Stereotactic biopsy was recommended. The patient is presently on Dilantin 100 mg three times per day. Past medical history is noncontributory. Family history and social history are not significant. The patient is a well nourished, well developed, thin, pleasant male who appears intellectually intact.
Recent memory is intact, general information is good.
Cranial nerve examination reveals no abnormalities, sensory examination is intact to all modalities. Motor examination reveals no drift to distraction, and good strength in upper and lower extremities. There may be some weakness of the wrist extensors on the right, however. Deep tendon reflexes are symmetrical, the patient walks with a normal gait with a normal arm swing. If the lesion is anterior to the motor cortex, resection is recommended.