CNS Examination . Hadeel Khadawardi , teaching assistant at Internal Medicine Department, Faculty of Medicine, Umm Al- Qura University. CNS examination consists of: High Cortical Function Cranial Nerves Motor Coordination Sensory . High Cortical Functions. Handedness Consciousness
HadeelKhadawardi, teaching assistant at Internal Medicine Department, Faculty of Medicine, Umm Al-Qura University
High Cortical Function
Types od dysphasia;
Is checked by using Snellen Chart.
b) Visual field:
c) Visual color:
Is checked by using Ishihara Charts.
e) Light reflex:
The afferent of light reflex is by optic nerve and the efferent is by oculomotornerve.
Inspect the eyes for ptosis, shape and size of pupils.
ask the patient to follow your finger in H shape
Failure of eye movement
c) Light reflex
Motor; (Muscle of mastication)
Access for fine touch and pin break in the 3 divisions ( ophthalmic, maxillary, mandibular).
c) Corneal reflex;
The afferent of corneal reflex is by trigeminal nerve and the efferent is by facial nerve.
d) Jaw reflex;
How would differentiate b/w UMNL & LMNL of VII nerve?
XII. Hypoglossal Nerve
Inspect the tongue
Ask the patient to protrude his/her tongue
Exposure & Inspection
What are the types of hypertonia?
What are the grading of power?
What are the grading of reflex?
What is reinforcement?
Finger nose test
Rapidly alternative movement
Heel to shin test
How to differentiate b/w UMNL &LMNL ?
What are the types of abnormal gait?