Neurologic Localizations

Publication ID Published Version
7704 January 22, 2010 1
Wright State University Boonshoft School of Medicine


This module uses two clinical scenarios (brainstem infarct; multiple extra-dural abscesses) to help students learn how to apply basic neuroscience content knowledge to lesion localization. The Readiness Assurance Tests offer a measure of how well students have mastered fundamental content knowledge, such as the structure and function of neural pathways and cranial nerves. The Group Application Exercise requires students to apply this knowledge to solve clinical problems in neurology, namely, lesion localizations. In addition to using traditional multiple choice questions (MCQs), this module introduces a student-initiated MCQ exercise in which written answers submitted by the teams are used to formulate the multiple choice answers from which teams select a final answer to the original question.
In this exercise, teams are required to submit written answers that the faculty sorts into 5 choice-groups (based on similarity of content). The 5 choice-groups are posted for all teams to read and discuss. Each team then selects the one group of written responses they feel best answers the original question. Voting and intra-team discussion follow as usual.


Pearson J, Rich M, Parmelee D. Neurologic Localizations. MedEdPORTAL Publications; 2010. Available from:

Educational Objectives

  1. To be able to associate neural pathway dysfunction with physical signs detected upon clinical examination of the nervous system.
  2. To be able to apply knowledge of neural pathway anatomy and neurologic physical signs to localize lesions of the nervous system.


  • Contralateral Neglect, Dysconjugate Eye Movement, Ophthalmoplegia, Abnormal Reflex (MeSH), Babinski Reflex (MeSH), Central Nervous System (MeSH), Lesion Localization, Brainstem Infarct, Multiple Extra-Dural Abscesses, TBL, Team-based Learning


  • Medical
    • Neurology


  • Knowledge for Practice
  • Patient Care

Instructional Methods

  • Case-based Instruction/Learning
  • Team-based Learning (TBL)

Organ Systems

  • Nervous system

Academic Focus

  • Basic Sciences
    • Neuroscience
  • Clinical Sciences
    • Clinical Skills/Doctoring

Intended Audience

  • Professional School
    • Medical Student
  • Professional School Post-Graduate Training
    • Resident

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ISSN 2374-8265