Neurological Exam

Neurologist Winnie Lim Khoo MD

Neurological Examination is an evaluation of a person’s nervous system that can be performed in the doctor’s office. It may be performed with instruments, such as lights and reflex hammers, and usually does not cause any pain to the patient.

During a neurological examination, the neurologist reviews the patient’s health history with special attention to the current condition. The patient then takes a neurological exam. Typically, the exam tests mental status, function of the cranial nerves (including vision), strength, coordination, reflexes and sensation. This information helps the neurologist determine if the problem exists in the nervous system and the clinical localization.

Localization of the pathology is the key process by which neurologists develop their differential diagnosis. Further tests may be needed to confirm a diagnosis and ultimately guide therapy and appropriate management. Many symptoms that may occur would involve: weakness, numbness, tingling, headaches, dizziness, and poor sleep.

The major areas of the exam, covering the most testable components of the neurological system, include:

  1. Mental status testing (covered in a separate section of this web site)
  2. Cranial Nerves
  3. Muscle strength, tone and bulk
  4. Reflexes
  5. Coordination
  6. Sensory Function
  7. Gait

Information are provided by author, Dr Winnie Sharon Lim Khoo : Adult Neurologist in Manila, Philippines

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