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Neurology

Neurology

The Neurology collection includes images and videos of various neurology exams, including reflexes, sensory exams, motor, and more.

To find out more information about the Health Education Media Library project, including details on how to get involved, visit: https://uwo.ca/fhs//education/oer/index.html

The Neurology Collection is curated by Courtney Casserly, MD, FRCPC Department of Clinical Neurological Sciences; Assistant professor, Schulich School of Medicine.

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Testing extraocular movements - cranial nerves III, IV and VI using the "H" test

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing extraocular movements - cranial nerves III, IV and VI using the "H test"-examiner ask patient to follow his finger with their eyes
Testing for Optokinetic nystagmus using an OKN strip-horizonatal

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing for Optokinetic nystagmus using an OKN strip-examiner moves the strip horizonally in front of the patient (normal response OKN present)
Testing for Optokinetic nystagmus using an OKN strip-vertical

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing for Optokinetic nystagmus using an OKN strip-examiner moves the strip vertically in front of the patient (normal response OKN present)
Testing for Optokinetic nystagmus using an OKN strip-vertical

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing for Optokinetic nystagmus using an OKN strip-examiner moves the strip vertically in front of the patient (normal response OKN present)
Testing for vocal tremor - patient saying "ahhhh"

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing for vocal tremor - patient saying "ahhhh"
Testing for vocal tremor - patient saying "ahhhh"

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing for vocal tremor - patient saying "ahhhh"
Testing hip flexion (supine)

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing hip flexion with patient supine; L1-3; femoral nerve, iliopsoas muscle; motor testing (please note knee is flexed at 90 degrees to isolate hip flexors, and strength testing legs is preferably done SUPINE)
Testing horizontal saccades

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Examiner is testing horizontal saccadic eye movements, asking the patient to look quickly between one hand (finger up) and the other
Testing plantar response (sitting)

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing plantar response (sitting) using tongue depressor broken in half length-wise

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing plantar response (supine)

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing plantar response (supine) using tongue depressor broken in half length-wise

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing plantar response (supine)

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing plantar response (supine) using tongue depressor broken in half length-wise and toe down-going (normal)

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing Pupillary light reflex

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Pupillary light reflex (CN II in and CN III out), looking at direct and consensual pupillary response to light
Testing Pupillary light reflex

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Pupillary light reflex (CN II in and CN III out), looking at direct and consensual pupillary response to light
Testing sensation on face to pin (CN V maxillary division V2)

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing sensation on face to pin (CN V maxillary division V2) using a clean safety pin on the mid face (cheek)
Testing shoulder shrug-trapezius, cranial nerve XI

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing shoulder shrug-trapezius, cranial nerve XI-examiiner asks patient to shrug shoulders upwards against resistance (both sides tested simultaneously)
Testing sternocleidomastoid (SCM) cranial nerve XI

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing sternocleidomastoid (SCM) cranial nerve XI-examiner asks patient to actively turn head to one side and then pushes on side of face and tries to push face back to midline, contralateral SCM activates (is seen more prominently)
Testing the near response

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing the near response as examiner moves his finger towards the patient's nose, and watches to see if eyes converge and pupils constrict
Testing tone at wrist with patient sitting

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing rigid tone at the wrist; supporting wrist and hand, slow rotation at wrist while supporting above and below joint

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing tone in arm with patient sitting

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing spastic tone with patient sitting; supporting at elbow and holding hand; supination/pronation

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing tone in arm with patient sitting

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing spastic tone with patient sitting; supporting at elbow and holding hand; quick elbow extension

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing tone in arm with patient sitting

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Upper extremity motor exam: inspection of muscles in the arm. Patient sitting on the edge of the bed and clinician standing.

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Testing tone in the left arm

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing tone in the left arm
Testing tone in the left arm

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing tone in the left arm
Testing upillary light reflex

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Pupillary light reflex (CN II in and CN III out), looking at direct and consensual pupillary response to light
Testing vertical saccades

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Examiner is testing vertical saccadic eye movements, asking the patient to look quickly between one hand (finger up) and the other
Testing visual Acuity - Using near card.

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing visual acuity using near card, testing one eye at a time, no correction
Testing visual fields

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing visual fields using "one" finger; one eye occluded with patient hand, testing one quadrant at a time
Testing visual fields

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Visual field testing, one eye at a time, "two" fingers on each hand, testing two quadrants simultaneously, looking for visual extinction
Testing visual fields

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing visual fields using "two" fingers; one eye occluded with patient hand, testing one quadrant at a time
Testing visual fields - demonstrating visual field quadrants

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing visual fields one eye at a time, imaginging a "cross hairs" in patients eye, which divides their vision into four equal quadrants, which each need to be tested)
Testing visual fields - visual extinction

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Visual field testing, one eye at a time, "two" fingers on each hand, testing two quadrants simultaneously, looking for visual extinction
Upper Extremities Sensory Exam: Pin arm

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Sensory exam to pin upper extremities (examiner gently touches clean safety pin to patient forearm, and asks if it is sharp)

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Upper Extremities Sensory Exam: Pin hand

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Sensory exam to pin upper extremities (examiner gently touches clean safety pin to patient palmar surface hand, and asks if it is sharp)

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Upper Extremities Sensory Exam: Pin hand

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Sensory exam to pin upper extremities (examiner gently touches clean safety pin to patient palmar surface hand, and asks if it is sharp)

Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)
Visual Acuity - One eye occluded with patient hand.

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Preparing to test acuity-one eye occluded with patient hand, snellen visual acuity card not in photo
Visual Acuity - Using near card.

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing visual acuity using near card, testing one eye at a time, no correction
Visual Acuity - Using near card.

Clinical Neurological Sciences, Schulich School of Medicine and Dentistry

Testing visual acuity one eye occluded with patient hand, no correction, clinician leaning in to check