How to Localize Neurologic Lesions | The Complete Neurologic Exam Explained

Описание: The neurologic examination is not a checklist—it is a functional tool for clinical localization.
In this 30-minute physician-scientist–level lecture, we walk step-by-step through the logic of the neuro exam, showing how bedside findings map directly onto neuroanatomy, physiology, and lesion localization.

This lecture is part of the course Integrated Neurobiology: Structure, Function, and Pathology and follows Blumenfeld’s Neuroanatomy through Clinical Cases.

Watch very helpful videos to better understand practical application of the neurological exam at: neuroexam.com !

What you’ll learn

• How to localize neurologic lesions before imaging
• How each component of the neurologic exam maps to a specific anatomical system
• How to distinguish upper motor neuron vs lower motor neuron lesions
• How cranial nerve findings localize pathology to the brainstem
• How reflexes, tone, coordination, gait, and sensory loss identify spinal cord and cortical lesions
• How to use the Arrowhead of Neurologic Differential Diagnosis and VINDICATE framework
• Why time course matters as much as anatomy in neurologic diagnosis

Topics Covered

• Mental status and cortical localization
• Cranial nerve examination and brainstem localization
• Motor exam: corticospinal tract, basal ganglia, cerebellum
• Reflex physiology and UMN disinhibition
• Sensory pathways: spinothalamic tract vs dorsal columns
• Brown-Séquard syndrome and dissociated sensory loss
• Screening vs focused neurologic examination
• Clinical case synthesis and localization logic

This lecture is designed for medical students, residents, physician-scientists, and anyone preparing for the USMLE or clinical neurology rotations.

📌 If you’re learning neurology, neuroanatomy, or diagnostic reasoning, this video shows you how neurologists actually think.

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