This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring 2016after collecting informed patient consent (form downloadable here) by our patient-information-communication-executive from pin-code-area for a discussion
(Manage by jyoti tripathi )
Seizure since 2yrs..
Numbness of both leg since 1yrs...patient can't sitting position..
.unable to walk...
Speech difficulty....involuntary pass of urine....
Clinical image ___
Investigation __
(CNS examination done by arti jaat)
Cranial nerve examination -
Sense of smell - absent
Visual fields & acuity- present
Eye movement - present
Sensory function of face- present
Hearing - present
Shoulder girdle ms. - diminish
Taste- present
Pharyngeal move. And reflex - present
Tongue movement- slow and minimum
Motor system
Ms. Strength- 2nd grading of upper limb and lower limb
Ms. Tone & signs of rigidity - present of lower limb and same time upper body
Posture- normal
Tone - spasticity present in lower body
Sensation
light Touch - present
Pain - present
Temperature - Present
Vibration- present
Position sense - present
Graphesthesia- absent
Stereognosis- ab.
Two point discrimination- ab.
Romberg test.- not clear
Cerebellum
Dysmetria- Absent
Finger to nose test - absent
Ankle over tibia test- absent
Dysdiadochokinesis- ab.
Rapid pronation - supination- Present
Ataxia
Gait - robotic (abnormal)
Nystagmus- ab.
Staccato speech- ab.
(Manage by jyoti tripathi )
Seizure since 2yrs..
Numbness of both leg since 1yrs...patient can't sitting position..
.unable to walk...
Speech difficulty....involuntary pass of urine....
(CNS examination done by arti jaat)
Cranial nerve examination -
Sense of smell - absent
Visual fields & acuity- present
Eye movement - present
Sensory function of face- present
Hearing - present
Shoulder girdle ms. - diminish
Taste- present
Pharyngeal move. And reflex - present
Tongue movement- slow and minimum
Motor system
Ms. Strength- 2nd grading of upper limb and lower limb
Ms. Tone & signs of rigidity - present of lower limb and same time upper body
Posture- normal
Tone - spasticity present in lower body
Sensation
light Touch - present
Pain - present
Temperature - Present
Vibration- present
Position sense - present
Graphesthesia- absent
Stereognosis- ab.
Two point discrimination- ab.
Romberg test.- not clear
Cerebellum
Dysmetria- Absent
Finger to nose test - absent
Ankle over tibia test- absent
Dysdiadochokinesis- ab.
Rapid pronation - supination- Present
Ataxia
Gait - robotic (abnormal)
Nystagmus- ab.
Staccato speech- ab.
