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Cranial nerrves 11-x11 were intact except for slight temporal pallor.
There was no Marcus Gunn pupil. Motor did not show pronator drift, suboptimal effort for testing upper extremity strength was 4/5. Legs were 3/5 in sitting position. Patient had bilateral AFO. There was no atrophy, fasciculation, or involuntary movement. Muscle strentch reflexes were 2/4 in upper extremities, 3/4 in lower extremities. There was no Hoffmas sign. Plantars were extensor bilaterally. (Babinski's sign?? is that what he is saying I have?) Crebellar did not show dymetria, in tention tremor. alternationg movements were done slowly. ( I can't move quickly any more) Romberg sign with eyes open was present, worsens with eye closed. (can't stand unassisted with eyes open for more than 15 seconds) stinks............ Patient coud not do toe or heel walking. (not even close) Gait was slow, slightly wide based. (like I have a wet diaper...) Sensory showed pin ***** was decreased on the entire right side including the face. (did not hurt on right side at all) It was intact on the left side. (ouch!) Vibration was dereased in the right side compared to the left. There was no level on the trunk. (not sure what this means) Pin ***** however on the right posterior aspect of the chest and abdomen was nearly normal to the left side. Impression RRMS (which I already had that dx). Wish they would put this in laymans terms!! This is the appointment notes from my new MS doctor. I have an MRI coming up here in September. My worst issue with now is my vision and walking. Is this typical? good, bad, inbetween for RRMS???
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LA Optic neuritis May 2007 and again January2008 Diagnosed February 13 2008 Started Avonex February 22 2008 (still progressing) July 2009 started Betaseron..... "Don't argue with an idiot. People watching may not be able to tell the difference." |
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