Medulloblastoma physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]Haytham Allaham, M.D. [3]
Overview
Patients with medulloblastoma usually appear restless. Physical examination of patients with medulloblastoma is usually remarkable for strabismus, nystagmus, motor weakness, and ataxia.[1][2]
Physical Examination
General Appearance
- Patients with medulloblastoma usually appear restless
HEENT
- Head tilt sign
- Increased head circumference
- Papilledema
- Strabismus
- Nystagmus
- “Setting-sun” eye phenomenon (up-gaze paresis with the eyes appearing driven downward) [3]
CNS
- Ataxia
- Motor weakness
- Facial sensory loss
- Third, fourth, and sixth cranial nerve palsies
References
- ↑ Medulloblastoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Medulloblastoma#cite_note-23 Accessed on September, 28 2015
- ↑ Bartlett F, Kortmann R, Saran F (2013). "Medulloblastoma". Clin Oncol (R Coll Radiol). 25 (1): 36–45. doi:10.1016/j.clon.2012.09.008. PMID 23245832.
- ↑ Dr Aditya Shetty and Dr Frank Gaillard et al. Radiopaedia (2015) http://radiopaedia.org/articles/sunset-eye-sign Accessed on October 10, 2015.