity, flaccidity
 Bulk  atrophy, ___________________________________ 
hypertrophy,
fasciculations
 Abnormal
movements ___________________________________ 
 Strength

 
___________________________________ 

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
128 
Motor exam ___________________________________ 
 Abnormal
movements

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
134  Grading Motor Strength

Grade Description ___________________________________ 


0/5 No muscle movement

1/5 Visible muscle movement, but no movement at the joint

2/5 Movement at the joint, but not against gravity


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3/5 Movement against gravity, but not against added resistance

4/5 Movement against resistance, but less than normal

5/5 Normal strength


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Diapositiva  ___________________________________ 
3. The Neurological
Examination
149  Deep Tendon Reflexes
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Reflex Main Spinal Nerve Roots Involved

Biceps C5, C6

Brachioradialis C6 ___________________________________ 
Triceps C7

Patellar L4

Achilles Tendon S1
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Troemner

Babinski-Rabiner
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Taylor
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Queen Square
Dejerine
 
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151 
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Buck Hammer
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List Price: $7.89
Price: $7.42

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
152 
D.T.Reflexes
Tendon Reflex Grading Scale ___________________________________ 
Grade Description

0 Absent

1+ or + Hypoactive ___________________________________ 
2+ or ++ "Normal"

3+ or +++ Hyperactive without clonus

4+ or
++++
Hyperactive with clonus
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
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Diapositiva  ___________________________________ 
Abnormal Plantar Response
157  Chaddock

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Babinski
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Oppenheim

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Gordon
 
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Signo de Babinski

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Signo de Hoffmann Signo de Tromner
 
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REFLEJOS ATÁVICOS
(Reflejos de liberación cortical)
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 Hociqueo – Snout reflex ___________________________________ 
 Succión
 Prehensión
___________________________________ 
 Palmomentoniano
 Myerson
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
161  Sensory Exam
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Primary sensory Cortical sensory
 Pin and thermal Two point ___________________________________ 
 Touch discrimination
 Joint position
Graphestesia
Stereognosis
 Vibration sense ___________________________________ 
Extinction

 
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
Sensory Exam
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Diapositiva  3. The Neurological ___________________________________ 


Examination
Sensory Exam
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Diapositiva  ___________________________________ 
Errores al examinar sensibilidad
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
168  Sensory Exam
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
172 
Cerebellum (coordination) ___________________________________ 
 Finger-Nose-Finger
 Heel-Knee-Heel ___________________________________ 
 Thumb tapping
 Rapid Alternating Movements
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3. The Neurological
Examination
173  Cerebellum (coordination)
 Finger-Nose-Finger
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Diapositiva  ___________________________________ 
3. The Neurological
Examination
176 
Cerebellum (coordination) ___________________________________ 
 Heel-Knee-Heel

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3. The Neurological
Examination
177 
Cerebellum (coordination) ___________________________________ 
 Thumb tapping
 Rapid Alternating Movements

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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
3. The Neurological
Examination
178 
Neck/spine ___________________________________ 
 Inspection
 Auscultation
 Special maneuvers: ___________________________________ 
 Nuchal rigidity
 Kerning
 Brudzinski
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3. The Neurological
Examination
179 
Neck/spine ___________________________________ 
 Auscultation

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
180 
Neck/spine
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 Special
maneuvers:
 Nuchal rigidity ___________________________________ 

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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
3. The Neurological
Examination
181 
Neck/spine ___________________________________ 
 Especial maneuvers:
 Kernig’s sign

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
182 
Neck/spine
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 Especial
maneuvers:
 Brudzinski ___________________________________ 

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
183 
Station and gait ___________________________________ 
 Observe posture
 Romberg test
 Observe gait and arm swing ___________________________________ 
 Heel walk
 Toe walk
 Tandem gait ___________________________________ 

 
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
3. The Neurological
Examination
184 
Station and gait ___________________________________ 
 Observe posture

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3. The Neurological
Examination
185 
and gait
Station ___________________________________ 
 Romberg test

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3. The Neurological
Examination
186 
Station and gait ___________________________________ 
 Observe gait and arm swing

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Diapositiva  ___________________________________ 
3. The Neurological
Examination
190 
 Marcha
 Parética
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 Atáxica
 Espástica
 Hemiparesia
 Paraparesia
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 Parkinsoniana: propulsión – festinación
 Distrófica
 Steppage
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Diapositiva  ___________________________________ 
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Signo de Gowers

 
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4. Neurological localization
193 
 Upper Vs Lower
motor neuron
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 Cortical Vs
Subcortical ___________________________________ 
 UMN Level of lesion

