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1、NervousSystemCranialnerve:IOlfactorynerve:leftnotmeasured,rightnotmeasuredIIOpticnerve:leftrighteyesightnormalnormalVisualfieldNodefectNodefectfundusnormalnormalIII,IV,VIOculomotor nerve,trochlear nerve,abducensnervepalpebral fissure:left:normalright:normalEyelid:left:
2、noptosisright:noptosisDiplopia:noaccommodationreflex:existNystagmus:left:noright:noEyemovement:left:normalright:normalPupils:left:round,diameter3.0mm,directlightreflexsensitive,indirectlightreflexsensitiveright:round,diameter3.0mm,directlightreflexsensitive,indirectlig
3、htreflexsensitiveVTrigeminalnerve:Facialsensory:Leftfacialpain:normal;Temperature:normal;Touch:normal.Rightfacialpain:normal;Temperature:normal;Touch:normal.Movement:Lefttemporalis, massetershrink:no. Mastication:powerful.Righttemporalis, massetershrink:no.Mastication:
4、powerful.Thejaw:nodeviation.LeftRightDirectcornealreflection:ExistenceExistenceIndirectcornealreflection:ExistenceExistence Jawreflex:(-)Ⅶfacialnerve:LeftRightWrinklesintheforehNotshallowNotshallowPalpebralfissureNormalNormalNasolabialgrooveNotshallowNotshallowCloseeye
5、sThewyThewyFrownThewyThewyCheekbulgingThewyThewyWhistleNormalNormalKnitone’sbrownsNormalNormalTasteintheanterior2/3tongueNocheckNocheckCornerofthemouth:noaskew.Showteeth:noaskewofcornerofthemouth.ⅧAuditoryNerve:Auditon:Left:NormalRight:NormalⅨ、ⅩGlossopharyngealNerve、Va
6、gusNerve:Pronunciation:Norhinolalia,dysarthria,dysphagia,coughwhendrinking,orhoarseness.Uvula:onthemiddleline.LeftRightSoftPalateLiftingPowerfullyPowerfullyPharyngealReflexNormalNormalTasteontheposterior1/3oftongueUnexaminedUnexaminedⅪAccessoryNerve:LeftRightSternoclei
7、domastoidNoatropyNoatropyTrapeziusNoatropyNoatropyShoulderdropNoNoTorticollisNoNoNeckRotationPowerfullyPowerfullyShrugPowerfullyPowerfullyXIIHypoglossalnerveTongue:inthemiddleLingualis:noatrophyLingualisfibrillation:noneLocomotorsystem:muscleforceUpperlimbLowerlimbNear
8、-endFar-endNear-endFar-endleftLevel5Level5Level5Level5rightLevel5Level5Level5Level5musculartensionLeftupperlimbRightu