| Cranial nerve examination
This request is not common possibly because of time constraint. However,
some
examiners may ask you to perform this examination just to see how fluent
you are
with this technique. Theconditions where you may find multiple cranial
nerve palsies
involving the eyes and extraocular structures are
-
cerebello-pontine angle lesion
-
Wallenberg's syndorme
-
some brainstem sydrome such as Millar-Gubler
(sixth ane seventh nerve palsies)
Upper and lower limb examination
Most of these cases have associated eye signs and are therefore
likely to be either
upper motor neurone lesions (with visual field defects) or cerebellar
signs (with optic
atrophy, central scotoma and ocular motility problems secondary to
multiple sclerosis)
-
hemiplegia
-
cerebellar signs
-
spastic paresis
wasting of the muscles of the hands (with Horner's syndrome)
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