Astrocytoma physical examination

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

Overview

The patients with astrocytoma usually appear alert and awake. The signs depend on the location of tumor. Physical examination of patients with astrocytoma is usually remarkable with signs of trunkal ataxia, papilledema, nystagmus and abducens nerve palsy.

Physical Examination

Appearance of the Patient

  • Patients are usually well appearing and can have gait disturbances[1]

Vitals

Pulse

Rate

Blood Pressure

Respiratory Rate


Skin

Eyes

  • Nystagmus may be present
  • Extra-ocular movements may be abnormal
  • Pupils may not react to light
  • Ophthalmoscopic exam may be abnormal with findings of papilledema such as swollen disc, blurry vision, venous engorgement

Ears

  • Hearing acuity may be reduced

Neck

Neurologic

References

  1. Forbes JA, Mobley BC, O'Lynnger TM, Cooper CM, Ghiassi M, Hanif R; et al. (2011). "Pediatric cerebellar pilomyxoid-spectrum astrocytomas". J Neurosurg Pediatr. 8 (1): 90–6. doi:10.3171/2011.4.PEDS1115. PMC 3779306. PMID 21721894.

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