Intracerebral metastases physical examination

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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:

• 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 defect

• 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

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