Southeast Veterinary Neurology Neurologic Exam Form
www.SEVNeurology.com
Paitent Name: Age: Gender: Breed:
Mentation Appropriate Inappropriate
Gait Normal
Ambulatory : Proprioceptive ataxia Vestibular ataxia Cerebellar ataxia
monoparesis paraparesis tetraparesis
Non-ambulatory : monoparesis paraparesis tetraparesis
Plegic : mono para tetra
Superfical/Deep pain sensation Yes No
Posture Normal Head Tilt (Left/Right) Head Turn (Left/Right)
Cranial Nerve Examination
N = Normal, D = Delayed, A = Absent, P = Present
Left Test Right
Menace Response (CN II, Occipital lobe, Thalamus,
N D A N D A
Midbrain, Cerebellum, CN VII)
N D A Direct Pupillary Light Reflex (CN II, Midbrain, CN III) N D A
Consensual Pupillary Light Reflex (CN II, Midbrain,
N D A N D A
CN III)
N D A Nasal Sensation (CN V, Thalamus, Forebrain) N D A
N Atrophy Muscle of Mastication (CN V Motor branch) N Atrophy
N D A Palpebral Reflex (CN V, Pons, CN VII) N D A
N D A Physiologic Nystagmus (CN III, CN IV, CN VI) N D A
P A Spontaneous Nystagmus (CN VIII, Medulla) P A
Horizontal Rotary Vertical Horizontal Rotary Vertical
Positional Nystagmus
Fast Phase Direction Fast Phase Direction
P A Resting Strabismus (CN III, CN IV, CN VI) P A
Lateral Medial Positional Strabismus (CN VIII) Lateral Medial
N Dec A Jaw Tone (CN V, Pons) N Dec A
N Dec A Gag Reflex (CN IX, Medulla, CN X) N Dec A
N Dec A Tongue Strength/Symmetry (CN XII) N Dec A
Spinal Reflexes
0 = Absent, 1 = Decreased, 2 = Normal, 3 = Hyper-reflexive, 4 = Hyper-reflextive with clonus
Left Thoracic Limbs Right Left Pelvic Limbs Right
Flexor Withdrawal (C6-T1) Flexor Withdrawal (L4-S1)
Crossed Extensor Present (Y/N) Crossed Extensor Present (Y/N)
Patellar reflex (Y/N)
Spinal Palpation: Comfortable Hyperesthesia: Cervical Thoracic T-L Junction Lumbar L-S Junction
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Refer to one of the Southeast Veterinary Neurology locations:
Miami : (305) 274-2777 | Boynton: (561) 736-7736 | Jupiter: (561) 781-3777
Neurolocalization: Clinical Signs
Forebrain Seizures, behavior changes, circling, head pressing, menace deficits, altered mental status
Exaggerated movements, hypermetria and ataxia without weakness, intention tremors, unilateral
Cerebellum
menace deficits, vestibular dysfunction
Peripheral Head tilt toward lesion, horizontal or rotary nystagmus, vestibular ataxia, ipsilateral strabismus,
vestibular +/- ipsilateral facial nerve paresis, +/- ipsilateral Horner syndrome, intact postural reactions, normal
mental status
Head tilt toward lesion (unless paradoxical) , horizontal/rotary/vertical nystagmus that may change
Central direction with head position, ataxia and paresis, ipsilateral strabismus, +/- CN V, VI, VII, IX, X, or XII abnor-
vestibular malities, ipsilateral postural reaction deficits, +/- altered mental status (depressed/stuporous/comatose),
+/- dysmetria/hypermetria or intention tremors
C1-C5 Tetraparesis/tetraplegia, normal or hyperactive spinal reflexes, postural reaction deficits in all four limbs,
ataxia in all four limbs
Tetraparesis/tetraplegia, short-strides in the thoracic limbs with long strides in the pelvic limbs (two-en-
C6-T2 gine gait), postural reaction deficits in all four limbs, decreased/absent reflexes in the thoracic limbs with
normal to hyperactive reflexes in the pelvic limbs, +/- Horner syndrome
Paraparesis/paraplegia, Schiff-Sherrington syndrome, postural reaction deficits in the pelvic limbs only,
intact spinal reflexes in all four limbs +/- hyperactive pelvic limb reflexes, absent cutaneous trunci reflex
T3-L3
caudal to the lesion, +/- crossed extensor reflex in pelvic limbs, normal thoracic limbs, normal to
increased pelvic limb tone
Flaccid paraparesis/paraplegia, normal thoracic limbs, decreased pelvic limb tone, hyporeflexia/areflexia
L4-S3 in the pelvic limbs, +/- absent anal tone and perineal reflex, postural reaction deficitis in the pelvic limbs
Tetraparesis, hyporeflexia/areflexia in thoracic and pelvic limbs, postural reaction deficits in thoracic and
Neuromuscular
pelvic limbs (if junctionpathy), progressively fatiguing patellar or palpebral reflexes upon repetition
(Lower Motor Neuron) (if junctionopathy)
Localization:
Left/Right Forebrain Brainstem
Peripheral Vestibular Central Vestibular
C1-C5 C6-T2 T3-L3 L4-S3
Peripheral Nervous System
PERIPHERAL
VESTIBULAR
FOREBRAIN
CENTRAL
VESTIBULAR
L4 - S1
C1 - C5
T3 - L3
S1 - S3
CEREBELLUM
C6 - T2
Plan:
Diagnostics: CBC Serum Chemistry Urinalysis Radiographs (Thoracic) Thyroid MRI CSF Analysis
Refer to one of the Southeast Veterinary Neurology locations:
Miami : (305) 274-2777 | Boynton: (561) 736-7736 | Jupiter: (561) 781-3777
