Ependymoma physical examination

Ependymoma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

Patients with ependymoma usually appear well. Physical examination of patients with ependymoma is usually remarkable for altered mental status, spasticity, and muscle weakness.

Physical Examination

Common physical examination findings of ependymoma include:

Neurological

• Altered mental status
• Ataxia
• Focal neurological deficits
  • Corticospinal tract defect
    • Spasticity
    • Hyperreflexia
    • Loss of the ability to perform fine movements
    • Extensor plantar response (Babinski sign present)
  • Spinocerebellar tract defect
  • Cranioneuropathies

Musculoskeletal

• Muscle weakness
• Bladder dysfunction
• Low back pain