Neurological Examination

Question 1

What are some UMN findings?

Answer 1

ULs: finger flexors and hoffman’s sign

LLs: clonus and plantar response

Question 2

With UMN localisation, what will a brainstem lesion cause?

Answer 2

contralateral weakness with ipsilateral cranial nerve findings

Question 3

LMN localisation: what will a nerve root lesion cause?

Answer 3

Unilateral weakness/sensory disturbance

Question 4

LMN localisation: what will a plexus lesion cause?

Answer 4

Diffuse motor and sensory disturbance

Question 5

LMN localisation: what will a peripheral nerve lesion cause?

Answer 5

Mono-neuropathy, mono-neuritis

Question 6

LMN localisation: what will a neuromuscular junction problem cause?

Answer 6

Weakness and fatigueability

Question 7

What Ix do you do for UMN lesions?

Answer 7

MRI Brain and/or spinal cord
EEG
Lumbar puncture

Question 8

What Ix do you do for LMN lesions?

Answer 8

Nerve conduction tests with EMG
Somatosensory evoked potentials

Question 8

What Ix do you do for LMN lesions?

Answer 8

Nerve conduction tests with EMG
Somatosensory evoked potentials