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A 13 year old girl presented with symptoms of headache, vomiting, diplopia, low backpain with radiating pain into the right leg, weakness, and sensory loss in the right leg of two months’ duration. These symptoms …
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Citations
... Myxopapillary ependymoma is associated with high likelihood of developing spinal subarachnoid hemorrhage because of its high vascularity (18). Four of the 6 myxopapillary ependymoma cases demonstrated xanthochromia or elevated RBC in the CSF (9,18,33). One patient had subarachnoid siderosis seen on MRI brain thought to result from chronic subarachnoid hemorrhage (Case 28) (12). ...
Spinal cord tumors (SCTs) may rarely cause increased intracranial pressure without hydrocephalus (IICPWH). A review of the English literature published after 1970 revealed 29 cases of IICPWH secondary to SCT. The following data were acquired: demographics, tumor characteristics, ophthalmic and neurological manifestations, and cerebral spinal fluid (CSF) features. We summarize the existing literature regarding various theories of pathophysiology, spinal imaging recommendations, and treatment modalities used in managing such patients. Patients with papilledema who also have neurological signs or symptoms of myelopathy or elevated CSF protein particularly in the setting of an atypical demographic for pseudotumor cerebri should raise a suspicion for a spinal tumor and prompt further investigation with a spinal MRI.
... Cells, mononuclear Increased [4] Increased [24] Common [34] Mildly Increased* [35] Mixed* [36] CSF-protein Increased [34] Increased [26] Occasionally [37] Increased [34] Occasionally [38] CSF-Albumin-index Increased [39] NR Normal Increased [40] Occasionally [36] IgG-index Normal NR Increased Negative [40] Occasionally [41] Oligoclonal ...
... Hydrocephalus secondary to intraspinal tumors is a wellknown but rare condition since about 1% of patients with spinal cord tumors have various degrees of hydrocephalus at initial presentation12345678910. About 300 reports of hydrocephalus and intracranial hypertension associated with spinal cord tumors are found in the literature. ...
Introduction
Hydrocephalus secondary to intraspinal tumors is a well-known but rare condition since about 1% of patients with spinal cord tumors have various degrees of hydrocephalus at initial presentation.
Discussion
The mechanism of development of intracranial hypertension and hydrocephalus in patients with spinal cord tumor is not exactly known. The problematic aspects of this condition, with regard to clinical presentation and pathophysiology, are discussed and the relevant literature is reviewed. This uncommon association should always be kept in mind in the differential diagnosis of hydrocephalus of unknown etiology for three main reasons: the possibility of neurological deterioration if the patient is shunted prior tumor removal, the possibility to treat the hydrocephalus without shunting by simply removing the tumor, and the possible role of hydrocephalus as an early sign of intracranial metastasis in patients previously operated upon for removal of intramedullary gliomas. Due to the very slow evolution of the disease, a careful and close clinical and neuroradiological follow-up are essential for many years afterward. The presence of intracranial hypertension in a patient previously operated for a spinal tumor should be considered and investigated as an early sign of neoplastic intracranial seeding.