 LMN level of lesion ___________________________________ 

 
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Diapositiva  4. Neurological localization ___________________________________ 


Upper Vs Lower motor neuron
194 
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4. Neurological localization
Upper Vs Lower MN
195 
Upper Lower ___________________________________ 
•Flaccid weakness
 Spastic weakness

 Hyper-reflexia •Hypo-reflexia ___________________________________ 


 Babinski
•Atrophy
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•Fasciculations
 
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Diapositiva  ___________________________________ 
4. Neurological localization
196  Cortical Subcortical
 Dense unilateral
 Aphasia motor or sensory ___________________________________ 
 Apraxia deficit
 Agnosia  Face/arm and leg
equally affected
 Hemi sensory –
 Clumsy hand –
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motor deficit
dysarthria
 Face/arm > leg :
MCA  Unilateral motor +
ipsilateral ataxia
 Leg > arm/face : ___________________________________ 
ACA

 
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Diapositiva  ___________________________________ 
4. Neurological localization
197 
UMN Level of lesion ___________________________________ 
 Brainstem
 Midbrain  III, IV
 Pons  V, VI, VII, VIII
 Medulla  IX, X, XII,
corticospinal decussation ___________________________________ 
 Cerebellum/peduncles  ipsi, tremor,
ataxia
 Spinal cord  bilateral sensory and ___________________________________ 
motor, level

 
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Diapositiva  ___________________________________ 
4. Neurological localization
198  UMN Level of lesion
 Brainstem ___________________________________ 

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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
4. Neurological localization
199  UMN Level of lesion
 Cerebellum/peduncles ___________________________________ 

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Diapositiva  ___________________________________ 
4. Neurological localization
200  UMN Level of lesion
 Spinal cord  bilateral sensory and motor,
level ___________________________________ 

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Diapositiva  ___________________________________ 
4. Neurological localization
201  LMN level of lesion
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 Anterior horn cell  motor neuron

 Nerve root – plexus – peripheral nerve ___________________________________ 


 Neuromuscular junction

 Muscle
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
4. Neurological localization
LMN level of lesion
202 
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Diapositiva  ___________________________________ 
5. Diagnostic tests
203   Imaging  CT, MR
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 EEG

 EP ___________________________________ 
 EMG

 CSF
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5. Diagnostic tests
204 
Imaging ___________________________________ 

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Diapositiva  ___________________________________ 
5. Diagnostic tests
205 
Imaging ___________________________________ 

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5. Diagnostic tests
206 
Imaging
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5. Diagnostic tests
207 
ElectroEncephaloGraphy ___________________________________ 

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Diapositiva  ___________________________________ 
5. Diagnostic tests
208 
 Evoked
Potentials
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 Visual
 Auditory/brain
stem ___________________________________ 
 Somatosensory

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Diapositiva  ___________________________________ 
5. Diagnostic tests
209 
ElectroMyoGraphy ___________________________________ 

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Diapositiva  ___________________________________ 
5. Diagnostic tests
210 
Cerebro-Spinal-Fluid ___________________________________ 

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Diapositiva  ___________________________________ 
Where is the lesion?
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Diapositiva  ___________________________________ 
Where is the lesion?
212 
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Diapositiva  ___________________________________ 
Where is the lesion?
213 
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Diapositiva  ___________________________________ 
Where is the lesion?
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Diapositiva  ___________________________________ 
Where is the lesion?
215 
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Diapositiva  ___________________________________ 
224 
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Diapositiva  ___________________________________ 
225 
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
226 
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Diapositiva  ___________________________________ 
Conclusiones
227 
 El éxito del examen ___________________________________ 
neurológico radica en:
 Buena historia clínica
 Saber extenderse o no en detalles
según lo amerite la historia clínica
 Ser ORDENADO ___________________________________ 
 Tener conocimientos de neuroanatomía
 Correlacionar los hallazgos del examen
desde el punto de vista anatomo-
funcional
 Tener coherencia y sentido común en ___________________________________ 
dicha correlación

 
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228 
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
229 
Adams and Victor's
Principles of
___________________________________ 
Neurology
Allan Ropper and Martin
Samuels
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Diapositiva  ___________________________________ 
230 
Clinical Neurology
(LANGE Clinical
___________________________________ 
Medicine)
Michael Aminoff ,
Robert Simon,
David Greenberg ___________________________________ 

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Diapositiva  ___________________________________ 
231 
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Practical Neurology
José Biller
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Rocío Santibáñez Vásquez    Abril 2012 
Diapositiva  ___________________________________ 
232 
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Rocío Santibáñez Vásquez    Abril 2012 

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