PEMERIKSAAN NEUROLOGIK

HISTORY
1. HEADACHE
2. VISUAL DISORDER
3. LOSS OF CONSCIOUSNESS
4. SPEECH DISORDER
5. MOTOR DISORDER
6. SENSORY DISORDER
7. SPHINCTER DISORDER
8. LOWER CRANIAL DISORDER
9. MENTAL DISORDER
HISTORY

• HEADACHE
Character, severity,site,duration, freq.,
onset, timing,precipitating factors relieving
factors, associated factors
. VISUAL DISORDER
Onset, freq., duration, precipitating factors,
impairment (1 or 2 eyes, total partial visual
loss, whole/partial field loss) diplopia (gaze
direction maximal)
HISTORY. 3. loss of conciousness……………….....................................2

• LOSS OF CONCIOUSNESS
Onset, duration, freq., precipitating factors,
tongue biting-incontinence-limb
twitching,alcoho/drug abuse, head
injury,cardiovascular/respiratory symptoms
. SPEECH DISORDER
Onset, freq., duration, dificulty in articulation-
expression-understanding
. MOTOR DISORDER
Onset, freq., duration, precipitating factors,
relieving factors, incordination-weakness-
involuntary mov.
HISTORY. Sensory disorder ……………………………………………………3
• SENSORY DISORDER
Onset, freq., duration,site, precipitating factors,
relieving factors, pain, numbness/tingling
. SPHINCTER DISORDER
Onset, freq., duration, bladder, anal, difficulty in
control : incontinence-retention
. LOWER CRANIAL NERVE DISORDER
Onset, freq., duration, precipitating factors,
deafness/tinitus, vertigo, balance, swallowing,
voice
. MENTAL DISORDER
Onset, freq., duration, memory-intellligence-
personality-behaviour
EXAMINATION

• GENERAL EXAMINATION
- temperature
- blood pressure
- neck stiffness
- pulse irregularity
- carotid bruit
- cardiac murmurs
- cyanosis/respiratory insufficiency
- evidence of weight loss
- breast lump
- lymphadenopathy
- hepatic and splenic enlargement
- prostatic irregularity
- septic sources
- skin marks (café-au-lait)
EXAMINATION. CNS examination ………………………………………………1

CNS EXANIMATION

- conscious level and higher cerebral function

- cranial nerve
- trunk : sensation - reflexes
-upper limb : motor system-sensory system-
reflexes-coordination
-lower limb : motor system-sensory system-
reflexes-coordination-gait-stance
- sphincter