The Neurological Examination

  • Randolph B. Schiffer
  • Robert F. Klein
  • Roger C. Sider


Our presentation in this chapter of a general outline by which one might ap­proach the neurologic examination is somewhat artificial in that the, examina­tion is discussed in isolation from the neurologic history. In practice, history and examination are dynamically related. One gets a sense from the clinical history of what might be wrong, and the hierarchy of these possibilities is then measured against the examination. After the examination, the “odds ratios” for various structural and functional abnormalities of the nervous system are adjusted, and further diagnostic testing is selected or postponed. We have cho­sen to focus this chapter on the examination as opposed to the clinical history and interview, because psychiatric clinicians are usually excellent at the latter and clumsy at the former. We have not forgotten, however, that the clinical history directs and focuses the examination, and salient historical issues are discussed in the separate chapters with the various disease syndromes.


Cranial Nerve Neurological Examination Psychiatric Patient Tuning Fork Inferior Rectus 
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Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Randolph B. Schiffer
    • 1
  • Robert F. Klein
    • 1
  • Roger C. Sider
    • 2
  1. 1.The University of Rochester School of Medicine and DentistryRochesterUSA
  2. 2.Pine Rest Christian HospitalGrand RapidsUSA

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