mini neurological examination
TRANSCRIPT
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Mini Neurological
Examination
Andre G Gadzali
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CINTA in Neurosurgery
• C(ongenital)
• I(nfection)• N(eoplasm
a)
• T(rauma)
• A/(t!ers)
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Mini Neurological Examinations are"
• GC# or CC# $!ic! contents %rief generalexaminations of %rainstem function& %rainfunction& and !ig!er cortical function'
• rief description of pupilary function'• rief description of motoric function'
• t!ers (if needed& according to t!e case)"
%rief description of cranial neres&sensoric& re*exes& egetatie functions&and meningeal iritation sign'
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• GC# introduced %y Teasdale + ,eanette in -.0 and use $idespreadsince t!en to measure o%1ectiely ofconscious leel 2uantitatiely %eside
t!e former 2ualitatie measure'• It3s simple& fast& e4ectie& minimizing
%ias among medical o5cer and
!elping proper re4eral/de6nitiemedical and/or surgical decisionsmig!t %e need for t!e patients'
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• GC# also classifying !ead in1uryaccording to it3s score (-78-9:Mild;I& .8-
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Note t!e %est score t!e patientsperform o%1ectiely for allcomponents $!et!er on (E)ye&(M)otoric& and ()er%al respectiely'
• Infants or c!ildren $!ose not a%le toperform to command or notnecessarily !ae a%ility to spea?conersationally& a modi6edpediatric/c!ildren coma scale s!ould%e use'
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Bunduscopy Examination
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Conclusions
• pen your mind to addapt t!e recent scienceand ?no$ledge& see + t!in? outside t!e %oxD'
• Manage t!e patients properly at time $!en
!e/s!e arried'• Compre!ense& do not $asting time& use your
maximal a%ility and s?ill& t!at may lead t!eproper de6nitie treatment and ac!iee %etter
results'• It3s %etter to %e %ro?en on process t!en liing
in silence'