Neuro Exam Epilepsy Syndromes CNS Malformations Skin Findings Metabolic Diseases
100
Deep Tendon Reflexes 4+
Clonus present when eliciting reflexes
100
Absence Epilepsy
3 Hz spike and wave generalized discharges
100
Chiari Malformation type 1
Cerebellar tonsils > 5 mm below foramen magnum
100
Cafe au lait spot
Hyperpigmented, light brown, flat macule in a child with macrocephaly
100
Maple Syrup Urine Disease
Elevation of Isoleucine, leucine, valine
200
Dysmetria
Impaired ability to estimate distance in muscular action (target overshoot or undershoot)
200
Benign Rolandic Epilepsy
Centro-temporal spikes
200
Myelomeningocele
Protrusion of the spinal cord and meninges from the spinal column forming a sac
200
Ash leaf spots
Hypomelatonic ovoid macule with irregular margins, seen under woods lamp
200
PKU
Disease with low tyrosine levels and "musty odor"
300
Muscle strength 3/5
What degree of strength is described here? movement possible against gravity but not against resistance by the examiner
300
Juvenile Myoclonic Epilepsy
4-6 Hz generalized spike and polyspike and wave discharges
300
Dandy Walker Malformation
Vermis hypoplasia, cystic dilation of the 4th ventricle and enlarged posterior fossa
300
Port- Wine Stain
Discoloration of the facial skin cause by a vascular abnormality
300
Ornithine Transcarbamylase Deficiency
Severe elevation of ammonia in a newborn on the 3rd DOL with respiratory alkalosis
400
Crossed Adductor Reflex
What is the name of this exam finding?
Contraction of both hip adductors when either knee jerk is elicited
400
Lennox-Gastaut Syndrome
Multiple seizures types, intellectual disability and slow spike and wave on EEG
400
Holoprosecephaly
Lack of midline brain cleavage with associated midline defects
400
Shagreen patch
Oval-shaped and nevoid, skin-colored with leathery texture
400
Mitochondrial Encehalopathy, Lactic Acidosis and Stroke Like episodes
What is MELAS?
500
Ciliospinal Reflex
What is the name of the reflex?
Dilation of the ipsilateral pupil in response to pain applied to neck
500
Panayiotopoulos Syndrome
High amplitude, focal spikes mostly in occipital region activated during sleep with emesis and pallor
500
Schizencephaly
Abnormal cleft in the cerebral hemispheres
500
Hypomelanosis of Ito
Skin findings characterized by streaks or whorled areas of hypopigmentation and associated with epilepsy
500
X-Linked Adrenoleukodystrophy
Elevation of Very Long Chain Fatty Acids






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