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Related Experiment Video

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Evaluating the Function of the Foot Core System in the Elderly
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Neurologic examination in the elderly.

Navid Seraji-Bzorgzad1, Henry Paulson1, Judith Heidebrink1

  • 1Department of Neurology and Michigan Alzheimer's Disease Center, University of Michigan, Ann Arbor, MI, United States.

Handbook of Clinical Neurology
|November 23, 2019
PubMed
Summary
This summary is machine-generated.

Evaluating neurologic disorders in older adults requires a comprehensive history and age-appropriate exam, considering normal aging changes. This approach aids in diagnosing conditions like cognitive decline, gait issues, tremors, and neuropathy.

Keywords:
Alzheimer diseaseCognitive impairmentDementiaLewy body disease

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Area of Science:

  • Neurology
  • Geriatrics
  • Clinical Medicine

Background:

  • Neurologic disorders are common in the elderly.
  • Aging affects neurological examination findings.
  • Accurate diagnosis requires a tailored approach.

Purpose of the Study:

  • To outline a comprehensive approach for evaluating neurologic disorders in older adults.
  • To highlight age-related changes and common geriatric neurological conditions.
  • To emphasize the importance of detailed history and examination.

Main Methods:

  • Obtaining thorough patient and collateral history, including psychosocial factors and functional status.
  • Performing an age-appropriate neurologic examination, modified for sensory impairments.
  • Assessing specific symptoms like cognitive difficulties, gait/balance issues, tremors, and neuropathy.

Main Results:

  • Aging impacts pupillary reactivity, reflexes, motor speed, and gait.
  • Cognitive assessment requires evaluating multiple domains.
  • Tremor characteristics and neuropathy symptoms help localize nerve injury.

Conclusions:

  • A detailed history and examination are crucial for diagnosing neurodegenerative disorders in the elderly.
  • Specialized assessments are needed for cognitive, gait, tremor, and neuropathy evaluations.
  • This systematic approach guides further diagnostic workup and treatment planning.