Neoplastic meningitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
== | ==Physical Examination== | ||
==Symptoms== | |||
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> | |||
'''Signs due to cerebral hemisphere dysfunction''' | |||
*[[Altered mental status]] | |||
*[[Dementia]] | |||
*[[Hemiparesis]] | |||
'''Symptoms due to cranial nerve dysfunction''' | |||
*''Cranial nerve III'' | |||
**[[ptosis|Drooping of the eyelid]] | |||
*''Cranial nerve IV'' | |||
**Vertical diplopia | |||
**Tortional diplopia | |||
*''Cranial nerve VI'' | |||
**[[diplopia|Double vision]] | |||
*''Cranial nerve V'' | |||
**Facial [[hypesthesia]] or [[anesthesia]] | |||
**Weakness of clenching and side-to-side movement of the jaw | |||
*''Cranial nerve VIII'' | |||
**[[Cochlear dysfunction]] | |||
'''Symptoms 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]] | |||
==References== | ==References== |
Revision as of 17:05, 21 January 2016
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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
Physical Examination
Symptoms
Common physical examination findings of neoplastic meningitis include:[1]
Signs due to cerebral hemisphere dysfunction
Symptoms due to cranial nerve dysfunction
- Cranial nerve III
- Cranial nerve IV
- Vertical diplopia
- Tortional diplopia
- Cranial nerve VI
- Cranial nerve V
- Facial hypesthesia or anesthesia
- Weakness of clenching and side-to-side movement of the jaw
- Cranial nerve VIII
Symptoms 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
References
- ↑ Chamberlain, M. C. (2008). "Neoplastic Meningitis". The Oncologist. 13 (9): 967–977. doi:10.1634/theoncologist.2008-0138. ISSN 1083-7159.