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RAKESH KUMAR

Dr. Rakesh Kumar examined a patient's cranial nerves and found CN I-II, V, and VII were normal bilaterally. Examination of CN III, IV, and VI showed normal extraocular movements without nystagmus or ptosis. Pupils were equal and reactive. CN VIII showed normal hearing bilaterally. Palate and gag reflex were normal with no asymmetry. Shoulder shrug was normal for CN XI. Tongue was without fasciculations or deviation. Sensory and motor exams were normal as were the patient's gait, tone, bulk, strength, and reflexes.

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NEURORADIOLOGY Dr Rakesh Kumar Neurosurgery Resident
Sumitra.pptxjheyedkfhfwrsxgfwesrtyfjffxf
Sumitra.pptxjheyedkfhfwrsxgfwesrtyfjffxf
CRANIAL NERVE EXAMINATION CN 1: B/L sense of smell normal CN2: VA right –6/6 and left – 6/6,bilateral papilledema present CN 3,4,6- • EOM normal • No nystagmus • No ptosis • Pupils- B/L 2.5mm equal and reactive.
CN 5- normal CN 7- normal CN 8 • B/L AC>BC Weber's not lateralised CN 9, 10 • Uvula midline • Palatal movements normal ,no asymmetry • Gag reflex intact
CN 11 • Shoulder shrugging – Normal on both sides CN 12 • No fasciculations of tongue • no Tongue deviation
Sensory system-normal Cerebellar signs: No Tandem Gait : normal Meningeal signs: no
MOTOR SYSTEM: Tone • Normal in both upper and lower limbs Bulk • Normal in both upper and lower limbs
Power - right left Upper limb Shoulder- 5/5 5/5 Elbow- 5/5 5/5 Wrist- 5/5 5/5 Lower limb Hip- 5/5 5/5 Knee- 5/5 5/5 Ankle- 5/5 5/5 EHL- 5/5 5/5 • Reflexes – • Superficial reflexes-present • DTR: BJ TJ S KJ AJ Right - 2+ 2+ 2+ 2+ 2+ Left - 2+ 2+ 2+ 2+ 2+ Plantars- both flexors

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Sumitra.pptxjheyedkfhfwrsxgfwesrtyfjffxf

  • 4. CRANIAL NERVE EXAMINATION CN 1: B/L sense of smell normal CN2: VA right –6/6 and left – 6/6,bilateral papilledema present CN 3,4,6- • EOM normal • No nystagmus • No ptosis • Pupils- B/L 2.5mm equal and reactive.
  • 5. CN 5- normal CN 7- normal CN 8 • B/L AC>BC Weber's not lateralised CN 9, 10 • Uvula midline • Palatal movements normal ,no asymmetry • Gag reflex intact
  • 6. CN 11 • Shoulder shrugging – Normal on both sides CN 12 • No fasciculations of tongue • no Tongue deviation
  • 7. Sensory system-normal Cerebellar signs: No Tandem Gait : normal Meningeal signs: no
  • 8. MOTOR SYSTEM: Tone • Normal in both upper and lower limbs Bulk • Normal in both upper and lower limbs
  • 9. Power - right left Upper limb Shoulder- 5/5 5/5 Elbow- 5/5 5/5 Wrist- 5/5 5/5 Lower limb Hip- 5/5 5/5 Knee- 5/5 5/5 Ankle- 5/5 5/5 EHL- 5/5 5/5 • Reflexes – • Superficial reflexes-present • DTR: BJ TJ S KJ AJ Right - 2+ 2+ 2+ 2+ 2+ Left - 2+ 2+ 2+ 2+ 2+ Plantars- both flexors