Detailed neurologic assessment of infants and children
- Suresh Kotagal, MD
Suresh Kotagal, MD
- Professor of Neurology, Mayo Clinic
- Consultant in Neurology, Pediatrics, and Sleep Medicine
Children who present with or who are found to have neurologic or neuromuscular abnormalities on a general physical examination should undergo a complete neurologic assessment [1,2]. The elements of a complete neurologic assessment are:
●Focused clinical history
●Detailed neurologic examination
●Additional parts of the general physical examination that are relevant to child neurology
In some cases, developmental screening tests are also helpful.To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- THE CASE HISTORY
- History of present illness
- Allergy history
- Family history
- Pregnancy, perinatal, and neonatal history
- Developmental history
- Review of other systems
- NEUROLOGIC EXAMINATION
- General concepts
- Higher cortical functions
- Cranial nerves
- - I (olfactory)
- - II (optic)
- - III (oculomotor), IV (trochlear), and VI (abducens)
- - V (trigeminal)
- - VII (facial)
- - VIII (vestibulocochlear)
- - IX (glossopharyngeal) and X (vagus)
- - XI (spinal accessory)
- - XII (hypoglossal)
- Motor system
- - Posture and involuntary movements
- - Tone and strength
- - Coordination
- Sensory system
- Tendon reflexes
- Developmental reflexes
- Superficial reflexes
- ELEMENTS OF THE GENERAL PHYSICAL EXAMINATION RELEVANT TO CHILD NEUROLOGY
- Dysmorphic features
- Skin examination
- External genitalia
- Abnormal hair
- Abnormal breath
- DEVELOPMENTAL SCREENING TESTS