What is the essential neurological examination?



Document title: What is the essential neurological examination?
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000360227
ISSN: 0004-282X
Authors: 1
2
Institutions: 1Fundacao Instituto Oswaldo Cruz, Instituto de Pesquisa Clinica Evandro Chagas, Rio de Janeiro. Brasil
2Universidade Federal do Rio de Janeiro, Rio de Janeiro. Brasil
Year:
Season: Dic
Volumen: 70
Number: 12
Pages: 939-944
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Descriptivo
English abstract In order to determine which aspects would be essential to the neurological examination (NE) in a given specific situation (a patient referred with a potential neurological complaint, but the history suggests that a neurological problem is unlikely), we presented the same questionnaire used by Moore and Chalk in Canada to 19 neurologists in Rio de Janeiro, Brazil. We considered significant aspects of NE, whose average responses were greater than or equal to 3.5: visual fields, fundoscopy, pursuit eye movements, facial muscle power testing, gait, pronator drift or rapid arm movement in upper limbs, finger-nose, tone in arms and legs, five tendon reflexes, and plantar responses. We concluded that, despite geographical and economical differences between Brazil and Canada, neurologists from both countries agree about the essential NE in the proposed scenario
Portuguese abstract Visando determinar quais aspectos do exame neurológico (EN) seriam essenciais em uma situação específica (paciente com queixa neurológica, mas cuja história sugere ser improvável um problema neurológico), apresentou-se o mesmo questionário utilizado por Moore e Chalk no Canadá a 19 neurologistas do Rio de Janeiro, Brasil. Foram considerados os aspectos significativos do EN com pontuação igual ou superior a 3,5: campo visual, fundoscopia, movimentos de perseguição ocular, mímica facial, marcha, desvio pronador ou movimentos rápidos dos membros superiores, prova dedo-nariz, tônus nos membros superiores e inferiores, cinco reflexos tendinosos e reflexo plantar. Concluiu-se que, apesar de diferenças geográficas e econômicas entre Brasil e Canadá, neurologistas de ambos os países concordam sobre o exame neurológico essencial no cenário proposto
Disciplines: Medicina
Keyword: Diagnóstico,
Neurología,
Examen neurológico,
Semiología
Keyword: Medicine,
Diagnosis,
Neurology,
Neurological examination,
Semiology
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