Brain Stem Gliomas physical examination: Difference between revisions
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{{Brain Stem Gliomas}} | {{Brain Stem Gliomas}} | ||
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==Overview== | ==Overview== | ||
Common physical examination findings of diffuse brainstem gliomas include [[cranial nerve]] deficit, [[pyramidal tract]] signs, and [[ataxia]] whereas that of focal gliomas are [[diplopia]], [[ophthalmoplegia]], [[Parinaud syndrome]], loss of accommodation, and light-near dissociation. The presence of facial [[sensory loss]], [[dysphagia]], and [[dysphonia]] on physical examination is diagnostic of cervicomedullary brainstem gliomas. | |||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of brainstem gliomas include:<ref name="pmid22382458">{{cite journal |vauthors=Reyes-Botero G, Mokhtari K, Martin-Duverneuil N, Delattre JY, Laigle-Donadey F |title=Adult brainstem gliomas |journal=Oncologist |volume=17 |issue=3 |pages=388–97 |date=2012 |pmid=22382458 |pmc=3316925 |doi=10.1634/theoncologist.2011-0335 |url=}}</ref><ref name="pmid15659871">{{cite journal |vauthors=Badhe PB, Chauhan PP, Mehta NK |title=Brainstem gliomas--a clinicopathological study of 45 cases with p53 immunohistochemistry |journal=Indian J Cancer |volume=41 |issue=4 |pages=170–4 |date=2004 |pmid=15659871 |doi= |url=}}</ref> | |||
===Neurologic examination=== | ===Neurologic examination=== | ||
* Most common signs of brain stem gliomas include: | * Most common signs of brain stem gliomas include: | ||
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** [[Ataxia]] | ** [[Ataxia]] | ||
* For | * For tectal lesions, common signs include: | ||
**[[Diplopia]] | **[[Diplopia]] | ||
**[[Ophthalmoplegia]] | **[[Ophthalmoplegia]] | ||
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**[[Light-near dissociation]] | **[[Light-near dissociation]] | ||
* For | * For cervicomedullary lesions, common signs include: | ||
** [[Sensory loss]] of the face | ** [[Sensory loss]] of the face | ||
** [[Dysphagia]] | ** [[Dysphagia]] | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
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[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Neurology]] | |||
[[Category:Neurosurgery]] | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
Common physical examination findings of diffuse brainstem gliomas include cranial nerve deficit, pyramidal tract signs, and ataxia whereas that of focal gliomas are diplopia, ophthalmoplegia, Parinaud syndrome, loss of accommodation, and light-near dissociation. The presence of facial sensory loss, dysphagia, and dysphonia on physical examination is diagnostic of cervicomedullary brainstem gliomas.
Physical Examination
Common physical examination findings of brainstem gliomas include:[1][2]
Neurologic examination
- Most common signs of brain stem gliomas include:
- Cranial nerve deficit
- Sixth and seventh cranial nerves are commonly involved
- Pyramidal tract signs
- Ataxia
- Cranial nerve deficit
- For tectal lesions, common signs include:
- For cervicomedullary lesions, common signs include:
- Sensory loss of the face
- Dysphagia
- Dysphonia
References
- ↑ Reyes-Botero G, Mokhtari K, Martin-Duverneuil N, Delattre JY, Laigle-Donadey F (2012). "Adult brainstem gliomas". Oncologist. 17 (3): 388–97. doi:10.1634/theoncologist.2011-0335. PMC 3316925. PMID 22382458.
- ↑ Badhe PB, Chauhan PP, Mehta NK (2004). "Brainstem gliomas--a clinicopathological study of 45 cases with p53 immunohistochemistry". Indian J Cancer. 41 (4): 170–4. PMID 15659871.