Page 2 - Neurological examination of children

C 2
C 4
AXIL
T 2
3
ANT.
CUT MED BR.
4
CUT
5
RAD
LAT.
6
7
8
9
10
CUT ANTEBR MED.
11
12
RAD.
ILIOHYP
L 1
ILIOING
MED.
OBTUR.
ULMAR
RAD.
C 5
C 2
MED
L 4
5
SUPRACLAV
PERON COMM
3
AXIL
4
CUT
5
POST.
LAT.
CUT MED BR.
6
TIB.
7
8
RAD
9
TIB. POST.
11
C 6
12
L 1
T 1
L 2
MUSCULOCUT
RAD
S 2
C 2
ILIOHYPO
S 5
COC
ULNAR
S 3
C 3
C 4
T 2
CUT
C 5
T 1
FEM
C 3
ANT.
CUT MED BR.
POST.
ULNAR
C 8
RAD
LAT.
7 C 2 3 4 5 6 CUT SUPRACLAV CUT AXIL I II III C 7 C 8 C 7 C 6 C 8 T 5 C 5 S 1 L 5 L 2 L 3 C 3 C 2 CUT SUPRACLAV FEM CUT. FEM. LAT. ULNAR MUSCULOCUT C 7 C 8 C 6 C 6 C 7 C 5 C 5 I II C 4 S 1 III S 2 6 T 2 10 L 3 C 3 S4 C 3 OBTUR CUT CUT
8
MUSCULOCUT MED
9
C 6
T 5 10 CUT ANTEBR MED.
L 3
6 - 14 months: Preferably examine the child sitting on the lap of a parent. Avoid upset by
11
12
postponing more unpleasant parts of the examination until the end. Visual fields, hearing ILIOHYP RAD.
and sensation may be examined while the child turns his or her back towards the examiner. ILIOING PERON COMM
L 1
C 7 C 8 ULNAR MED. FEM
>4 years: Can often collaborate in a systematic neurological examination.
L 2 L 5
OBTUR. C 4 TIB
Sensory function CUT. FEM. LAT. L 4 C 5 PERON COMM
L 3 ULMAR RAD. S 1
C 5
Touching (e.g. swab or tissue), hot/ cold, pain, position sense, stereognosis. C 2
C 8
C 7 FEM
MED
Figure 2 Dermatomes. Cutanenous innervation of
peripheral nerves L 5 C 3 S 1
L 4 I
C 2 5
6
C 4 SUPRACLAV
T 2
C 2 PERON COMM II 3 AXIL
III
C 3 4 CUT
I SUPRACLAV 5 CUT
C 4 POST. LAT. CUT MED BR.
C 2 AXIL 6
S 1
T 2 TIB. C 5
C 5 7
3 CUT 8
ANT. CUT MED BR. C 3 RAD
C 2 II III 4 TIB. POST. 9
C 3 5 CUT RAD 10
11
LAT.
SUPRACLAV C 6
C 4 AXIL 6 12
T 2 T 1 L 1 CUT MED ABR.
C 5 7
3 CUT 8 L 2
ANT. C 3 MUSCULOCUT MUSCULOCUT
4 CUT MED BR. 9 L 3
C 6 S 2 ILIOHYPO RAD
5 CUT RAD T 5 10 CUT ANTEBR MED. C 5 S 1 S 5
LAT.
6 11 COC ULNAR
12 S4 MED
7 S 3 CUT MED LAT.
ILIOHYP RAD. C 7 C 8
8 L 1
MUSCULOCUT ILIOING
9 C 6
C 6 C 7 C 8 MED. CUT
T 5 10 CUT ANTEBR MED. ULNAR T 1 FEM
C 6 POST. RAD
11 C 8
L 2 ULNAR
12
ILIOHYP RAD. OBTUR. C 7 OBTUR
L 1 ILIOING S 2
CUT. FEM. LAT.
C 7 C 8 ULNAR MED. MED
L 2 L 3 ULMAR RAD. L 3
C 5
OBTUR. C 7 C 8 FEM C 2
PERON COMM
CUT. FEM. LAT. MED FEM
L 5 L 5
L 3 ULMAR RAD. L 4 C 3
C 5 5 C 4 TIB
C 8 FEM C 2 6 PERON COMM
C 7 C 4 SUPRACLAV C 5
MED L 4 T 2
S 1
PERON COMM 3 AXIL
L 5 4
L 4 C 3 5 CUT CUT
POST.
LAT.
5 6 CUT MED BR.
6 S 1
C 4 SUPRACLAV TIB. C 5 7 S 1
T 2 8
PERON COMM 3 AXIL TIB. POST. 9 RAD
2 4 CUT CUT 10 11 3
5 POST. LAT. C 6 12
S 1 6 CUT MED BR. T 1 L 1
TIB. C 5 7 CUT MED ABR.
L 2
8 MUSCULOCUT
TIB. POST. 9 RAD L 3 S 2 RAD
10 ILIOHYPO
11 C 5 S 1 S 5
C 6
12 COC ULNAR
T 1 L 1 S4 MED
CUT MED ABR. S 3 CUT MED LAT.
L 2 C 7 C 8
MUSCULOCUT
L 3 C 6
S 2 ILIOHYPO RAD CUT
C 5 S 1 S 5 C 6 T 1 FEM
POST.
COC RAD
ULNAR C 8 ULNAR
S4 MED
S 3 CUT MED LAT.
C 7 C 8 C 7 S 2 OBTUR
C 6
CUT MED
T 1 FEM
C 6 POST. RAD L 3
C 8 ULNAR
C 7 OBTUR
S 2
PERON COMM
MED FEM
L 5
L 3
C 4 TIB
PERON COMM
PERON COMM L 4 C 5
FEM S 1
L 5
C 4 TIB
PERON COMM
C 5 S 1
L 4
S 1
S 1