Medical Legal (Medicolegal) Assessments

Working with both plaintiff and defence counsel, our highly experienced assessors deliver transparent, evidence-based medical reports, opinions and evaluations to the courts, helping lawyers to better quantify the impact of their findings and determinations.

Insurance Medical Assessment

Insurers require accurate, unbiased information to make best possible decisions. Our highly specialized roster of 1500+ regulated healthcare professionals helps insurers succeed by producing high-quality, evidence-based, credible reports, medical opinions, evaluations.

Neurology (Neurological) Assessment

A neurological examination is a comprehensive process that requires a trained healthcare provider’s expertise. The specific steps and assessments performed may vary depending on the patient’s age, condition, and presenting symptoms.

Neurology Assessment

Neurological assessment plays a critical role in diagnosing and monitoring conditions related to the nervous system. It involves a series of tests and examinations to evaluate the functioning of the brain, spinal cord, and peripheral nerves.

During a neurological examination, healthcare professionals carefully assess various aspects such as sensory perception, reflexes, coordination, muscle strength, and cognitive abilities. These assessments help in identifying abnormalities or potential neurological disorders.

The neuro examination typically follows a systematic approach that includes several steps. Healthcare providers may start by evaluating the patient’s medical history and conducting a thorough physical examination. They may then proceed to perform specific tests like checking reflexes, assessing muscle tone and strength, evaluating sensation, coordination tests, and assessing mental status.

By conducting these neurological assessments, doctors can gather valuable information about the patient’s nervous system function. This information aids in making accurate diagnoses and developing appropriate treatment plans tailored to each individual’s needs.

It is important to note that neurological assessments should always be conducted by trained healthcare professionals who are well-versed in interpreting the results accurately. These evaluations provide crucial insights for both diagnosis and ongoing management of neurological conditions.

Neurology Assessment Canada

Research - Neurological Assessment

In the neurological examination appointment, a detailed interview (anamnesis) is made in any case, followed by a physical examination. Depending on the question and the findings, e.g., EEG, EMG or also psychological test examinations. These reviews have a very helpful feature in understanding one’s condition. Especially with the development of technology, these devices, which have entered our lives, directly determine your situation.

Rarely, additional radiological studies may be necessary, e.g. Magnetic resonance imaging of the brain. This is no longer possible, usually on the same day.

Anamnesis and examination may take several hours depending on the case. I will inform the neurology test in advance of the possible time it will take to plan accordingly, but there may be changes in the field based on additional investigations that may be required. For this reason, the patient is always in contact with the patient. This way you will feel much better. It is always best to seek help from a professional.

Neurological Examination Steps

A neurological examination is a systematic assessment of the nervous system to evaluate its function and detect any abnormalities. It is typically performed by a healthcare provider, such as a neurologist, and is used to diagnose neurological conditions, track disease progression, and assess treatment effectiveness. Here are the basic steps involved in a neurological examination:

  1. Patient History: Begin by taking a thorough medical history, including details about the patient’s current symptoms, past medical conditions, medications, family history of neurological disorders, and any recent illnesses or injuries.
  2. Mental Status Examination:
    • Assess the patient’s level of consciousness, orientation (person, place, time), and overall mental state.
    • Evaluate memory, attention, language, and executive function.
  3. Cranial Nerve Assessment:
    • Test each of the twelve cranial nerves individually. This includes checks for visual acuity, pupillary reactions, eye movements, facial sensation and movement, hearing, and taste.
  4. Motor Function:
    • Assess muscle strength by asking the patient to perform specific movements against resistance (e.g., pushing against your hand).
    • Observe muscle tone, looking for signs of spasticity, rigidity, or flaccidity.
    • Check for any abnormal movements, such as tremors or chorea.
  5. Coordination and Balance:
    • Evaluate coordination by having the patient perform tasks like finger-to-nose and heel-to-shin tests.
    • Test balance and gait by asking the patient to walk in a straight line or stand on one leg.
  6. Reflexes:
    • Test deep tendon reflexes (e.g., knee jerk reflex) using a reflex hammer.
    • Examine superficial reflexes (e.g., plantar reflex) by stroking the sole of the foot.
  7. Sensory Function:
    • Assess various sensory modalities, including light touch, pain, temperature, and proprioception (awareness of body position).
    • Use tools like a cotton swab or a pin to test sensation in specific areas of the body.
  8. Cerebellar Function:
    • Evaluate cerebellar function by assessing rapid alternating movements, such as finger tapping or pronation-supination movements.
    • Test for dysdiadochokinesia (inability to perform rapid, alternating movements).
  9. Autonomic Function:
    • Check blood pressure and heart rate for any signs of dysautonomia.
    • Assess pupillary size and response to light.
  10. Special Tests:
    • Depending on the patient’s symptoms and history, additional specialized tests may be performed, such as a Romberg test (for proprioception and balance), the Babinski sign (for upper motor neuron dysfunction), or the Brudzinski and Kernig signs (for signs of meningitis).
  11. Neurological Imaging and Laboratory Tests: Based on the findings of the examination, the healthcare provider may order further tests, such as CT scans, MRI scans, electroencephalograms (EEGs), or blood tests, to aid in diagnosis.
  12. Assessment and Diagnosis: After completing the examination and reviewing any additional test results, the healthcare provider will make a diagnosis or develop a differential diagnosis and discuss treatment options and further steps with the patient.

A neurological examination is a comprehensive process that requires a trained healthcare provider’s expertise. The specific steps and assessments performed may vary depending on the patient’s age, condition, and presenting symptoms.

Evaluation Processes

Call Now and Get a Free Consultation


Free consultation from our expert advisors