Neurological exam: What does Cranial nerves 1-X11 are remarkable mean?

Question

MOTOR SYSTEM: Reflexes are slightly diminshed in the upper and lower extremities, present at about 1+. SENSORY -There is also some hypesthesia noted in the left lower extremity in the distribution of L3-L4. There is no Babinski hypesthesia in distribution of the median nerve bilaterally?? What's this? Can someone explain exactly what this all means? Also, Conduction Studies-for the left peroneal(?), left posterior tibialis, left sural nerve & left sensory peroneal was done. Left peroneal nerve shows rather slow conduction at 40m/sec for the left peroneal & 41 m/sec for the left posterior tibialis nerve. Sural nerve potential was slightly increased at 5.2 msec, & left sensory peroneal was 6.1 msec. H reflex was present. EMG studies(ouch), of the left lower extremity shows significant abnormality in L5 innervated muscles including especially extensor digitorum on the left side. Both upper extrmities also shows neurogenic process affecting C5-C6. What's proximal latency?

What is proximal latency? Listal latency? Proximal latency? Right ulnar sensory potential was abnormal, measuring 5.1 msec. Left median sensory potential was very abnormal, measuring 5.1 msec, & left radial sensory potential was 2.7 msec. F wave for median & ulnar was 29,30. ??? What's early peripheral neuropathy? I have been in so much pain. I hope that someone can explain all of this clearly for me. Thank you.

Answer 1

Cranial nerves II-XII (#2 through #12) are unremarkable is what is dictated unless there is some difference in one or more of the cranial nerves, in which case something would be said about it.
Motor nerves are nerves that tell muscles what to do, hence motor. Slightly lessened reflexes in arms and legs.
Sensory nerves, which relay messages to the brain about what's going on in the body, indicate there is some over-sensitivity in the left leg in the area served by L3-4. Babinski reflex test was done, and there is no hyper-sensitivity in the area of the median nerves.
Conduction studies are done to tell the neurologist how well which nerves are sending messages to the muscles or to the brain. (There are efferent - outgoing- messages, and afferent - message going toward the brain.)
Distal is away from the center of the body, and proximal is near the center, as distal , the far end, and proximal is the nearer part.
The studies show some abnormalities, and the neurologist who did the testing will convey this to your doctor, and they'll discuss what is the best course of action to treat the problem.
It sounds like they're looking for the cause of a problem and finding abnormalities in the way the nerves work, so the next thing would be what's causing it, and what can we do about it. I wish you the best of luck in a very short time!
P.S. I believe latency and potential refer to nerve conduction velocity, speed, strength, something along that line.

Answer 2

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Answer 3

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RE:
Neurological exam: What does Cranial nerves 1-X11 are remarkable mean?
MOTOR SYSTEM: Reflexes are slightly diminshed in the upper and lower extremities, present at about 1+. SENSORY -There is also some hypesthesia noted in the left lower extremity in the distribution of L3-L4. There is no Babinski hypesthesia in distribution of the median nerve bilaterally??...

Answer 4

I like number 2.

Answer 5

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