Brain Stem Gliomas physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of diffuse brainstem gliomas include [[cranial nerve deficit]], [[pyramidal tract]] signs, and [[ataxia]]. The common physical examination findings 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. | Common physical examination findings of diffuse brainstem gliomas include [[cranial nerve deficit]], [[pyramidal tract]] signs, and [[ataxia]]. The common physical examination findings 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== | ||
Revision as of 14:15, 2 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Common physical examination findings of diffuse brainstem gliomas include cranial nerve deficit, pyramidal tract signs, and ataxia. The common physical examination findings 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
The common physical examination findings of brainstem gliomas are as follows:
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