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Neuro Exam, aimless walking/pacing wide circles altered mentation …

- - - - abnormal
        
        forebrain
        
        lesion is contralateral to side of abnormal postural reactions
      - normal
        
        bladder/perianal/perineal sensation & function
        
        normal
        
        no organic CNS disease
        
        abnormal
        
        sacral lesion
  - - - abnormal
        
        reflexes
        
        present/increased
        
        UMN
        
        no paresis
        
        dysmetria
        tremors
        base wide stance
        loss of fine motor control
        truncal sway
        nystagmus
        head wobble
        
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        nystagmus
        
        1 more item...
        
        some paresis
        
        vestibular signs or CN symptoms (nystagmus, strabismus)
        
        1 more item...
        
        no head signs (vestibular, CN, mentation)
        
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        will have ataxia ipsilateral to side of lesion
        
        absent/decreased
        
        spinal cord lesion
        
        LMN reflexes in thoracic limb; UMN reflexes in hindlimb
        
        C6-T2 (brachial plexus)
        
        thoracic limb normal
        
        UMN reflexes in hindlimb
        
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        LMN reflexes in hindlimb
        
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- - - - severe bilateral lesions in SC
- - - - visual pathways
        
        thalamus
        
        optic radiation (tract traveling to occipital lobe)
        
        occipital cortex
        
        PLR
        
        midbrain
        
        1 more item...