Intracerebral metastases physical examination: Difference between revisions
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Common physical examination findings of intracerebral metastases include | Common physical examination findings of intracerebral metastases include | ||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of intracerebral metastases include: | Common physical examination findings of intracerebral metastases include:<ref name=historicalperspectiveofintracerebralmetastases>{{Cite journal | ||
| author = [[Andrew B. Lassman]] & [[Lisa M. DeAngelis]] | title = Brain metastases | journal = [[Neurologic clinics]] | volume = 21 | issue = 1 | pages = 1–23 | year = 2003 | month = February | pmid = 12690643}}</ref> | |||
*[[Altered mental status]] | |||
*[[Ataxia]], [[Papilledema]] | |||
*[[Pupillary dilatation]] | |||
*Abducens palsies | |||
*[[Cushing's triad]] - increased systolic blood pressure, a widened pulse pressure, bradycardia, and an abnormal respiratory pattern. Biot's respiration, in which breathing is rapid for a period and then absent for a period, occurs because of injury to the cerebral hemispheres or diencephalon. Hyperventilation can occur when the brain stem or tegmentum is damaged. | |||
*Hemiparesis | |||
*[[Aphasia]] | |||
*[[Bell's palsy]] | |||
*Focal neurological deficits | |||
:*[[corticospinal tract|Corticospinal tract defect]] | |||
::*Spasticity | |||
::*[[Hyperreflexia]] | |||
::*Loss of the ability to perform fine movements | |||
::*Extensor plantar response (Babinski sign present) | |||
::*[[Pronator shift]] | |||
:[[spinocerebellar tract|Spinocerebellar tract defect]] | |||
::*Loss of proprioception | |||
:Cranioneuropathies | |||
::VIth cranial nerve palsy | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 19:32, 16 November 2015
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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
Common physical examination findings of intracerebral metastases include
Physical Examination
Common physical examination findings of intracerebral metastases include:[1]
- Altered mental status
- Ataxia, Papilledema
- Pupillary dilatation
- Abducens palsies
- Cushing's triad - increased systolic blood pressure, a widened pulse pressure, bradycardia, and an abnormal respiratory pattern. Biot's respiration, in which breathing is rapid for a period and then absent for a period, occurs because of injury to the cerebral hemispheres or diencephalon. Hyperventilation can occur when the brain stem or tegmentum is damaged.
- Hemiparesis
- Aphasia
- Bell's palsy
- Focal neurological deficits
-
- Spasticity
- Hyperreflexia
- Loss of the ability to perform fine movements
- Extensor plantar response (Babinski sign present)
- Pronator shift
- Spinocerebellar tract defect
- Loss of proprioception
- Cranioneuropathies
- VIth cranial nerve palsy
References
- ↑ Andrew B. Lassman & Lisa M. DeAngelis (2003). "Brain metastases". Neurologic clinics. 21 (1): 1–23. PMID 12690643. Unknown parameter
|month=ignored (help)