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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
The relief of pain with electric stimulation of the posterior spinal cord. In a neurological examination, a test of unilateral neglect. A light touch, audible signal, or visual cue is provided to both sides of the patient at the same time, e.g., both arms, both ears, both the left and right visual fields. Failure to detect one of the stimuli suggests a lesion in the opposite side of the cerebral cortex.