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In case of radiating pain a short neurological examination should be performed (test of Lasègue or Bragard, knee tendon reflex and/ or Achilles' tendon reflex, sensibility test of the foot).
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Cranial nerve examination, spinal reflexes and sensibility were tested.
A clinical examination, including a standard neurologic examination (standard arm and leg reflexes, skin sensibility, and two-point discrimination in hands) was normal.
The variables nystagmus, palpebral reflex and snout sensibility did not differ between the groups.
An additional two had no symptoms but abnormal neurological tests with absent tendon reflexes and reduced sensibility.
The categories included the extent and severity of sensory and motor symptoms, assessment of deep-tendon reflexes, muscle strength, vibration sensibility (128-Hz tuning fork), pinprick sensibility (Neurotip, Owen Mumford, U.K ., and tibial and sural nerve amplitudes (Medelec Synergy System; Oxford Instruments, Oxfordshire, U.K).
rTNS consists of subjective sensory symptoms, pin sensibility, deep tendon reflexes, and nerve conduction studies of sural and peroneal nerves, ranging from 0 28 points.
In cases of a deviant neurological examination at baseline or at the follow-ups, the facial nerve, the balance, the sensibility or tendon reflexes were affected.
On neurological examination, strength and sensibility were normal, deep tendon reflexes were normally evoked and meningeal signs were absent.
18 patients underwent more specialized clinical neurological assessment, using the Total Neuropathy Scale-clinical version (TNSc) [ 14] and encompassing symptoms, pinprick and vibration sensibility, strength and deep tendon reflexes (total score 0 28).
The mean sensitivity of MRI-visible nerve involvement to a positive neurological test of any degree was at best 20% for disturbed reflex function and at worst 10% for disturbed sensibility to pain.
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