Oligodendroglioma physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of oligodendroglioma include [[nystagmus]], [[papilledema]], [[esotropia]], [[ | Common [[physical examination]] findings of [[oligodendroglioma]] include [[nystagmus]], [[papilledema]], [[esotropia]], [[Vision loss|visual field loss]], [[altered mental status]], [[aphasia]], [[Ataxia|ataxia,]][[hemiparesis]], [[tremor]], and focal [[neurological]] deficits including cranioneuropathies, [[Corticospinal tract|corticospinal]] and [[Spinocerebellar tract|spinocerebellar]] [[Defect|defects]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of oligodendroglioma include:<ref name="pmid2308753">{{cite journal| author=Raciti-Daurio C, Caruso J| title=Oligodendroglioma--a case presentation. | journal=Optom Vis Sci | year= 1990 | volume= 67 | issue= 1 | pages= 56-8 | pmid=2308753 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2308753 }} </ref><ref name="pmid9684012">{{cite journal| author=Douay X, Daems-Monpeurt C, Labalette P, Blond S, Petit H| title=[Bilateral 3rd cranial nerve palsy disclosing oligodendroglioma]. | journal=Rev Neurol (Paris) | year= 1997 | volume= 153 | issue= 6-7 | pages= 430-2 | pmid=9684012 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9684012 }} </ref><ref name="pmid15509821">{{cite journal| author=Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN| title=Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion. | journal=N Engl J Med | year= 2004 | volume= 351 | issue= 18 | pages= 1875-82 | pmid=15509821 | doi=10.1056/NEJMcpc049025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509821 }} </ref><ref name="pmid16084959">{{cite journal| author=Mittelbronn M, Wolff M, Bültmann E, Nägele T, Capper D, Beck R et al.| title=Disseminating anaplastic brainstem oligodendroglioma associated with allelic loss in the tumor suppressor candidate region D19S246 of chromosome 19 mimicking an inflammatory central nervous system disease in a 9-year-old boy. | journal=Hum Pathol | year= 2005 | volume= 36 | issue= 7 | pages= 854-7 | pmid=16084959 | doi=10.1016/j.humpath.2005.05.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16084959 }} </ref><ref name="pmid8561031">{{cite journal| author=Krauss JK, Paduch T, Mundinger F, Seeger W| title=Parkinsonism and rest tremor secondary to supratentorial tumours sparing the basal ganglia. | journal=Acta Neurochir (Wien) | year= 1995 | volume= 133 | issue= 1-2 | pages= 22-9 | pmid=8561031 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8561031 }} </ref> | Common [[physical examination]] findings of [[oligodendroglioma]] include:<ref name="pmid2308753">{{cite journal| author=Raciti-Daurio C, Caruso J| title=Oligodendroglioma--a case presentation. | journal=Optom Vis Sci | year= 1990 | volume= 67 | issue= 1 | pages= 56-8 | pmid=2308753 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2308753 }} </ref><ref name="pmid9684012">{{cite journal| author=Douay X, Daems-Monpeurt C, Labalette P, Blond S, Petit H| title=[Bilateral 3rd cranial nerve palsy disclosing oligodendroglioma]. | journal=Rev Neurol (Paris) | year= 1997 | volume= 153 | issue= 6-7 | pages= 430-2 | pmid=9684012 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9684012 }} </ref><ref name="pmid15509821">{{cite journal| author=Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN| title=Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion. | journal=N Engl J Med | year= 2004 | volume= 351 | issue= 18 | pages= 1875-82 | pmid=15509821 | doi=10.1056/NEJMcpc049025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509821 }} </ref><ref name="pmid16084959">{{cite journal| author=Mittelbronn M, Wolff M, Bültmann E, Nägele T, Capper D, Beck R et al.| title=Disseminating anaplastic brainstem oligodendroglioma associated with allelic loss in the tumor suppressor candidate region D19S246 of chromosome 19 mimicking an inflammatory central nervous system disease in a 9-year-old boy. | journal=Hum Pathol | year= 2005 | volume= 36 | issue= 7 | pages= 854-7 | pmid=16084959 | doi=10.1016/j.humpath.2005.05.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16084959 }} </ref><ref name="pmid8561031">{{cite journal| author=Krauss JK, Paduch T, Mundinger F, Seeger W| title=Parkinsonism and rest tremor secondary to supratentorial tumours sparing the basal ganglia. | journal=Acta Neurochir (Wien) | year= 1995 | volume= 133 | issue= 1-2 | pages= 22-9 | pmid=8561031 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8561031 }} </ref> | ||
