What is included in the neurologic exam for primary central nervous system lymphoma (PCNSL)?

Updated: Jan 19, 2018
  • Author: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

Neurologic examination should be directed toward determining which compartments of the nervous system are involved, as follows:

  • Examination for focal deficits

  • Examination of peripheral nerves for evidence of neuropathy (suggestive of systemic process or neurolymphomatosis)

  • Eye examination for vitreous involvement

The eye examination will require ophthalmologic consultation and slit-lamp examination and is a necessary part of the workup in all patients with PCNSL who have raised intracranial pressure. Papilledema may be present.


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