Neurological Examination Flashcards
Outline the steps of the neurological examination
Observation from a distance (on approach)
Eye examination
Examining the cranial nerves
Spinal reflexes
Gait assessment
Restraint
Ocular exam
Describe what observing from a distance means
Looking for changes un mentation
head tilts, tremors, intention tremors
Assess for abnormal posture
Neurogenic muscle atrophy
Assess eating (horse)
Changes in skin e.g sweating excessively (horse)
Outline the tests for the optic nerve
Menace Response
PLR
Dazzle Reflex
Outline the tests for the oculomotor nerve
PLR
Medial movement of the globe
Outline the tests for the trochlear nerve
Ventrolateral rotation of the globe
Outline the tests for the trigeminal nerve
Ear, eyelid & upper lip reflexes
chewing, jaw tone, muscle mass of masseter, pterygoid & temporalis muscles
Outline the tests for the abducens nerve
Retraction of the globe (corneal reflex)
Lateral movement of globe
Outline the tests for the facial nerve
Ear, eyelid & lip tone reflexes & movement, facial symmetry
Dazzle Reflex
Outline the tests for the vestibulocochlear nerve
Response to noise
Head posture, gait, blindfold test
How do you determine the difference between central and peripheral vestibulocochlear nerve damage?
Head tilt indicates VII lesion. If paired with other cranial nerve damage and/or proprioceptive issues then the lesion is highly likely to be central.
If head tilt
Ipsilateral Horner’s syndrome or facial nerve paresis/paralysis may occur in peripheral damage since the sympathetic to the head and the facial nerve pass through the inner ear.
If there is no head tilt present with circling then the issue will be lesion in the forebrain
Outline the tests for the glossopharyngeal nerve
Swallowing, endoscopy
Outline the tests for the vagus nerve
Swallowing, endoscopy, slap test
Changes in ‘voice’
Shortness of breath
Outline the tests for the accessory nerve
Head posture
Outline the tests for the hypoglossal nerve
Tongue size, tone & symmetry
What are the spinal reflexes?
Assess the cervicofacial and cutaneous trunci (panniculus) reflexes, tail tone, perineal reflex, and anal tone.
Tendon reflexes can only be performed in recumbent adult horses and are difficult to interpret.
Withdrawal reflexes to assess pain sensation should be assessed in recumbent horses.