SPECIALTY GUIDE: NEUROLOGY · ESO & AAN Guidelines Compliant
Neurological Examination Note: Cranial Nerves, Motor Exam & Stroke Protocol
Key Clinical Takeaways
- A rigorous six-component framework: Mental Status, Cranial Nerves I-XII, Motor (MRC 0-5), Sensory, Cerebellar, and Gait.
- Acute ischemic stroke documentation requires exact "last known normal" timestamping for the 4.5-hour thrombolysis and 24-hour thrombectomy windows.
- ClinIQ calculates baseline NIHSS and ABCD2 scores directly from clinical consultation data.
1. Structured Neurological Assessment
Neurological progress notes pinpoint neuroanatomical localization, differentiating central from peripheral nervous system pathology through methodical bedside testing.
Frequently Asked Clinical Questions
Q: How to distinguish central vs peripheral facial palsy on physical exam?
Forehead wrinkling is preserved in central (upper motor neuron) palsy due to bilateral cortical innervation, whereas peripheral (Bell's palsy) impairs the entire ipsilateral face including the forehead.
Clinical Guidelines & References
- European Stroke Organisation (ESO) Thrombolysis Guidelines, 2021.