Intracerebral metastases physical examination

Common physical examination findings of intracerebral metastases include bradycardia, high systolic blood pressure with widened pulse pressure, papilledema, altered mental status, ataxia, and focal neurological deficits.^[1][2]

Common physical examination findings of intracerebral metastases include:^[1][2]

• Bradycardia
• High systolic blood pressure
• Widened pulse pressure
• Cheyne-Stokes respiration

• Papilledema
• Pupillary dilatation

• Altered mental status
• Aphasia
• Ataxia
• Hemiparesis
• Dysarthria
• Bell’s palsy
• Focal neurological deficits
  • Corticospinal tract defect
    • Spasticity
    • Hyperreflexia
    • Loss of the ability to perform fine movements
    • Extensor plantar response (Babinski sign present)
    • Pronator drift
  • Spinocerebellar tract defect
    • Loss of proprioception
  • Cranioneuropathies
    • VI^th cranial nerve palsy

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