Here i'd like to share a subtopic pediatric neurological examination, reviewed from "Pediatric Neurology, second Edition" by James F. Bale.

1. Vita Kusuma Rahmawati
The Pediatric
Neurological
Examination

2. she is not a “mini-me”
VIT 2

3. Mental State Examination
VIT 3

4. VIT 4

5. Cranial Nerve Examination
VIT 5

6. Motoric Examination
VIT 6

7. VIT 7

8. VIT 8

9. VIT 9

10. major motor milestones of childhood
• 2–4 months: rolling over.
• 5–7 months: sitting without support.
• 8–9 months: getting to sitting.
• 9–11 months: cruising.
• 12–16 months: walking.
• 14–18 months: running.
• 3–4 years: hop on one foot.
• 3–4 years: rides a tricycle.
• 6–7 years: rides a bicycle.
VIT 10

11. Babinski Sign
The main pathologic reflex sought in
children is the Babinski sign, the
response of the great toe elicited by
stroking the plantar surface of the
foot.
Because of the lack of myelination of
the corticospinal tracts for the lower
extremities, a Babinski or an up-
going toe (also called the extensor
plantar response) is the normal
finding during the first year of life.
VIT 11

12. Cerebellar Sign Examination
VIT 12

13. Gait Examination
After cruising, the child begins
to take steps on his or her own
between 12 and 15 months of
age.
In this early, toddler gait, the
station is wide based and arms
are held in front in the high
guard position.
VIT 13