How do you conduct an efficient neurological examination (5 steps)?
1) observe
2) perform postural reactions
3) assess spinal reflexes
4) assess cranial nerves
5) evaluate sensory stimulation
In order to localize neurologic lesions, what should you check for?
normal/abnormal head
spinal cord
peripheral nerves
What are some clinical signs of abnormal head signs?
seizures
head tilt
circling
What are some clinical signs of both brain and spinal lesions?
paresis
ataxia
What are the 4 functional lobes of the cerebrum? What do they do?
frontal - motor
parietal - sensory
temporal - sensory/hearing
occipital - vision
The forebrain consists of what 2 parts of the brain?
cerebral cortex
diencephalon
What are clinical signs of a lesion in the forebrain?
seizures
circling
minimal gait abnormalities
aimless pacing
blindness
postural/sensory deficits
Altered mental status can be from the _______, _______, or ______ ________
forebrain
brainstem
systemic disease
What are the parts of the brain included in the brainstem (excluding diencephalon)?
midbrain
pons
medulla
What are common clinical signs of lesions in the brainstem?
paresis
ataxia
postural reaction deficits
head tilt
circling
cranial nerve dysfunction
Abnormal findings regarding brainstem lesions are typically _______ to the lesion location
ipsilateral
If an animal presents with vestibular disease, what are some clinical signs?
head tilt
circling
ataxia
falling
nystagmus
strabismus
facial nerve dysfunction
If the vestibular system has a central vestibular issue, what does this mean?
lesion in brainstem, leading to postural reactions being abnormal
If the vestibular system has a peripheral vestibular issue, what does this mean?
postural reactions typically normal (lesion doesn’t affect it)
Peripheral vestibular disease can be either _____ and _______
unilateral
bilateral
Which part of the brain is located in the caudal fossa of the skull?
cerebellum
Which part of the brain measures, coordinates, and regulates motor action? What does it NOT do?
cerebellum
initiate motor action
Which part of the brain receives sensory information from ALL systems?
cerebellum
What are some clinical signs of a lesion in the cerebellum?
1) severe ataxia
2) tremoring
3) normal postural reactions
3) normal mental status
Paresis and ataxia will be _________ to lesion in the spinal cord
ipsilateral
What is the # for a normal spinal reflex?
2
What is the # for a hyper spinal reflex?
3, 4
What is the # for a decreased spinal reflex?
1
What is the # for an absent spinal reflex?
0