Subependymal giant cell astrocytoma physical examination

Common physical examination findings in patients with subependymal giant cell astrocytoma include hypomelanotic macules, retinal hamartomas, sensory deficits, and muscle weakness. Because subependymal giant cell astrocytoma is predominantly seen in people with tuberous sclerosis, the examination findings listed are those seen in tuberous sclerosis patients.

Due to the fact that subependymal giant cell astrocytoma is predominantly seen in people with tuberous sclerosis, majority of the physical examination findings are those in tuberous sclerosis patients. The common physical examination findings include:^{[1][2][3][4][5]}

• Patients with subependymal giant cell astrocytoma usually appear normal.

• Vital signs of patients with subependymal giant cell astrocytoma are usually normal.

• Hypomelanotic macules
• Confetti skin lesions
• Facial angiofibromas
• Shagreen patches
• Fibrous cephalic plaques
• Ungual fibromas

• Ophthalmoscopic exam may be abnormal with findings of papilledema and visual field defects.
• Retinal hamartomas

• Neck examination of patients with subependymal giant cell astrocytoma is usually normal.

• Pulmonary examination of patients with subependymal giant cell astrocytoma is usually normal.

• Cardiovascular examination of patients with subependymal giant cell astrocytoma is usually normal.

• Abdominal examination of patients with subependymal giant cell astrocytoma is usually normal.

• Back examination of patients with subependymal giant cell astrocytoma is usually normal.

• Genitourinary examination of patients with subependymal giant cell astrocytoma is usually normal.

• Aphasia
• Sensory loss
• Hemiparesis
• Muscle weakness

• Extremities examination of patients with subependymal giant cell astrocytoma is usually normal.

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