Krishna kishore high grade glioma preoperative ppt

zgfagaga

1. Name- S.Krishna Kishore Age- 51/M Mrd no- 1375373 Diagnosis – Left thalamo -temporal high grade Glioma Comorbidities – Hypothyroidism

2. c/o headache for 1 month, holocranial . c/o difficulty in seeing objects coming from right side for 1 month, consulted ophthalmologist. H/o tendency to fall frequently for 1 month. No trauma No fever/vomiting/seizures

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 – CF at 2 feet and left :- CF at 2 feet. VF- right temporal hemianopia. CN 3,4,6 - EOM normal No nystagmus No ptosis Pupils- right 3.5mm sluggish and left 3mm reactive to light Right eye RAPD present.

5. CN 5- intact CN 7 - intact. CN 8 B/L AC>BC. Weber’s lateralised to left 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. 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 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 Sensory- intact. Cerebellum- intact. Pronator drift- positive on left.