Clinical Neurological Examination and Localization

1. Introduction

2. The Neurological History
3. Higher Mental Function

* Higher mental function Screen
* Lobar function

4. Cranial Nerve Examination

* Olfactory nerve
* Optic nerve
* Oculomotor, trochlear and abducens nerve
* Trigeminal nerve
* Facial nerve
* Vestibulo - cochlear nerve
* Glosopharyngeal andvagus nerve
* Spinal accessory nerve
* Hypoglosal nerve

5. Examination of Speech

* Language disorders
* Dysarthria
* Dysphonia

6. Motor system examination
7. Reflexes

* Superficial reflexes
* Deep tendon reflexes

8. Sensory system examination
9. Cerebellar examination and examination of posture , stance and gait
10.Involuntary movements
11.Examination of Skull, Spine ,Nerves and Neuro-cutaneous markers
12. Autonomic nervous system
13. Examination of the Unconscious patient
14. Summary of localization

Bedside Neurological examination is an important tool in diagnosing neurological disorders . Despite significant advances in the investigations available for diagnosing neurological disorders bedside neurological examination remains the cornerstone in diagnosing neurological disorders and should not only be conducted prior to the investigations but should be actually be utilized to plan the appropriate investigations .The book provides a focused account of various aspects of the neurological examination leading to clinical localisation and hence obtaining the neurological diagnosis. It includes topics like' how to obtain a appropriate neurological history' , 'higher mental system examination', examination of speech and various cranial nerves and examination of other systems including motor system, sensory system, reflexes , cerebellar and autonomic nervous system.The book also includes certain interesting topics like 'neurological examination of the unconscious patient 'and 'tricks and tips of neurological localisation.

The book is easy to read and memorize due to multiple self explanatory illustrations and important aspects being highlighted in bulleted format. The book will be of extreme help for MD and DNB students of Internal Medicine as well as DM and DNB students of Neurology and DNB and MCH Neurosurgery students , hence covering a fairly large readership base . It will also be read by practising Internal medicine physicians , neurologists and neurosurgeons who may want to revise the basics and tricks of neurological examination and localization.

Author Information

Dr Vinit Suri is one of the most eminent neurologists in India with more than 30 years of experience in the field. He is a graduate of University College of Medical Sciences, Delhi University and stood first in the Final MBBS examination with several gold medals to his credit and obtained his D.M. Neurology from G.B.Pant Hospital in 1992.He has been involved in teaching graduate and postgraduate students since last 30 years and this is something very close to his heart . He is extremely sought after by his students for teaching neurological examination methods and skills of localization in simple and easy to understand manner.

He has been working at Indraprastha Apollo Hospital, New Delhi as Senior Consultant Neurologist and Coordinator of the department since 1996 and has been a pioneer in spearheading the Stroke Thrombolysis program in India.
He has served the Indian Stroke Association as the Secretary ,Treasurer and the President and is the current President of Delhi Neurological Association.