Part I: Neurological Exam Part II: Coma. Connie Chen Neurology Consultants of Dallas. Part I Neurological Exam. Neurological Exam: Some Basics. Purpose of exam: differential diagnosis The mantra: History comes first! Exam is next best option. “Pan-scanning” is a poor substitute for exam.
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Neurology Consultants of Dallas
Corticospinal tract: strength “stroke pattern”
tone and bulk change later
spinal cord: spinal shock
Anterior horn: weakness at level, fasciculation
Root: weakness in all muscles involving root
Nerve: weakness in all muscles involving nerve
Muscle: proximal > distal weaknessMotor Exam
0= no movement, 1= f licker, 2= gravity removed,
3= against gravity, 4-/4/4+ = grades of resistance, 5= full