SlideShare a Scribd company logo
neurology
Sensory system Examination
Dr mohamed rizk khodair
lecturer of neurology
October 6 university
Mohamedrizk.med@edu.edu.eg
‫والجراحة‬ ‫الطب‬ ‫كلية‬
The sensory system evaluation is divided into the following
Superficial sensation :
Pain using pin prick
Touch using a piece of cotton
Temperature using hot and cold test tubes
1- compare both side to detect hemihypothesia
2- search to detect level in ( extra medullary) and search
To detect jack sensory loss in( intramedullary lesion )
3- search to detect stock and glove hypothesia in PN
4- compare different dermatomes ( for radicular sensory
Loss )
Head  UL  trunk  LL
proximal and distal
Deep sensation
1- joint sense ( sense of position and movement )  Big toe
2- bone sense : vibration sense
Medial malleolus : represents PN
ASIS : represents Posterior column
Forehead : represents thalamus
3- muscle sense : squeeze calf muscle
4- nerve sense
Romberg sign ..!!
Cortical sensations
Tactile localization : localize the site of pin prick over body
Tactile discrimination “ 2-point discrimination “ : localize 2 stimulation pin
pricks , normally they can be felt distinct provided their minimal distance
between them ( 5 mm on finger and 5 cm over back )
Graphosthesia : recognition number or letter drawn on hands
Stereognosis : recognition familiar object in hand (key)
Sensory attention ( perceptual rivalry ) : 2 simultaneous pricks at 2
corresponding sites of body are felt on each side at same moment
sensory system examination

More Related Content

What's hot

demyelinated disorder: multiple sclerosis.pptx
demyelinated disorder: multiple sclerosis.pptxdemyelinated disorder: multiple sclerosis.pptx
demyelinated disorder: multiple sclerosis.pptx
Mohamed Rizk Khodair
 
peripheral neuropathy (introduction and Gillian barre syndrome .pptx
peripheral neuropathy (introduction and Gillian barre syndrome .pptxperipheral neuropathy (introduction and Gillian barre syndrome .pptx
peripheral neuropathy (introduction and Gillian barre syndrome .pptx
Mohamed Rizk Khodair
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
Mohamed Rizk Khodair
 
ataxia
ataxia ataxia
spinal cord disorders and paraplegia .
spinal cord disorders  and  paraplegia .spinal cord disorders  and  paraplegia .
spinal cord disorders and paraplegia .
Mohamed Rizk Khodair
 
myopthies.pptx
myopthies.pptxmyopthies.pptx
myopthies.pptx
Mohamed Rizk Khodair
 
movement disorder for physiotherapy .pptx
movement disorder for physiotherapy .pptxmovement disorder for physiotherapy .pptx
movement disorder for physiotherapy .pptx
Mohamed Rizk Khodair
 
SAH
SAHSAH
CRANIAL NERVE EXAMINATION
CRANIAL NERVE EXAMINATIONCRANIAL NERVE EXAMINATION
CRANIAL NERVE EXAMINATION
Jude Paul
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)
Mohamed Rizk Khodair
 
cerebrovasular disease(ischemic, ICH & SAH).pptx
cerebrovasular disease(ischemic, ICH & SAH).pptxcerebrovasular disease(ischemic, ICH & SAH).pptx
cerebrovasular disease(ischemic, ICH & SAH).pptx
Mohamed Rizk Khodair
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
Mohamed Rizk Khodair
 
Oculomotor nerve
Oculomotor nerveOculomotor nerve
Oculomotor nerve
Amr Hassan
 
Stroke localization by Dr. Md. firoz
Stroke localization by Dr. Md. firozStroke localization by Dr. Md. firoz
Stroke localization by Dr. Md. firoz
FirozMohammad8
 
Cranial nerve examination
Cranial nerve examinationCranial nerve examination
Cranial nerve examination
Bharath omfs
 
Cranial nerve-examination.ppt
Cranial nerve-examination.pptCranial nerve-examination.ppt
Cranial nerve-examination.ppt
ShiwaniRedij1
 
Brainstem syndrome vinod (1)
Brainstem syndrome vinod (1)Brainstem syndrome vinod (1)
Brainstem syndrome vinod (1)
NeurologyKota
 
Forgotten reflex testing
Forgotten reflex testingForgotten reflex testing
Forgotten reflex testing
Randy Rosenberg MD FAAN FACP
 
Neurological System Examination. Khan MS
Neurological System Examination. Khan MSNeurological System Examination. Khan MS
Neurological System Examination. Khan MS
Sanaullah Khan
 
