: Detailed testing of modalities like proprioception and vibration, alongside deep tendon and pathological reflexes (e.g., Babinski sign) to differentiate upper vs. lower motor neuron involvement.
DeJong's The Neurologic Examination remains a cornerstone of medical literature, often described as the definitive, encyclopedic guide to bedside neurological assessment. Now in its (edited by William W. Campbell and Richard J. Barohn), it continues to bridge the gap between complex neuroanatomy and clinical practice. Core Philosophy and Utility
: Includes grading muscle strength (MRC 0–5 scale), assessing tone (spasticity vs. rigidity), and observing involuntary movements.
: Detailed inspection of all 12 nerves for brainstem and nuclei integrity.
The text emphasizes a systematic and exhaustive approach to ensure subtle deficits are not overlooked. Its primary goal is to help clinicians:
: Confidently distinguish between neurological and non-neurological (e.g., psychiatric) causes.
: Move beyond rote testing to a deep understanding of the anatomical and physiological basis of every sign. Key Components of the Examination
: Covers consciousness, orientation, language, and memory—often considered the most vital first step.