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Escalas en Neurología - Sociedade Galega de Neuroloxia

Escalas en Neurología - Sociedade Galega de Neuroloxia

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07-ESCALAS (073-092) 3/6/08 11:21 Página 89<br />

ESCALAS DE EVALUACIÓN EN EL EXAMEN NEUROLÓGICO<br />

Escala 30. CAMBRIDGE NEUROLOGICAL INVENTORY<br />

Part 1<br />

Speech assessm<strong>en</strong>t Articulation<br />

Aprosodic speech<br />

Unintelligible speech<br />

Eye movem<strong>en</strong>t assessm<strong>en</strong>t Smooth pursuit - ex<strong>en</strong>t, smothness, gaze impersist<strong>en</strong>ce<br />

Saccadia - smothness, blink suppression, lateral head movem<strong>en</strong>t<br />

Cranial nerve assessm<strong>en</strong>t Winlang (lateralization)<br />

Glabellar tap<br />

Rapid tongue movem<strong>en</strong>t<br />

Extremity examinations Tone, str<strong>en</strong>gth, reflex<br />

Part 2<br />

Soft sign examinations Primitive reflexes, repetitive movem<strong>en</strong>t, s<strong>en</strong>sory integration,<br />

finger nose test, mirror movem<strong>en</strong>ts, left-right ori<strong>en</strong>tation<br />

Part 3<br />

Posture and movem<strong>en</strong>t assessm<strong>en</strong>t Including catatonia, tardive dyskinesia, gait, balance<br />

RATE AS FOLLOWS<br />

0 = normal; 0,5 = subthreshold; 1 = <strong>de</strong>finitely abnormal; 2 = grossly abnormal; 9 = missing/unable<br />

to test or lack of co-operation/compreh<strong>en</strong>sion<br />

Escala 31. NEUROLOGICAL EVALUATION SCALE (NES)<br />

1. Tan<strong>de</strong>m walk 15. Rapid alternating movem<strong>en</strong>ts<br />

2. Romberg test 16. Finger-thumb opposition<br />

3. Adv<strong>en</strong>titous overflow 17. Mirror movem<strong>en</strong>ts<br />

4. Tremor 18. Extinction (face-hand test)<br />

6. Cerebral dominance 20. Right/left confusion<br />

7. Audio-visual integration 21. Synkinesis<br />

8. Sterognosis 22. Converg<strong>en</strong>ce<br />

9. Graphesthesia 23. Gaze impersist<strong>en</strong>ce<br />

10. Fist-ring test 24. Finger to nose test<br />

11. Fist-edge-palm test 25. Glabellar reflex<br />

12. 0zerestski test 26. Snout reflex<br />

13 Memory 27. Grasp reflex<br />

14. Rhythm tapping test 28. Suck reflex<br />

Assessm<strong>en</strong>ts<br />

Relatively normal . . . . . . . . . . . . . . . 0<br />

Some disruption . . . . . . . . . . . . . . . 1<br />

Major disruption . . . . . . . . . . . . . . . 2<br />

� 89 �

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