mini neurological examination

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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'