This routine neurological examination is indicated for patients presenting with subjective or objective neurological deficits. Additional hypothesis-driven neurological assessments (e.g. Pronator-drift, Dix-Hallpike, specific hand movements) are indicated depending on the diagnostic hypotheses formulated thereafter.

 

  1. Cortical Functions
  • Language (word finding, understanding)
  • Visual fields and neglect

 

  1. Cranial Nerves
  • Pupillary size and reactivity to light
  • Eye movements
  • Facial movements
  • Soft palate elevation
  • Tongue movements

 

  1. Motor
  • Shoulder abduction (proximal arm strength)
  • Finger spreading (distal arm strength)
  • Rising from sitting (proximal leg strength)
  • Walking on toes and heels

 

  1. Sensation
  • Touch-hands
  • Pinch-hands
  • Touch-feet
  • Pinch-feet

 

  1. Reflexes
  • Biceps or triceps reflex
  • Patella reflex

 

  1. Coordination
  • Finger-nose test
  • Heel-shin test
  • Romberg