' ;lky,jghfndsaAASRTDHFJGHKJLKPOIHGCARETGHJHKJLHC

1. Name- M.Masthanamma
Age- 47/F
Mrd no- 1321767
Diagnosis – Right CP angle schwannoma

2. A 47/F patient who was right handed by nature ,
- c/o giddiness and reeling sensation since 3 months
- c/o swaying while walking to right side.
- c/o headache, holocranial type, moderate
intensity, partially relieved by medication for 3
months.
- No hearing loss or facial deviation
- No trauma/fever/vision loss/seizure

3. O/E:patient conscious,
Vitals stable
GCS-E4V5M6
-CNS examination
Higher mental function
• normal

4. CRANIAL NERVE EXAMINATION
• CN 1: B/L sense of smell normal
• CN2: VA right –6/6 and left :- 6/9
fundoscopy –normal disc
CN 3,4,6-
• EOM normal
• No nystagmus
• No ptosis
• Pupils- B/L 3mm equal and reactive.

5. CN 5- intact
CN 7- normal
CN 8
• B/L AC>BC webers 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
Rhomberg’s – positive
FNT, FNFT, DDK- positive on right side.
Tandem Gait : impaired
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
-Hand grip - 100% 100%
• 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