qEWRGHDNMFH,GJFHRFADxz

1. Name- P.Umera Banu
Age- 29/F
Mrd no- 1321013
Diagnosis –
L2 nerve sheath tumour

2. A 29/F patient who is right handed by nature ,
-c/o low back ache radiating to right lower limb for 5
years, dull aching partially relieved by medication.
- c/o Neurogenic claudication of 200 mtrs present
- c/o paresthesia of both lower limbs present.
- No H/o trauma
- No bowel symptoms
- No slippage of chappals

3. MOTOR SYSTEM:
Tone
• Normal in both upper and lower limbs
Bulk
• Normal in both upper and lower limbs

4. 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+ 3+ 2+
Left - 2+ 2+ 2+ 2+ 1+
Plantars- both flexors

5. Sensory system-normal
Cerebellar signs: no
Tandem Gait : normal
Meningeal signs: no