Intact masseter and temporalis strength. Facial movements symmetrical with normal lip seal and eye closure. Unable to hear finger rubs even with hearing aids, but able to hear tuning fork. X. Palate elevates symmetrically, uvula midline. Midline tongue protrusion without atrophy or fibrillations.
Proprioception is minimally impaired at distal toes and fingers bilaterally.
Absent Hoffmann's, jaw jerk, glabellar, snout and palmomental reflexes. Normal rapid alternating movements. No significant truncal ataxia. Minimal loss of check of flexion movements bilaterally. Slightly wide based and cautious, but not unsteady or ataxic.