Neoplastic meningitis physical examination: Difference between revisions
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**[[diplopia|Tortional diplopia]] | **[[diplopia|Tortional diplopia]] | ||
*''Cranial nerve VI'' | *''Cranial nerve VI'' | ||
**[[ | **[[Diplopia]] | ||
*''Cranial nerve V'' | *''Cranial nerve V'' | ||
**Facial [[hypesthesia]] or [[anesthesia]] | **Facial [[hypesthesia]] or [[anesthesia]] | ||
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'''Signs due to spinal cord and roots dysfunction''' | '''Signs due to spinal cord and roots dysfunction''' | ||
* | *Limb weakness (lower extremities > upper extremities) | ||
*[[Sensory loss]] in the neck and back, following a radicular pattern | *[[Sensory loss]] in the neck and back, following a radicular pattern | ||
*[[Nuchal rigidity]] | *[[Nuchal rigidity]] | ||
* | *Bowel and bladder dysfunction | ||
==References== | ==References== | ||
Revision as of 18:26, 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
Signs due to cranial nerve dysfunction
- Cranial nerve II
- Cranial nerve III
- Ptosis
- Fixed dilated pupil
- "Down and out" deviation of the affected eye
- Cranial nerve IV
- Cranial nerve VI
- Cranial nerve V
- Facial hypesthesia or anesthesia
- Weakness of clenching and side-to-side movement of the jaw
- Cranial nerve VIII
Signs 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.