One of my teachers, Prof Koelmeyer, used to say that the correctly performed neurological examination was one of the highest forms of art. Thanks to a tweet from Cliff Reid, I came across this magical demonstration of the neurological exam posted on YouTube by Dr Michael Ingram.
One wonders if the bow tie, English accent, and the recurrent use of the expression ‘lovely’ are necessary components of the exam… Oh yes, and don’t forget to look for the ‘quizzical eyebrows’ of Horner syndrome.
Of course, you can reduce the 3 minute neuro exam to to 3 seconds by asking your patient to perform a backward flip. If that test is positive I generally say, ‘That’s lovely’ and terminate my examination at that point.
- Brainstem Rules of 4 (original rules)
- Helpful Brainstem Figures (original figures)
- The rule of 4 of the brainstem (Rules re-imagined)
- Using the Brainstem 1
- Using the Brainstem 2
- The Magic of the Neuro Exam
- Look Left, Look Right (Internuclear Ophthalmoplegia)
- More Befuddling Pupillary Asymmetry (Horner Syndrome)