Sensory exam: This test will check a child’s ability to feel.A child also may be asked to squeeze a doctor’s fingers or to jump, skip or hop. Motor function: A neurologist will check motor function by asking a child to push and pull the doctor’s hands by using their hands and legs.Your child will be asked to stick their tongue out and to speak. Hypoglossal nerve: This nerve helps with moving the tongue.The child may be asked to shrug their shoulders as well. Your child will be asked to turn their head from side to side, with mild resistance being applied. Accessory nerve: This nerve involves movement in shoulders and neck.The doctor also may prompt the gag reflex by using a tongue depressor on your child. Your child may be asked to identify tastes on the back of the tongue and to swallow. Glossopharyngeal nerve and vagus nerve: These nerves help with taste, gag reflex, swallowing and some speech skills.Testing this nerve can include a hearing test and additional testing for vestibular (balance) function. Vestibular cochlear nerve: This nerve helps with hearing and balance.Your child may be asked to identify different kinds of taste (bitter, sweet, sour), and move parts of their face –– smile, blink, show their teeth, move their cheeks and forehead.
Facial nerve: This nerve helps with showing emotion and taste on the tongue.The neurologist may touch your child’s face at various spots and have your child “bite down” as if chewing. Trigeminal nerve: This nerve allows you to feel your face and inside the mouth, and move jaw muscles.
The test will include asking your child to use their eyes to follow a light or a finger in various directions.
Oculomotor nerve, trochlear nerve, abducens nerve: The testing for these nerves checks eye movement. Optic nerve: Your child’s vision, including your child’s pupils (the black part of the eye), will be assessed by a visual test and an eye exam with a special light. Olfactory nerve: Your child will be asked to identify different types of smells with his or her eyes closed. Cranial nerve exam: The 12 main cranial nerves of the brain are evaluated to help determine different functions of the brain, including:. This may be done by the neurologist interacting with you and your child during the appointment. Older children will be monitored to make sure that their speech is clear and makes sense. This is done by watching the child interact with you (if your child is younger) or by talking with an older child, asking them questions and asking them to follow directions for small steps. Mental status: The neurologist will examine your child’s level of awareness and interaction with their environment. However, this is a good overview of areas and functions that may be evaluated during a neurological exam, including: Numbness or tingling in the arms or legsĭepending on your child’s age, the tests may be slightly different. Missed milestones, such as holding the head up, rolling over, or learning to walk or feed themselves. Changes in behavior, balance or coordination. The neuro exam is needed to assess any congenital conditions of the head or spine. More information is needed about a diagnosis. Your pediatrician noticed something during a newborn physical. Your pediatrician noticed something during a routine physical. Some reasons why you may be referred for a complete neurological exam include: The nervous system includes the brain, spinal cord and the nerves in these areas, including the muscles, also called the neuromuscular system. Your pediatrician may suggest a complete evaluation of your child’s nervous system if the doctor suspects your child might have an underlying issue. What happens in a neurological exam, and what can you expect? Why would my child need a neurological exam? You know your pediatrician and generally what to expect during those visits. Your child was referred to a pediatric neurologist for a neurological exam, also called a neuro exam, part of a complete neurological evaluation.
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