Day 1

Day 2

Mental status

Conscious, intermittent episodes of confusion

Confused, disoriented

Speech

Clear

Not talking

Cranial nerves

Nystagmus in both the eyes on looking to the left side

Nystagmus in both the eyes on looking to the left side

Ocular movements

Normal

Normal

Pupils

Normal size and reactive to light

Normal size and reactive to light

Other cranial nerves

Difficult to assess as the patient was not following Instructions

Difficult to assess as the patient was not following Instructions

Signs of meningeal irritation

No

No

Posture

Stood with support.

Not able to stand

Gait

Ataxic gait

Could not be assessed

Power

Could not be assessed

Could not be assessed

Sensation

Could not be assessed

Could not be assessed

Reflexes

Normal.

Normal

GCS

E4V4M5. (E: Eye Opening; V: Best Verbal Response; M: Best Motor Response) Score 13

E4V1M5

Score 10