HISTORIA CLÍNICA NEUROLÓGICA

Nombre: Fecha de ingreso:

Edad: Sexo:

Ocupación:

Anamnesis y motivo de consulta

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Examen neurológico:

1.- Examen mental

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2.- Pares craneales

I Par (olfatorio):

II Par (óptico):

 Campimetría
 Fondo de ojo
 Agudeza visual

III, IV, VI Pares (oculomotor,troqueal y abducens):

V Par (trigémino):

VII Par (facial):

VIII Par (vestíbulooclear):

IX y X Pares (glosofaringeo y vago):

XI Par (espinal):

XII Par (hipogloso):

3.- Examen motor

 Trofismo:
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 Tono:
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 Fuerza:
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  Reflejos osteotendinosos (ROT):
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 Reflejos cutáneos superficiales:
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4.- Examen sensitivo

 Sensibilidad superficial:
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 Sensibilidad profunda:
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5.- Examen de cerebelo

 Metria:
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 Temblor de intención:
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 Diadococinesia:
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 Descomposición del movimiento:
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 Marcha atáxica:
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 Nistagmus de tipo central:
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6.- Signos meníngeos: