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1. • G Prameela,40/F, 1297649
• Diagnosis – Tuberculum sella meningioma
• C/o headache, holocranial, on off for 5 years
• H/o blurring/ dimunition of vision in right eye for
2 years, gradually progressive, no h/o watering
• No h/o trauma, vomitings, seizures, LOC, altered
sensorium
• No h/o menstrual disturbances, polyuria,
polydipsia, weight gain
• No H/o weakness of limbs, hearing loss, swaying
while walking
• H/o neck pain for 5 months, H/o pain and
paresthesias in left upper limb

2. Cranial Nerves
• 1- intact
• 2- RE- CF @ 1 feet, LE- 6/12, right pupil RAPD
present
• RE- fundus- primary optic atrophy, pale disc,
D:C- 0.4-0.5, color vision defective
• LE- fundus normal
• 3,4,6- B/L EOM normal
• 7- no facial asymmetry
• 8,9,10,11,12- intact

3. • GCS- E4V5M6, pupils
BERL
CNS- Motor system
Tone - Normal
Bulk- normal
Power- Right Left
Upper limb
Shoulder- 5/5 5/5
Elbow- 5/5 5/5
Wrist- 5/5 5/5
HG 100% 100%
Lower limb
Hip- 5/5 5/5
Knee- 5/5 5/5
Ankle- 5/5 5/5
EHL- 5/5 5/5
• DTR: BJ TJ S KJ AJ
Right - 2+ 2+ 2+ 2+ 2+
Left - 2+ 2+ 2+ 2+ 2+
Plantars- B/L flexors

4. • Sensory system- intact
• No cerebellar signs