Ependymoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Ependymoma}} | {{Ependymoma}}] | ||
{{CMG}} {{AE}} {{AAM}} | |||
==Overview== | |||
Patients with ependymoma usually appear well. Physical examination of patients with ependymoma is usually remarkable for [[altered mental status]], [[spasticity]], and [[muscle weakness]]. | |||
==Physical Examination== | |||
Common physical examination findings of ependymoma include:<ref name="pmid22056760">{{cite journal| author=Radhakrishnan N, Nair NS, Hingwala DR, Kapilamoorthy TR, Radhakrishnan VV| title=Tanycytic ependymoma of filum terminale: a case report. | journal=Clin Neurol Neurosurg | year= 2012 | volume= 114 | issue= 2 | pages= 169-71 | pmid=22056760 | doi=10.1016/j.clineuro.2011.09.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22056760 }} </ref> | |||
===HEENT=== | |||
*Sudden onset of disc edema, [[esotropia]], and field loss. | |||
===Neurological=== | |||
*[[Altered mental status]] | |||
*Focal neurological deficits | |||
**[[Corticospinal tract|Corticospinal tract defect]] | |||
***[[Spasticity]] | |||
***[[Hyperreflexia]] | |||
***Loss of the ability to perform fine movements | |||
***Extensor plantar response ([[Babinski sign]] present) | |||
**[[spinocerebellar tract|Spinocerebellar tract defect]] | |||
***[[proprioception|Loss of proprioception]] | |||
**[[nerve palsy|Cranioneuropathies]] | |||
***Bilateral [[Oculomotor nerve palsy|3rd cranial nerve palsy]] | |||
===Musculoskeletal=== | |||
*[[Muscle weakness]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Types of cancer]] | [[Category:Types of cancer]] | ||
[[Category:Rare diseases]] | [[Category:Rare diseases]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
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Revision as of 13:41, 13 October 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]
Overview
Patients with ependymoma usually appear well. Physical examination of patients with ependymoma is usually remarkable for altered mental status, spasticity, and muscle weakness.
Physical Examination
Common physical examination findings of ependymoma include:[1]
HEENT
- Sudden onset of disc edema, esotropia, and field loss.
Neurological
- Altered mental status
- Focal neurological deficits
- Corticospinal tract defect
- Spasticity
- Hyperreflexia
- Loss of the ability to perform fine movements
- Extensor plantar response (Babinski sign present)
- Spinocerebellar tract defect
- Cranioneuropathies
- Bilateral 3rd cranial nerve palsy
- Corticospinal tract defect
Musculoskeletal
References
- ↑ Radhakrishnan N, Nair NS, Hingwala DR, Kapilamoorthy TR, Radhakrishnan VV (2012). "Tanycytic ependymoma of filum terminale: a case report". Clin Neurol Neurosurg. 114 (2): 169–71. doi:10.1016/j.clineuro.2011.09.017. PMID 22056760.