 Quote, an extreme detailed neurological exam was again reassuring in that there were no findings which would be consistent with any cerebellar or other central neurological disorders such as stroke, multiple sclerosis, Parkinson's, or ascending lateral sclerosis, nor are there any signs of cervical myopathy. This exam did again support finding of peripheral neuropathy in both feet. No motor weakness was detected. He exhibits no tremor either at rest or with activity. He demonstrates excellent fine motor dexterity.