He has normal sensation over the face. His tongue and palate are symmetric. There are no bruits over the head or neck. The neck strength is good. Manual muscle testing is normal.
Sensory examination is normal to light touch, pinprick, temperature, and passive motion.
Cerebellar testing is normal. There is no pronator drift. Toes are downgoing. The remainder of the physical exam is normal. The complete blood count, serum electrolytes, BUN, Cr, and glucose are normal.