===HEENT=== | ===HEENT=== | ||
*[[Nystagmus]] | *[[Nystagmus]] | ||
*Ophthalmoscopic exam may be abnormal with following findings: | *[[Ophthalmoscopy|Ophthalmoscopic]] [[Examination|exam]] may be [[abnormal]] with following findings: | ||
**[[Papilledema]] | **[[Papilledema]] | ||
**[[Esotropia]] | **[[Esotropia]] | ||
| Line 22: | Line 22: | ||
*[[Hemiparesis]] | *[[Hemiparesis]] | ||
*[[Tremor]] | *[[Tremor]] | ||
*Focal neurological deficits: | *Focal [[neurological]] deficits: | ||
**[[Corticospinal tract|Corticospinal tract defect]]: | **[[Corticospinal tract|Corticospinal tract defect]]: | ||
***[[Spasticity]] | ***[[Spasticity]] | ||
***[[Hyperreflexia]] | ***[[Hyperreflexia]] | ||
***Loss of the ability to perform fine movements | ***[[Loss function|Loss]] of the [[Ability grouping|ability]] to [[Performance status|perform]] fine [[Movement disorder|movements]] | ||
***Extensor plantar response ([[Babinski sign]] present) | ***[[Extensor plantar reflexes|Extensor plantar]] [[Response element|response]] ([[Babinski sign]] present) | ||
**[[spinocerebellar tract|Spinocerebellar tract defect]]: | **[[spinocerebellar tract|Spinocerebellar tract defect]]: | ||
***[[proprioception|Loss of proprioception]] | ***[[proprioception|Loss of proprioception]] | ||
**[[nerve palsy|Cranioneuropathies]]: | **[[nerve palsy|Cranioneuropathies]]: | ||
***Bilateral [[Oculomotor nerve palsy|3rd cranial nerve palsy]] | ***[[Bilateral]] [[Oculomotor nerve palsy|3rd cranial nerve palsy]] | ||
==References== | ==References== | ||
Latest revision as of 22:32, 18 May 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Sujit Routray, M.D. [3]
Overview
Common physical examination findings of oligodendroglioma include nystagmus, papilledema, esotropia, visual field loss, altered mental status, aphasia, ataxia,hemiparesis, tremor, and focal neurological deficits including cranioneuropathies, corticospinal and spinocerebellar defects.
Physical Examination
Common physical examination findings of oligodendroglioma include:[1][2][3][4][5]
HEENT
- Nystagmus
- Ophthalmoscopic exam may be abnormal with following findings:
Neurological
- Altered mental status
- Aphasia
- Ataxia
- Hemiparesis
- Tremor
- Focal neurological deficits:
References
- ↑ Raciti-Daurio C, Caruso J (1990). "Oligodendroglioma--a case presentation". Optom Vis Sci. 67 (1): 56–8. PMID 2308753.
- ↑ Douay X, Daems-Monpeurt C, Labalette P, Blond S, Petit H (1997). "[Bilateral 3rd cranial nerve palsy disclosing oligodendroglioma]". Rev Neurol (Paris). 153 (6–7): 430–2. PMID 9684012.
- ↑ Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN (2004). "Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion". N Engl J Med. 351 (18): 1875–82. doi:10.1056/NEJMcpc049025. PMID 15509821.
- ↑ Mittelbronn M, Wolff M, Bültmann E, Nägele T, Capper D, Beck R; et al. (2005). "Disseminating anaplastic brainstem oligodendroglioma associated with allelic loss in the tumor suppressor candidate region D19S246 of chromosome 19 mimicking an inflammatory central nervous system disease in a 9-year-old boy". Hum Pathol. 36 (7): 854–7. doi:10.1016/j.humpath.2005.05.017. PMID 16084959.
- ↑ Krauss JK, Paduch T, Mundinger F, Seeger W (1995). "Parkinsonism and rest tremor secondary to supratentorial tumours sparing the basal ganglia". Acta Neurochir (Wien). 133 (1–2): 22–9. PMID 8561031.