Aspects of Neurological Examination Flashcards
What are the different criteria for an eye score in GCS?
- 4 - opens voluntarily
- 3 - opens to voice
- 2 - opens eyes to pain
- 1 - does not open eyes
What are the criteria for scoring the motor score for GCS?
- 6 - following commands
- 5 - localising to pain
- 4 - normal flexing to pain
- 3 - Abnormal (decorticate) flexion to pain
- 2 - Abnormal (decerebrate) extension to pain
- 1 - No movement
What are the different criteria for the verbal scoring of GCS?
- 5 - Speaking normally
- 4 - confused
- 3 - abnormal words/ incomplete sentences
- 2 - mumbling/noises
- 1 - no sound
How would you note a brisk or exaggerated reflex in case notes?
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How would you note a normal reflex in case notes?
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How would you note a diminished reflex in case notes?
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How would you note an absent reflex in case notes?
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If assessing plantar response, what would be a positive babinski’s sign?
Large to extends and other toes abduct
If assessing plantar response, what would be an abnormal plantar response?
Only large to extends
If assessing plantar response, what would be an abnormal plantar response?
Only large to extends
If assessing plantar response, what would be classed as no response?
No movement of large toe
If assessing plantar response, what would be a withdrawal response?
Large toe and other toe extends, ankle dorsiflexes
What is grade 0 of the MRC power grading scale?
No muscle contraction
What is grade 1 of the MRC power grading scale?
Filcker of contraction but no movement
What is grade 2 of the MRC power grading scale?
Joint movement when effect of gravity eliminated