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SPECIALTY GUIDE: NEUROLOGY · ESO & AAN Guidelines Compliant

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

🩺 Tinjauan Medis: Dewan Algoritma Klinis & Medis ClinIQ 📅 Pembaruan Terakhir: 23 Ekim 2026 ⏱️ 9 menit baca 👥 Dokter gawat darurat, dokter spesialis penyakit dalam, residen, dan mahasiswa kedokteran

Poin Kunci Klinis

  • 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.

Pertanyaan Klinis yang Sering Diajukan

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.

Pedoman Klinis & Referensi

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