Dementia (Alzheimer & vasular dementia).
Dementia (Alzheimer & vasular dementia).Dementia (Alzheimer & vasular dementia).
Dementia (Alzheimer & vasular dementia).
Mohamed Rizk Khodair
 

What's hot (20)

demyelinated disorder: multiple sclerosis.pptx
demyelinated disorder: multiple sclerosis.pptxdemyelinated disorder: multiple sclerosis.pptx
demyelinated disorder: multiple sclerosis.pptx
 
peripheral neuropathy (introduction and Gillian barre syndrome .pptx
peripheral neuropathy (introduction and Gillian barre syndrome .pptxperipheral neuropathy (introduction and Gillian barre syndrome .pptx
peripheral neuropathy (introduction and Gillian barre syndrome .pptx
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
ataxia
ataxia ataxia
ataxia
 
spinal cord disorders and paraplegia .
spinal cord disorders  and  paraplegia .spinal cord disorders  and  paraplegia .
spinal cord disorders and paraplegia .
 
myopthies.pptx
myopthies.pptxmyopthies.pptx
myopthies.pptx
 
movement disorder for physiotherapy .pptx
movement disorder for physiotherapy .pptxmovement disorder for physiotherapy .pptx
movement disorder for physiotherapy .pptx
 
SAH
SAHSAH
SAH
 
CRANIAL NERVE EXAMINATION
CRANIAL NERVE EXAMINATIONCRANIAL NERVE EXAMINATION
CRANIAL NERVE EXAMINATION
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)
 
cerebrovasular disease(ischemic, ICH & SAH).pptx
cerebrovasular disease(ischemic, ICH & SAH).pptxcerebrovasular disease(ischemic, ICH & SAH).pptx
cerebrovasular disease(ischemic, ICH & SAH).pptx
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
Oculomotor nerve
Oculomotor nerveOculomotor nerve
Oculomotor nerve
 
Stroke localization by Dr. Md. firoz
Stroke localization by Dr. Md. firozStroke localization by Dr. Md. firoz
Stroke localization by Dr. Md. firoz
 
Cranial nerve examination
Cranial nerve examinationCranial nerve examination
Cranial nerve examination
 
Cranial nerve-examination.ppt
Cranial nerve-examination.pptCranial nerve-examination.ppt
Cranial nerve-examination.ppt
 
Brainstem syndrome vinod (1)
Brainstem syndrome vinod (1)Brainstem syndrome vinod (1)
Brainstem syndrome vinod (1)
 
Forgotten reflex testing
Forgotten reflex testingForgotten reflex testing
Forgotten reflex testing
 
Neurological System Examination. Khan MS
Neurological System Examination. Khan MSNeurological System Examination. Khan MS
Neurological System Examination. Khan MS
 
Dementia (Alzheimer & vasular dementia).
Dementia (Alzheimer & vasular dementia).Dementia (Alzheimer & vasular dementia).
Dementia (Alzheimer & vasular dementia).
 

Similar to sensory system examination

Pain and its pathway
Pain and its pathwayPain and its pathway
Pain and its pathway
soumya12345678910
 
9168452.ppt
9168452.ppt9168452.ppt
9168452.ppt
AbhilashVemula4
 
Somatic mechanoceptive sensation.hussein f. sakr
Somatic mechanoceptive sensation.hussein f. sakrSomatic mechanoceptive sensation.hussein f. sakr
Somatic mechanoceptive sensation.hussein f. sakr
Hussein Sakr
 
7/10 Other senses
7/10 Other senses7/10 Other senses
7/10 Other senses
Madeleine Si
 
Pain and pain pathways
Pain and pain pathwaysPain and pain pathways
Pain and pain pathways
Dhwani Gohil
 
Physiology of Pain
Physiology of PainPhysiology of Pain
Sensation
SensationSensation
Sensation
PS Deb
 
Pain
PainPain
Lecture 6 sensory
Lecture 6   sensoryLecture 6   sensory
Lecture 6 sensory
missazyaziz
 
General sensitivity.pptx
General sensitivity.pptxGeneral sensitivity.pptx
General sensitivity.pptx
ssuser6ebfe0
 
Cns 5
Cns  5Cns  5
Dorsal column medial leminiscus
Dorsal column medial leminiscusDorsal column medial leminiscus
Dorsal column medial leminiscus
bigboss716
 
dcml-170505154109.pdf
dcml-170505154109.pdfdcml-170505154109.pdf
dcml-170505154109.pdf
fahdqazi1
 
Pain pathway all
Pain pathway allPain pathway all
Pain pathway all
sumit rajewar
 
06 sensory processing
06 sensory processing06 sensory processing
06 sensory processing
PS Deb
 
06 sensory processing
06 sensory processing06 sensory processing
06 sensory processing
PS Deb
 
