Medulloblastoma physical examination: Difference between revisions

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==Overview==
==Overview==


Symptoms are mainly due to secondary increased [[intracranial pressure]] due to blockage of the [[fourth ventricle]] and are usually present for 1 to 5 months before diagnosis is made.
[[diplopia]]
The child typically becomes ''listless'', with repeated episodes of ''vomiting'', and a ''morning headache'', which may lead to a misdiagnosis of
 
Soon, the child will develop a ''stumbling gait'', ''frequent falls'', ''[[diplopia]]'', ''[[papilledema]]'', and ''sixth cranial nerve palsy''.
 
''Positional dizziness''
Sixth cranial nerve palsy
and ''[[nystagmus]]''
are also frequent and f
acial sensory loss or
motor weakness may be present.
[[Decerebrate]] attacks appear late in the disease.
[[Decerebrate]] attacks appear late in the disease.


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===General appearance===
===General appearance===
* The patient generally appear restless


===HEENT===
* [[Papilledema]]
* Strabismus
* Nystagmus


===HEENT===


===CNS===
===CNS===
* Stumbling gait
* Motor weakness
* Facial sensory loss


==References==
==References==

Revision as of 01:17, 1 October 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]

Overview

diplopia


Sixth cranial nerve palsy Decerebrate attacks appear late in the disease.

Physical Examination

General appearance

  • The patient generally appear restless

HEENT


CNS

  • Stumbling gait
  • Motor weakness
  • Facial sensory loss

References