Optic nerve glioma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Optic nerve glioma}} | {{Optic nerve glioma}} | ||
{{CMG}} | {{CMG}}{{AE}}{{Simrat}} | ||
==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination== | ||
===Eyes=== | |||
*Nystagmus may be present. | |||
*Strabismus may be present | |||
*Unilateral visual impairment may be present | |||
*Unilateral proptosis | |||
*Afferent pupillary defect may be present | |||
*Fundoscopic examination may show pallor and/or edema of the optic disc due to atrophy. Initially, optic nerve head is swollen but subsequently it becomes atrophic. Central Retinal Vein Occlusion and optociliary collaterals may occasionally be seen. | |||
*On slit-lamp examination iris hamartomas (Lisch nodules) may be identified in optic nerve glioma patients with associated NF-1. | |||
===Head=== | |||
*Torticollis may be present | |||
===Neurological=== | |||
*Mental status may be altered if obstructive hydrocephalus is present | |||
*There are deficits in cranial nerves II- Involuntary eyeball movement and loss of peripheral vision in one or both eyes may be present. | |||
===Skin=== | |||
*Lesions may be present: | |||
**Café-au-lait spots or hyperpigmented macules may be present in patients with optic pathway glioma associated with NF-1. | |||
**Axillary or inguinal freckles may be present in patients with optic nerve glioma associated with NF-1 | |||
==References== | ==References== | ||
Revision as of 19:39, 29 September 2015
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Optic nerve glioma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Optic nerve glioma physical examination On the Web |
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American Roentgen Ray Society Images of Optic nerve glioma physical examination |
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Risk calculators and risk factors for Optic nerve glioma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Physical Examination
Eyes
- Nystagmus may be present.
- Strabismus may be present
- Unilateral visual impairment may be present
- Unilateral proptosis
- Afferent pupillary defect may be present
- Fundoscopic examination may show pallor and/or edema of the optic disc due to atrophy. Initially, optic nerve head is swollen but subsequently it becomes atrophic. Central Retinal Vein Occlusion and optociliary collaterals may occasionally be seen.
- On slit-lamp examination iris hamartomas (Lisch nodules) may be identified in optic nerve glioma patients with associated NF-1.
Head
- Torticollis may be present
Neurological
- Mental status may be altered if obstructive hydrocephalus is present
- There are deficits in cranial nerves II- Involuntary eyeball movement and loss of peripheral vision in one or both eyes may be present.
Skin
- Lesions may be present:
- Café-au-lait spots or hyperpigmented macules may be present in patients with optic pathway glioma associated with NF-1.
- Axillary or inguinal freckles may be present in patients with optic nerve glioma associated with NF-1