ABSTRACT

To provide a framework for clinical reasoning ◾ when presented with a patient having neurological symptoms To provide a framework for localization of lesions ◾ within the nervous system To provide a framework to correctly identify etio-◾ logical diagnoses To review how the data gathered by neurological ◾ history and physical examination are synthesized in a logical process to allow for localization and etiological diagnosis

When confronted with a patient with neurological symptoms, the questions that a clinician must ask while conducting a neurological history and physical examination include the following:

1 . Is the problem truly neurological? Or putting it another way, is the problem due to real organic pathology? Alternatively, could the patient’s symptoms be due to a disease process located outside the nervous system?