Audio
Clinical Professionals
Neuropathy Examination: Reflexes, Radiculopathy, and Central Mimics
Reviews hyporeflexia in neuropathy, brisk reflexes, and bedside patterns that separate peripheral neuropathy from radiculopathy.
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Duration
00:02:37
File size
1.61 MB
Practitioner-Guided Note
Use reflex symmetry, sensory distribution, and neck or back pain to localize the lesion before ordering broad testing. Brisk reflexes should prompt a central nervous system search.
Key Takeaways
Peripheral neuropathy usually causes hyporeflexia or areflexia; Brisk reflexes point away from peripheral nerve disease; Stocking-glove sensory loss supports polyneuropathy; Dermatomal pain and weakness suggest radiculopathy; Central cord and brainstem lesions can mimic neuropathy