Table 2 Neurological examination of the patient
Characteristic | Result | |||||
|---|---|---|---|---|---|---|
Upon admission | On day 2 of hospitalization | On day 3 of hospitalization | On day 6 of hospitalization | Upon discharge | ||
Consciousness | Alert | Alert | Alert | Alert | Alert | |
Cognitive function | Intact | Intact | Intact | Intact | Intact | |
Upper motor neuron | Intact | Intact | Intact | Babinski signs | Intact | |
Lower motor neuron | Bulbar muscles | Intact | Intact | Moderate dysarthria, dysphonia, dysphagia | Intact | Intact |
Muscle strength of axial and neck muscles | 5/5 | 5/5 | 2/5 | 4/5 | 5/5 | |
Muscle strength in the upper extremities | 5/5 | 2/5 | 2/5 | 3/5 | 4/5 | |
Muscle strength in the lower extremities | 5/5 | 0/5 | 0/5 | 1/5 | 2/5 | |
Autonomic dysfunction | Urinary retention | Urinary retention | Urinary retention | Urinary retention | Intact | |
Sensitivity | Intact | A “stocking-glove” pattern of sensory loss | A “stocking-glove” pattern of sensory loss | A “stocking-glove” pattern of sensory loss | Intact | |
Meningeal signs | Not elicited | Not elicited | Synkinesis-like movements | Synkinesis-like movements, nuchal rigidity, positive Kernig’s and Brudzinski’s signs | Not elicited | |