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  • Neurological examination of infants and children under 40 characters

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    trcoski
    80 visualizações6 páginas
    This document outlines the neurological examinations and evaluations performed at different ages for newborns, infants, children, and those over 6 years old. It describes the reflexes, behaviors, and tests evaluated in the first few months, between 3-6 months, 6-12 months, 1-5 years, and 3-6 years. These include tests of motor skills, coordination, balance, language development, and "neurological soft signs" involving posture, movement, and coordination. The goal is a comprehensive neurological assessment at each stage of development.

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    examinare neuro

    Título original

    Neurological Examination

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    This document outlines the neurological examinations and evaluations performed at different ages for newborns, infants, children, and those over 6 years old. It describes the reflexes, behaviors, and tests evaluated in the first few months, between 3-6 months, 6-12 months, 1-5 years, and 3-6 years. These include tests of motor skills, coordination, balance, language development, and "neurological soft signs" involving posture, movement, and coordination. The goal is a comprehensive neurological assessment at each stage of development.

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    © All Rights Reserved
    Baixe no formato DOC, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    80 visualizações6 páginas

    Neurological examination of infants and children under 40 characters

    Enviado por

    trcoski
    This document outlines the neurological examinations and evaluations performed at different ages for newborns, infants, children, and those over 6 years old. It describes the reflexes, behaviors, and tests evaluated in the first few months, between 3-6 months, 6-12 months, 1-5 years, and 3-6 years. These include tests of motor skills, coordination, balance, language development, and "neurological soft signs" involving posture, movement, and coordination. The goal is a comprehensive neurological assessment at each stage of development.

    Direitos autorais:

    © All Rights Reserved
    Baixe no formato DOC, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    de 6

    Neurological examination & evaluation of

    newborn, infant and child


    Chang-Gung Children Hospital
    Department of Pediatric Neurology
    Wang, Chuan-Yu

    Neurological examination & evaluation under 3


    months old
    Reflex:
    Deep tendon reflex
    Biceps
    knee
    Ankle
    Palmar & Plantar grasp
    Rooting reflex
    Sucking reflex
    Walking reflex
    Moro reflex

    Observation of neurological behavior


    (EOM, Nystagmus?, Upward gaze?, Sunset eyes?,
    Strabismus?)
    Auditory orientation
    Visual orientation
    Alertness
    Defensive reaction
    Peak of excitement
    Irritability
    Consolability
    Crying

    Other neurological evaluations


    Supine position:
    Posture
    Spontaneous motor activity
    Muscle tone
    Glabellar reflex
    Dolls eye test
    Palmar & plantar grasp
    Magnet response
    Cross extensor reflex
    Withdrawl reflex
    Thumb condition

    Prone position:
    Spontaneous movement of head
    Crawling & Bauer reflex

    Standing position:
    Placing response
    Stepping movement
    Rotation test

    Syndrome:
    Apathy syndrome
    Hyperexcitability syndrme
    Coma
    Hemisyndrome

    Neurological examination & evaluation between 3~6


    months old
    Same as 3 months old &
    ATNR
    Supporting test
    Head control
    Rolling over

    Neurological examination & evaluation between


    6~12 months old
    Supporting test
    Head righting test
    Amphibian test
    Playing feet with hands
    Put foot into mouth
    Sitting
    Crawling
    Creeping
    Standing alone
    Fine motor function of grasping (whole hand, ulnar, radial,
    scissor, pincep)
    Parachute reflex (Anterior: , Lateral: , Posterior: )
    Vojta 7 items test:
    Traction response
    Suspension test
    Landau reflex
    Colli horizontal test
    Colli vertical test
    Peiper-Isburt test

    I response to simple smelling


    II facial expression to bright color ball, doll or
    suspension material from backward to visual
    field; extent hand to toy; visual motional nystagmus
    III, IV, VI target tracing, oculovestibular reflex
    V chewing, cornea reflex
    VII observation of facial expression, motion & symmetry
    VIII response to folk or music-making toy, rotational test, thermal

    test
    IX, X swallowing, feeding, food, crying sound,
    gag reflex
    XI observation of head movement during standing & supine
    XII observation of movement, symmetry,
    atrophy and fasciculation of tongue

    Neurological behavior evaluation between 1~5 years


    old
    Walking (Symmetrical?, Gait disturbance?, Ataxia?)
    Parachute reflex (Posterior: )
    Runs (stiffly_, well_)
    Squating_ & standing_
    Jumps
    Stands on one foot
    Hops on one foot
    Upstairs_, Downstairs_
    Piles __ cubes
    Scatching (circle_, triangle_)
    Tricycling_
    Throw ball over head_
    Language (words_, put words together_,--)
    Social

    Neurological evaluation between 3~6 years old


    Neurological soft sign: standing
    Horizontal extension of upper extremities
    Involuntary movement
    Mouth-opening and finger spreading phenomenon
    Diadochokinesis and associated movements
    Finger-nose test

    Fingertip-touching test
    Finger opposition test
    Follow-a-finger test
    Circle test
    Romberg test

    Neurological soft sign: walking


    Walk on straight
    Walk on toes
    Walk on heels
    Fog test
    Standing with one foot
    Jumping with one foot

    Neurological soft sign: posture


    <Supine>:
    Knee-heel test
    Sitting without using hands

    <Head>:
    Staring
    Target tracing
    Movement of tougne

    <Motional persistence test>


    Persistent closure of eyes
    Closing eyes with tongue protruding
    Opening eyes with tongue protruding
    Staring at lateral side
    Persistent opening-mouth
    Staring at Dr.s nose during visual field examination
    Touching patients head during sensory examination
    Say aah-

    Neurological examination in child> 6 years old: same


    as adult except some cooperative movements

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