06 sensory processing
06 sensory processing06 sensory processing
06 sensory processing
PS Deb
 
Sensitivity (Neurology 4)
Sensitivity (Neurology 4)Sensitivity (Neurology 4)
Sensitivity (Neurology 4)
Alok Kumar
 
Physiology of sensory & pain.pdf
Physiology of sensory & pain.pdfPhysiology of sensory & pain.pdf
Physiology of sensory & pain.pdf
qahtanali2
 
spinal cord
spinal cordspinal cord
spinal cord
zoheb khan
 

Similar to sensory system examination (20)

Pain and its pathway
Pain and its pathwayPain and its pathway
Pain and its pathway
 
9168452.ppt
9168452.ppt9168452.ppt
9168452.ppt
 
Somatic mechanoceptive sensation.hussein f. sakr
Somatic mechanoceptive sensation.hussein f. sakrSomatic mechanoceptive sensation.hussein f. sakr
Somatic mechanoceptive sensation.hussein f. sakr
 
7/10 Other senses
7/10 Other senses7/10 Other senses
7/10 Other senses
 
Pain and pain pathways
Pain and pain pathwaysPain and pain pathways
Pain and pain pathways
 
Physiology of Pain
Physiology of PainPhysiology of Pain
Physiology of Pain
 
Sensation
SensationSensation
Sensation
 
Pain
PainPain
Pain
 
Lecture 6 sensory
Lecture 6   sensoryLecture 6   sensory
Lecture 6 sensory
 
General sensitivity.pptx
General sensitivity.pptxGeneral sensitivity.pptx
General sensitivity.pptx
 
Cns 5
Cns  5Cns  5
Cns 5
 
Dorsal column medial leminiscus
Dorsal column medial leminiscusDorsal column medial leminiscus
Dorsal column medial leminiscus
 
dcml-170505154109.pdf
dcml-170505154109.pdfdcml-170505154109.pdf
dcml-170505154109.pdf
 
Pain pathway all
Pain pathway allPain pathway all
Pain pathway all
 
06 sensory processing
06 sensory processing06 sensory processing
06 sensory processing
 
06 sensory processing
06 sensory processing06 sensory processing
06 sensory processing
 
06 sensory processing
06 sensory processing06 sensory processing
06 sensory processing
 
Sensitivity (Neurology 4)
Sensitivity (Neurology 4)Sensitivity (Neurology 4)
Sensitivity (Neurology 4)
 
Physiology of sensory & pain.pdf
Physiology of sensory & pain.pdfPhysiology of sensory & pain.pdf
Physiology of sensory & pain.pdf
 
spinal cord
spinal cordspinal cord
spinal cord
 

Recently uploaded

Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
FFragrant
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
chiranthgowda16
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
shivalingatalekar1
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
bkling
 
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Donc Test
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
SwisschemDerma
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
LaniyaNasrink
 
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...
Donc Test
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Holistified Wellness
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
AksshayaRajanbabu
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
rishi2789
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
19various
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
Dr.pavithra Anandan
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
Dr. Jyothirmai Paindla
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
Dr. Jyothirmai Paindla
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 

Recently uploaded (20)

Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
 
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
 
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 

sensory system examination

  • 1. neurology Sensory system Examination Dr mohamed rizk khodair lecturer of neurology October 6 university Mohamedrizk.med@edu.edu.eg ‫والجراحة‬ ‫الطب‬ ‫كلية‬
  • 2. The sensory system evaluation is divided into the following Superficial sensation : Pain using pin prick Touch using a piece of cotton Temperature using hot and cold test tubes 1- compare both side to detect hemihypothesia 2- search to detect level in ( extra medullary) and search To detect jack sensory loss in( intramedullary lesion ) 3- search to detect stock and glove hypothesia in PN 4- compare different dermatomes ( for radicular sensory Loss ) Head  UL  trunk  LL proximal and distal
  • 3. Deep sensation 1- joint sense ( sense of position and movement )  Big toe 2- bone sense : vibration sense Medial malleolus : represents PN ASIS : represents Posterior column Forehead : represents thalamus 3- muscle sense : squeeze calf muscle 4- nerve sense Romberg sign ..!!
  • 4. Cortical sensations Tactile localization : localize the site of pin prick over body Tactile discrimination “ 2-point discrimination “ : localize 2 stimulation pin pricks , normally they can be felt distinct provided their minimal distance between them ( 5 mm on finger and 5 cm over back ) Graphosthesia : recognition number or letter drawn on hands Stereognosis : recognition familiar object in hand (key) Sensory attention ( perceptual rivalry ) : 2 simultaneous pricks at 2 corresponding sites of body are felt on each side at same moment