Astrocytoma physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
The patients with astrocytoma usually appear alert and awake. The signs depend on the location of tumor. Physical examination of patients with astrocytoma is usually remarkable with signs of trunkal ataxia, papilledema, nystagmus and abducens nerve palsy.
Physical Examination
Appearance of the Patient
- Patients are usually well appearing and can have gait disturbances[1]
Vitals
Pulse
Rate
- Bradycardia may be present
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Bradypnea may be present
Skin
- Lesions may be present
Eyes
- Nystagmus may be present
- Extra-ocular movements may be abnormal
- Pupils may not react to light
- Ophthalmoscopic exam may be abnormal with findings of papilledema such as swollen disc, blurry vision, venous engorgement
Ears
- Hearing acuity may be reduced
Neck
- Lymph nodes may be present
Neurologic
- Mental status may be normal. Patient is usually alert, concious and oriented.
- Trunkal ataxia may be present
- Hyperactive reflexes may be present
- Abducens nerve palsy
References
- ↑ Forbes JA, Mobley BC, O'Lynnger TM, Cooper CM, Ghiassi M, Hanif R; et al. (2011). "Pediatric cerebellar pilomyxoid-spectrum astrocytomas". J Neurosurg Pediatr. 8 (1): 90–6. doi:10.3171/2011.4.PEDS1115. PMC 3779306. PMID 21721894.