Title

The neurological examination adapted for neuropsychiatry

UMMS Affiliation

Department of Psychiatry

Publication Date

2018-06-01

Document Type

Article

Disciplines

Medical Education | Mental and Social Health | Neurology | Neuroscience and Neurobiology | Psychiatry | Psychiatry and Psychology

Abstract

The neuropsychiatric examination includes standard neurological and cognitive examination techniques with several additional observations and tasks designed to capture abnormalities common among patients with neuropsychiatric disorders or neurocognitive complaints. Although useful as a screening tool, a single standardized rating scale such as the Mini Mental State Examination (MMSE) or the Montreal Cognitive Assessment (MoCA) is insufficient to establish a neuropsychiatric diagnosis. Extra attention is paid to findings commonly seen in the setting of psychiatric disorders, dementias, movement disorders, or dysfunction of cortical or subcortical structures. Dysmorphic features, dermatologic findings, neurodevelopmental signs, signs of embellishment, and expanded neurocognitive testing are included. The neuropsychiatric clinician utilizes the techniques described in this article to adapt the examination to each patient's situation, choosing the most appropriate techniques to supplement the basic neurological and psychiatric examinations in support of diagnostic hypotheses being considered. The added examination techniques facilitate diagnosis of neurocognitive disorders and enable neuropsychiatric formulation.

DOI of Published Version

10.1017/S1092852918000925

Source

CNS Spectr. 2018 Jun;23(3):219-227. doi: 10.1017/S1092852918000925. Epub 2018 May 23. Link to article on publisher's site

Journal/Book/Conference Title

CNS spectrums

Related Resources

Link to Article in PubMed

PubMed ID

29789033

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