The Neurologic Exam - 20/06/23

Doi : 10.1016/j.amjmed.2023.03.016

Michael P.H. Stanley, MD ^a, Kathryn E. Hall, DNP, ANP-BC, NE-BC ^b, William J. Mullally, MD ^c,^⁎
^a Division of Cognitive and Behavioral Neurology, Department of Neurology, Brigham and Women's Hospital, Boston, Mass
^b Translational and Clinical Research Centers, Massachusetts General Hospital, MGH Institute of Health Professions, Boston
^c Brigham and Women's Faulkner Hospital, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass

^⁎Requests for reprints should be addressed to William J. Mullally, MD, Brigham and Women's Faulkner Hospital, Department of Neurology, Brigham and Women's Hospital, 1153 Centre St, Boston, MA 02130.Brigham and Women's Faulkner HospitalDepartment of NeurologyBrigham and Women's Hospital1153 Centre StBostonMA02130

Neurology Series Editor, William J. Mullally, MD

Abstract

For most of human history, diseases preying upon the nervous system could only be identified indirectly through neurological signs—making the neurology clinician's examination the principal diagnostic tool. While advanced imaging and electrophysiology of today's practice provides greater diagnostic precision, the wide array of tools available and their applications emphasizes the accuracy that the neurological examination provides to localization, which in turn enables our technology's precision to effectively and efficiently aid one's diagnosis.

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Keywords : Neurologic evaluation, The neurologic exam

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Introduction

Examination () ^{Brazis P, Masdeu JC, Biller J Localization in Clinical Neurology  Philadelphia: Lippincott Williams &Wilkins (2016).

, Bing R Compendium of Regional Diagnosis in Lesions of the Brain and Spinal Cord  St. Louis: Mosby (1940).

, DeJong R The Neurological Examination  New York: Hoeber (1950).}

Depth of Consciousness^{Plum F, Posner JB The Diagnosis of Stupor and Coma Philadelphia: F.A. Davis Company (1967). Contemporary Neurology Series.}

Attention and Concentration^{Plum F, Posner JB The Diagnosis of Stupor and Coma Philadelphia: F.A. Davis Company (1967). Contemporary Neurology Series.}^,^{Mesulam MM Principles of Behavioral Neurology Philadelphia: F.A. Davis Company (1985). Contemporary Neurology Series.}

Language^{Mesulam MM Principles of Behavioral Neurology Philadelphia: F.A. Davis Company (1985). Contemporary Neurology Series.}

Orientation^{Mesulam MM Principles of Behavioral Neurology Philadelphia: F.A. Davis Company (1985). Contemporary Neurology Series.}

Memory^{Mesulam MM Principles of Behavioral Neurology Philadelphia: F.A. Davis Company (1985). Contemporary Neurology Series.}

Spatial, Constructive, and Gestural Properties^{Mesulam MM Principles of Behavioral Neurology Philadelphia: F.A. Davis Company (1985). Contemporary Neurology Series.}^,^{Critchley M The Parietal Lobes Baltimore: Williams Wilkins Co (1953).}

Integrative Functions of Mental Status^{Mesulam MM Principles of Behavioral Neurology Philadelphia: F.A. Davis Company (1985). Contemporary Neurology Series.}^,^{Critchley M The Parietal Lobes Baltimore: Williams Wilkins Co (1953).}

Coordination^{Selected Papers of Gordon Holmes Oxford, UK: Oxford Medical Publications (1979).}

Gait and Stance^{Medical Research Council (Great Britain) Aids to the Investigation of Peripheral Nerve Injuries London: His Majesty's Stationery Office (1943). Medical Research Council War Memorandum. No. 7.}^,^{Selected Papers of Gordon Holmes Oxford, UK: Oxford Medical Publications (1979).}

Conclusion

	Funding: None.
	Conflicts of Interest: None.
	Authorship: All authors were involved in writing, reviewing and editing the manuscript.

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Vol 136 - N° 7

P. 638-644 - juillet 2023 Regresar al número

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The Neurologic Exam - 20/06/23

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