Intracerebral metastases physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of intracerebral metastases include | Common physical examination findings of intracerebral metastases include [[bradycardia]], [[systolic blood pressure|high systolic blood pressure]] with [[widened pulse pressure]], [[papilledema]], [[altered mental status]], [[ataxia]], and focal neurological deficits.<ref name=symptomsofbrainmetastases2>Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015</ref><ref name=historicalperspectiveofintracerebralmetastases>{{Cite journal | ||
| author = [[Andrew B. Lassman]] & [[Lisa M. DeAngelis]] | title = Brain metastases | journal = [[Neurologic clinics]] | volume = 21 | issue = 1 | pages = 1–23 | year = 2003 | month = February | pmid = 12690643}}</ref> | |||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of intracerebral metastases include:<ref name=symptomsofbrainmetastases2>Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015</ref><ref name=historicalperspectiveofintracerebralmetastases>{{Cite journal | Common physical examination findings of intracerebral metastases include:<ref name=symptomsofbrainmetastases2>Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015</ref><ref name=historicalperspectiveofintracerebralmetastases>{{Cite journal | ||
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===Vital Signs=== | ===Vital Signs=== | ||
*[[Bradycardia]] | *[[Bradycardia]] | ||
*[[systolic blood pressure|High systolic blood pressure]] | *[[systolic blood pressure|High systolic blood pressure]] | ||
*[[Widened pulse pressure]] | |||
*[[Cheyne-Stokes respiration]] | *[[Cheyne-Stokes respiration]] | ||
| Line 31: | Line 33: | ||
***[[Hyperreflexia]] | ***[[Hyperreflexia]] | ||
***Loss of the ability to perform fine movements | ***Loss of the ability to perform fine movements | ||
***Extensor plantar response ([[Babinski sign]] | ***Extensor plantar response ([[Babinski sign|Babinski sign present]]) | ||
*** | ***Pronator drift | ||
**[[spinocerebellar tract|Spinocerebellar tract defect]] | **[[spinocerebellar tract|Spinocerebellar tract defect]] | ||
***[[proprioception|Loss of proprioception]] | ***[[proprioception|Loss of proprioception]] | ||
**[[nerve palsy|Cranioneuropathies]] | **[[nerve palsy|Cranioneuropathies]] | ||
***VI<sup>th</sup> cranial nerve palsy | ***[[abducens nerve|VI<sup>th</sup> cranial nerve palsy]] | ||
==References== | ==References== | ||
Latest revision as of 23:45, 16 November 2015
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Intracerebral metastases Microchapters |
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Differentiating Intracerebral Metastases from other Diseases |
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Intracerebral metastases physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Common physical examination findings of intracerebral metastases include bradycardia, high systolic blood pressure with widened pulse pressure, papilledema, altered mental status, ataxia, and focal neurological deficits.[1][2]
Physical Examination
Common physical examination findings of intracerebral metastases include:[1][2]
Vital Signs
HEENT
Neurological
- Altered mental status
- Aphasia
- Ataxia
- Hemiparesis
- Dysarthria
- Bell's palsy
- Focal neurological deficits
- Corticospinal tract defect
- Spasticity
- Hyperreflexia
- Loss of the ability to perform fine movements
- Extensor plantar response (Babinski sign present)
- Pronator drift
- Spinocerebellar tract defect
- Cranioneuropathies
- Corticospinal tract defect
References
- ↑ 1.0 1.1 Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015
- ↑ 2.0 2.1 Andrew B. Lassman & Lisa M. DeAngelis (2003). "Brain metastases". Neurologic clinics. 21 (1): 1–23. PMID 12690643. Unknown parameter
|month=ignored (help)