Neoplastic meningitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of neoplastic meningitis include [[altered mental status]], [[dementia]], [[hemiparesis]], [[ptosis]], [[nuchal rigidity]], bowel and bladder dysfunction, and [[papilledema]].<ref name="Chamberlain2008">{{cite journal|last1=Chamberlain|first1=M. C.|title=Neoplastic Meningitis|journal=The Oncologist|volume=13|issue=9|year=2008|pages=967–977|issn=1083-7159|doi=10.1634/theoncologist.2008-0138}}</ref> | |||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of neoplastic meningitis include:<ref name="Chamberlain2008">{{cite journal|last1=Chamberlain|first1=M. C.|title=Neoplastic Meningitis|journal=The Oncologist|volume=13|issue=9|year=2008|pages=967–977|issn=1083-7159|doi=10.1634/theoncologist.2008-0138}}</ref> | Common physical examination findings of neoplastic meningitis include:<ref name="Chamberlain2008">{{cite journal|last1=Chamberlain|first1=M. C.|title=Neoplastic Meningitis|journal=The Oncologist|volume=13|issue=9|year=2008|pages=967–977|issn=1083-7159|doi=10.1634/theoncologist.2008-0138}}</ref> | ||
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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 neoplastic meningitis include altered mental status, dementia, hemiparesis, ptosis, nuchal rigidity, bowel and bladder dysfunction, and papilledema.[1]
Physical Examination
Common physical examination findings of neoplastic meningitis include:[1]
Signs due to cerebral hemisphere dysfunction
Signs due to cranial nerve dysfunction
- Cranial nerve II
- Cranial nerve III
- Ptosis
- Fixed dilated pupil
- "Down and out" deviation of the affected eye
- Cranial nerve IV
- Cranial nerve VI
- Cranial nerve V
- Facial hypesthesia or anesthesia
- Weakness of clenching and side-to-side movement of the jaw
- Cranial nerve VIII
Signs due to spinal cord and roots dysfunction
- Limb weakness (lower extremities > upper extremities)
- Sensory loss in the neck and back, following a radicular pattern
- Nuchal rigidity
- Bowel and bladder dysfunction
Signs due to elevated intracranial pressure caused by hydrocephalus