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1. Name- Shaik.Khadar Basha
Age- 52/M
Mrd no- 1349055
Diagnosis – Intradiploic
meningioma/Hemangiopericytoma/metastasis?
Comorbidities:- HTN

2. A 52/M patient who was right handed by nature ,
-c/o painless swelling in left frontal region, insidious
onset, gradually progressive for 3 months.
-c/o headache on and off for 3 months.
- h/o weight loss present.
- No trauma/fever/vision loss/seizure/weakness.

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 :- 6/6
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
Cerebellar signs: absent
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
-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