Brain Stem Gliomas physical examination

Brain Stem Gliomas Microchapters
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Physical Examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Neurologic examination

• Most common signs of brain stem gliomas include:
  • Cranial nerve deficit
    • Sixth and seventh cranial nerves are commonly involved
  • Pyramidal tract signs
  • Ataxia

• For tectal lesions, common signs include:
  • Diplopia
  • Ophthalmoplegia
  • Parinaud syndrome
  • Loss of accommodation
  • Light-near dissociation

• For cervicomedullary lesions, common signs include:
  • Sensory loss of the face
  • Dysphagia
  • Dysphonia