Neurological Signs

Neurological Signs Master Chart

Neurological Signs Master Chart

Neurological Sign Description Associated Disorder
Lhermitte's SignElectric shock sensation on neck flexionMultiple Sclerosis
Uhthoff's PhenomenonSymptom worsening with heatMultiple Sclerosis
Marcus Gunn PupilPupil dilates when light is swung to affected eyeOptic neuritis
Dawson's FingersPeriventricular demyelinating lesions on MRIMultiple Sclerosis
Internuclear OphthalmoplegiaImpaired adduction with nystagmus in opposite eyeMS, brainstem lesions
Charcot's Triad (MS)Nystagmus, intention tremor, scanning speechMultiple Sclerosis
Cogwheel RigidityRatchet-like resistance to passive movementParkinson's Disease
Lead-pipe RigidityUniform resistance throughout movementParkinsonism
Myerson's SignPersistent blinking when glabella tappedParkinson's Disease
Pill-rolling TremorResting tremor of thumb and forefingerParkinson's Disease
Festinating GaitShort, accelerating stepsParkinson's Disease
ChoreaInvoluntary, irregular, purposeless movementsHuntington's Disease
HemiballismusViolent flinging movements of limbsSubthalamic nucleus lesion
DystoniaSustained muscle contractions causing abnormal posturePrimary or secondary dystonias
AthetosisSlow, writhing movementsCerebral palsy, basal ganglia lesions
Kernig's SignPain/resistance on knee extension with hip flexedMeningitis
Brudzinski's SignNeck flexion causes hip/knee flexionMeningitis
Neck StiffnessResistance to passive neck flexionMeningitis
Jolt AccentuationHeadache worsens with horizontal head rotationMeningitis
Fatigable PtosisEyelid drooping worsens with sustained upgazeMyasthenia Gravis
Cogan's Lid TwitchUpper lid overshoots after downgazeMyasthenia Gravis
Peek SignEyelids slowly separate with sustained closureMyasthenia Gravis
Ice Pack TestImprovement in ptosis after ice applicationMyasthenia Gravis
Babinski SignUpgoing big toe with plantar stimulationUMN Lesion
Hoffmann's SignFlicking middle finger causes thumb flexionCervical myelopathy
Clasp-knife SpasticityInitial resistance followed by sudden releaseUMN Lesion
Pronator DriftArm pronates and drifts downwardUMN Lesion
FasciculationsVisible muscle twitchesLMN Lesion, MND
Flaccid ParalysisLoss of tone and reflexesLMN Lesion
AtrophyMuscle wastingLMN Lesion
Bells PhenomenonUpward eye roll on eyelid closure attemptFacial Nerve Palsy
Argyll Robertson PupilPupil accommodates but no light reflexNeurosyphilis
Relative Afferent Pupillary DefectPupil paradoxically dilates with light in affected eyeOptic nerve lesion
Jaw Jerk ReflexExaggerated in UMN lesions above ponsPseudobulbar palsy
Brown-Séquard SyndromeHemisection with ipsilateral motor lossSpinal injury
ClonusRhythmic contractions on sudden stretchSpinal cord lesion
Spinal ShockTemporary loss of reflexes below lesionAcute spinal injury
Romberg's SignUnsteadiness with eyes closedPosterior column lesion
Lhermitte's PhenomenonElectric shock with neck flexionCervical cord lesion
Stocking-Glove LossDistal sensory lossPeripheral neuropathy
AllodyniaPain from non-painful stimuliNeuropathic pain
Froment's SignThumb IP flexion when gripping paperUlnar nerve palsy
Battle's SignMastoid bruisingBasilar skull fracture
Raccoon EyesPeriorbital ecchymosisBasilar skull fracture
Gowers' SignClimbing up thighs to standDuchenne muscular dystrophy
Tinel's SignTingling on tapping nerveCarpal tunnel syndrome
Phalen's ManeuverWrist flexion reproduces symptomsCarpal tunnel syndrome

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