What is it about?

Neuropsychiatrists perform a specialized neurological examination that is designed to detect not only the neurological and psychiatric problems someone might be dealing with, but also their cognitive function. Additional observations are inserted into the general neurological examination to increase sensitivity in detecting neuropsychiatric conditions. Subtle findings are emphasized perhaps more than in the general neurological examination.

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Why is it important?

Psychiatrists and neuropsychiatrists often see individuals with hard to diagnose disorders, subtle findings, or combinations of neurological dysfunction and psychiatric symptoms. A thorough neuropsychiatric examination increases the likelihood of reaching a correct diagnosis.

Perspectives

Although I often teach techniques of bedside neuropsychiatric assessment I was unable to find a paper in the peer-reviewed literature that adequately explained how to adapt the neurological examination for neuropsychiatric assessment. I was grateful for the opportunity to finally get it down in writing.

Sheldon Benjamin
University of Massachusetts Medical School

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This page is a summary of: The neurological examination adapted for neuropsychiatry, CNS Spectrums, May 2018, Cambridge University Press,
DOI: 10.1017/s1092852918000925.
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