Schwannoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Patients with schwannoma usually appears normal and have varying physical examination findings depending on the location and extent of the tumor.

Physical Examination

Physical examination of patients with schwannoma reveals findings depending on the location and extent of tumor.

Appearance of the Patient

• Patients with schwannoma usually appear normal.

Vital Signs

• Normal

Skin

• Skin examination of patients with schwannoma usually reveals lumps under the skin.

HEENT

• Xerophthalmia, Xerostomia.
• Reduced hearing acuity.
• Abnormal Weber test.
• Abnormal Rinne test.

Neck

• Neck examination of patients with schwannoma is usually normal.

Lungs

• Pulmonary examination of patients with schwannoma is usually normal.

Heart

• Cardiovascular examination of patients with schwannoma is usually normal.

Abdomen

• Abdominal examination of patients with schwannoma is usually normal.

Back

• Back examination of patients with schwannoma is usually normal other than any lumps/swellings.

Genitourinary

• Genitourinary examination of patients with schwannoma is usually normal.

Neuromuscular

• Neuromuscular examination of patients with schwannoma is usually abnormal depending upon the tumor location.
• Facial numbness (paresthesia), hypesthesia, and pain suggestive of cranial nerve V deficit.
• Facial paresis, taste disturbances, xerophthalmia, lacrimation, xerostomia suggestive of cranial nerve VII deficit.
• Sensorineural hearing loss and unsteady gait suggestive of cranial nerve VIII deficit
• Ataxia suggestive of tumor compressing the cerebellum or brainstem

Extremities

• Extremities examination of patients with schwannoma is usually normal.