Coma Scale: E4V5M6
Cranial nerves:
pupils 3mm/3mm LR +/+
VA: intact by finger counting.
VF: no defect by confrontation.
EOM: no limitation. no ptosis or diplopia.
0 0 0 0
0 __|__x__|__ 0 0 __|__x__|__ 0
| | | |
0 0 0 0
corneal reflex: +/+
no facial palsy.
facial sensation V1-V3 symmetric by pinprick.
hearing symmetric. no tinnitus.
nystagmus: nil.
no dysarthria or dysphonia
no dyaphagia.
gag reflex +/+
no tongue deviation. no uvula deviation.
Muscle power:
R upper proximal: 5 L upper proximal: 5
R upper distal: 5 L upper distal: 5
---------------------------------------
R lower proximal: 5 L lower proximal: 5
R lower distal: 5 L lower distal: 5
Pronator drift (-/-)
Deep tendon reflex:
R elbow: ++ L elbow: ++
R wrist: ++ L wrist: ++
----------------------------
R knee: ++ L knee: ++
R ankle: ++ L ankle: ++
Babinski sign: plantar flexion / plantar flexion
Hoffman's sign: (-/-)
Jaw jerk reflex (-)
Sensation: no deficit by pinprick
Joint position intact
Vibration intact
ANS: Urine- normal
Stool- normal
Cerebellar sign: F-N-F test: normal on Bil upper limbs
H-S-K test: normal on Billower limbs
Dysdiadochokinesia: absent on Bil upper limbs
Muscle tone: normal on Bil upper limbs
Titubation of body: absent
Gait: steady. Tandem gait: steady.
Romberg test: negative
Extrapyramidal sign: no tremor, rigidity, or bradykinesia.