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SPECIALTY GUIDE: NEUROLOGY · ESO & AAN Guidelines Compliant

Neurological Examination Note: Cranial Nerves, Motor Exam & Stroke Protocol

🩺 Revisión Médica: Comité Médico y de Algoritmos Clínicos ClinIQ 📅 Última actualización: 23 Ekim 2026 ⏱️ 9 min de lectura 👥 Médicos de urgencias, internistas, residentes y estudiantes de medicina

Puntos Clínicos Clave

  • 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.

Preguntas Clínicas Frecuentes

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.

Guías Clínicas y Referencias

  1. European Stroke Organisation (ESO) Thrombolysis Guidelines, 2021.