MENTAL STATUS:  The patient is awake, alert and oriented to place and person.  Speech is fluent.  No language deficits.  Mood normal.  Affect is clear.  Memory and insight is normal.  No abnormality with thought processing and thought content.  Cranial nerve examination intact II through XII.  Motor examination:  Normal bulk, tone and power.  Deep tendon reflexes symmetrical.  Downgoing toes.  No sign of any myelopathy.  Cortical sensation intact.  Peripheral sensation grossly intact.  Vibratory sense not tested.  Gait not tested.  Coordination is normal with no dysmetria.