Neurological Assessment and Correlation in Spinal Cord Nerve Root Pathology
In order to perform an adequate neurological assessment of a patient, one must combine a thorough history and physical with other diagnostic studies. When patients present with neurological symptoms such as weakness, pain, or numbness and tingling, the clinician needs to perform a detailed examination to determine if a neurological deficit actually does exist. Sometimes more than one component of the neurological system may be affected. It is important to note that while the sensory cell body of the nerve root lies within the dorsal root ganglion and is extraspinal, the cell body of the motor nerve root is the anterior horn cell that lies within the spinal cord which is intraspinal. This chapter will emphasize spinal cord nerve root pathology and the role of the clinician in identifying aberrant states.
KeywordsNerve Root Deep Tendon Reflex Dorsal Column Gluteus Maximus Anterior Horn Cell
- 1.Warfield CA, Bajwa ZH. Principles and practice of pain medicine. 2nd ed. New York: McGraw-Hill. 2004.Google Scholar
- 2.Russel S, Triola M. The precise neurological exam. New York University School of Medicine. 2006. http://informatics.med.nyu.edu/modules/pub/neurosurgery/
- 3.Martin RA, Lee E-K, Langston EL. The neurologic examination. American Academy of Neurology. http://www.aan.com/familypractice/pdf/FINAL%20THE%20NEUROLOGIC%20EXAMINATION.pdf
- 4.Blumenfeld H. Neuroanatomy through clinical cases. Sinauer Associates Publishers, Inc. 2010. http://www.neuroexam.com/neuroexam/content.php?p=45
- 5.Walker HK. Deep tendon reflexes. In: Walker HK, Hall WD, Hurst JW, editors. Clinical methods: the history, physical, and laboratory examinations. 3rd ed. Boston: Butterworths; 1990.Google Scholar