Medulloblastoma physical examination: Difference between revisions

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__NOTOC__
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{{Medulloblastoma}}
{{Medulloblastoma}}
{{CMG}} {{AE}}{{HL}}
{{CMG}} {{AE}}{{sali}}{{HL}}


==Overview==
==Overview==
 
Patients with medulloblastoma usually appear restless. Physical examination of patients with medulloblastoma is usually remarkable for [[strabismus]], [[nystagmus]], motor [[weakness]], and [[ataxia]].<ref name="wiki">Medulloblastoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Medulloblastoma#cite_note-23 Accessed on September, 28 2015</ref><ref name="pmid23245832">{{cite journal| author=Bartlett F, Kortmann R, Saran F| title=Medulloblastoma. | journal=Clin Oncol (R Coll Radiol) | year= 2013 | volume= 25 | issue= 1 | pages= 36-45 | pmid=23245832 | doi=10.1016/j.clon.2012.09.008 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23245832  }} </ref>
[[diplopia]]
 
 
Sixth cranial nerve palsy
[[Decerebrate]] attacks appear late in the disease.


==Physical Examination==
==Physical Examination==
 
===General Appearance===
===General appearance===
* Patients with medulloblastoma usually appear restless
* The patient generally appear restless
* Loss of milestones


===HEENT===
===HEENT===
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* [[Strabismus]]
* [[Strabismus]]
* [[Nystagmus]]
* [[Nystagmus]]
* Setting sun sign
* “Setting-sun” eye phenomenon (up-gaze paresis with the eyes appearing driven downward) <ref name=radio3>Dr Aditya Shetty and Dr Frank Gaillard et al. Radiopaedia (2015) http://radiopaedia.org/articles/sunset-eye-sign Accessed on October 10, 2015.</ref>


===CNS===
===CNS===
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* Motor [[weakness]]
* Motor [[weakness]]
* Facial [[sensory loss]]
* Facial [[sensory loss]]
* 3rd, 4th and 6th [[cranial nerve palsies]]
* Third, fourth, and sixth [[cranial nerve palsies]]


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Neurology]]
[[Category:Neurosurgery]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Neurosurgery]]
[[Category:Neurosurgery]]

Latest revision as of 14:47, 2 July 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]Haytham Allaham, M.D. [3]

Overview

Patients with medulloblastoma usually appear restless. Physical examination of patients with medulloblastoma is usually remarkable for strabismus, nystagmus, motor weakness, and ataxia.[1][2]

Physical Examination

General Appearance

  • Patients with medulloblastoma usually appear restless

HEENT

  • Head tilt sign
  • Increased head circumference
  • Papilledema
  • Strabismus
  • Nystagmus
  • “Setting-sun” eye phenomenon (up-gaze paresis with the eyes appearing driven downward) [3]

CNS

References

  1. Medulloblastoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Medulloblastoma#cite_note-23 Accessed on September, 28 2015
  2. Bartlett F, Kortmann R, Saran F (2013). "Medulloblastoma". Clin Oncol (R Coll Radiol). 25 (1): 36–45. doi:10.1016/j.clon.2012.09.008. PMID 23245832.
  3. Dr Aditya Shetty and Dr Frank Gaillard et al. Radiopaedia (2015) http://radiopaedia.org/articles/sunset-eye-sign Accessed on October 10, 2015.