The Neurological exam is vital in clinical neurology. Here are a few sites with excellent information on the Neurological exam and its possible components.
- Neuroexam site from: Neuroanatomy through clinical cases, Blumenfeld, H.
- NeuroLogic Exam Videos by Paul D. Larsen, M.D. The University of Nebraska School of Medicine and Suzanne S. Stensaas, Ph.D. The University of Utah School of Medicine
- Cerebellar Exam Stanford Medicine 25.
- NeuroLogical Cases by University of Utah. On the NeuroLogic Exam Videos by University of Utah; Neurological Cases is especially relevant. The site presents four neurological cases. Of each case there is:
- Case history
- Neurological Examination
- (Mental Status Exam, Cranial Nerve Exam, Coordination Exam, Sensory exam, Motor Exam, Gait, with video material)
- Checklist of findings
- Localize the Level(s) of the Lesion, Identify the Damaged Structures
- Case Discussion
- Stroke Model by University of British Columbia
Clinical Neurology Videos
- Clinical Neurology Videos by Neurology Department at Hospital 12 de Octobre, Madrid
- Babinski Reflex
- Nystagmus video by University College Dublin.
- Nystagmus video by Lisa Koch YouTube.
- Clonus after a Stroke YouTube video by NEJMvideo
- Cerebellar Ataxia – YouTube video by MatthewHR1
- Huntingtons Chorea – YouTube video UCD Medicine
- Hemiballismus – YouTube video pavedroad.
- Deep Brain Stimulation for Parkinson’s (Before and After Surgery) YouTube video by MedStar Georgetown
- Prosopagnosia – YouTube video by Coolpsychologist
- Amyotrophic Lateral Sclerosis (ALS), is a very serious and debilitating neurodegenerative disease. In patients with ALS, the motor nerve cells (motor neurons) in the spinal cord, brainstem, and brain progressively deteriorate and die. Here is a link to the Project MinE website to which researchers from all over the world participate in genetic mapping to better elucidate the disease and ultimately find ways to treat it.
Dealing with Neurological Constraints
People that have to deal with neurological constraints give us an inside look in their life. It becomes clear that people can often adapt to great constraints and live a full life. You must never underestimate the power of the brain and the nervous system to recover and undergo plastic change.
A Cochlear Implant Success Story. YouTube Video by SJC tv. This is an informative and touching short video. In the video Helen, who has been living with a cochlear implant for over a decade, tells her story. The implant enables her to take part in the hearing world at a very high level. Helen studies at a top university for a demanding science degree and even takes part in a dance sport team. But in the video Helen is also honest about the limitations of the technology. She reminds us that the implantation is a fairly major surgical intervention – nobody’s idea of fun.
The Man Who Lost His Body. This man suffered a viral neuropathy at 19, and as a result he lost all large thick fibers in his DCML tract, from the neck down. Of course, this means no discriminative touch, and no proprioception (which seems to use the thickest fibers of them all). As a result he initially lost all ability to move. Not just standing or walking, but to move at all. He had to re-learn how to control his body, and he co-opted his vision to do the job of proprioception. He had to watch his limbs to be able to control them, especially his trunk and legs: he claims he has to wake up and see his body in order to turn at night!
Spinal Cord Injury
Searching for Answers: Spinal Cord Injury by BrainFacts.org. Meet a man living with a spinal cord injury and learn about the medical and technological breakthroughs that may aid his recovery.
Parkinson Dances is an uplifting, poetic and emotional evocation of how the magic of dance helps people face the daily challenges of Parkinson’s and live life to the fullest. The English National Ballet helps Parkinson’s patients. Results of research on Parkinson and Dance are reported in this article: Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with meta-analysis.
Locked in syndrome
Harshada Rajani joined the MedNeuro Learning Communty in 2016. Harshada is a stroke survivor. She suffered a spontaneous vertebral artery dissection leading to a massive pontine stroke. Several monthsshe spent in hospital completely paralyzed bilaterally from head to toe. She has a condition called locked in syndrome, which is as horrifying and inescapable as the name implies – an intact brain trapped in a lifeless body with no movement and no voice. Ever since, she has spent every day in physical therapy , made some great progress, but still has a long way to go. With the support of family and friends, she is fighting furiously to regain her voice and her muscles, but in the meantime, she has found an even more powerful voice through her writing for the Huffington Post.
A video of a patient diagnosed with a glioblastoma, one of the most deadly forms of brain cancer, remain completely conscious while the neurosurgeon performs brain surgery to remove his tumor. Experience this precise surgery where the patient must stay awake to protect his language function and learn about the revolutionary brain tumor vaccine that is only available at a handful of medical centers nationwide
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