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A case of a lumbar schwannoma presenting with remoted indicators and signs of intracranial hypertension.

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A case of a lumbar schwannoma presenting with remoted indicators and signs of intracranial hypertension.

World Neurosurg. 2018 Aug 07;:

Authors: Ishaque M, McGinity MJ, Tavakoli SG, Henry JM, Papanastassiou AM

Summary
BACKGROUND: Hydrocephalus and intracranial hypertension are uncommon indicators of spinal tumors when presenting in isolation, notably with benign tumors.
CASE DESCRIPTION: Herein reported is a case of a 53-year-old lady who introduced with headache, blurry imaginative and prescient, speaking hydrocephalus, and intracranial hypertension. No major intracranial pathology was recognized, and there have been no medical indicators or signs of intraspinal pathology. Lumbar puncture revealed elevated opening strain, CSF protein, and suspected tumor cells within the CSF, thus prompting spinal imaging. A major lumbar schwannoma was subsequently decided to underlie her signs, which resolved with tumor resection.
CONCLUSIONS: Medical suspicion of spinal pathology ought to be maintained in sufferers with unexplained intracranial hypertension, even within the absence of localizing indicators of spinal pathology.

PMID: 30096499 [PubMed – as supplied by publisher]

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