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1. Name- M.Akbar Age- 56/M Mrd no-1389275 Diagnosis – Right trigeminal neuralgia Comorbidities-Nil

2. h/o right side fascial pain for past one and half year, sharp type, initially 3-4 episodes per day more on chewing and touching the face, now it is continuous Patient is on medical management (carbamazepine and gabapentin)since past 6 months No h/o hreadache,decreased vision,double vision,blurring of vision,LOC,altered sensorium,vomitings,seizures,weakness of limbs,bowel and bladder complaints No h/o head injury

3. O/E : Patient conscious and coherent Vitals stable -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 CN 3,4,6 - EOM full range No nystagmus No ptosis Pupils- B/L 3mm equal and reactive.

5. CN 5- Normal CN 7 - Intact CN 8 B/L AC>BC , Weber's not lateralised CN 9, 10 Uvula midline Palatal movements normal ,no asymmetry

6. CN 11 Shoulder shrugging – Normal on both sides CN 12 No fasciculations of tongue no Tongue deviation

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

8. 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 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

9. Sensory examination: Hyperesthesia over V1,V2,V3 distribution on right side Romberg's sign: Negative Tandem gait: Normal Cerebellar examination: Normal Involuntary movements: No Meningeal signs: No