| Title | Syndrome simulating pseudotumor cerebri caused by partial transverse venous sinus obstruction in metastatic prostate cancer. | | Author(s) | Kim AW, Trobe JD | | Institution | W.K. Kellogg Eye Center, Department of Ophthalmology, The University of Michigan, Ann Arbor, USA. | | Source | Am J Ophthalmol 2000 Feb; 129(2):254-6. | | MeSH | Adenocarcinoma
Brain
Brain Neoplasms
Cerebral Angiography
Diagnosis, Differential
Humans
Intracranial Hypertension
Magnetic Resonance Imaging
Male
Middle Aged
Papilledema
Prostate-Specific Antigen
Prostatic Neoplasms
Pseudotumor Cerebri
Sinus Thrombosis, Intracranial
Syndrome
Tomography, X-Ray Computed
Vision Disorders
Visual Acuity
| | Abstract | PURPOSE: To report a case of partial transverse venous sinus obstruction causing a syndrome resembling pseudotumor cerebri.
METHOD: Case report. A 61-year-old man developed decreased vision, bilateral papilledema, and a highly increased cerebrospinal fluid opening pressure. Brain magnetic resonance imaging (MRI) disclosed a small, extra-axial mass near the torcula, which was dismissed as an incidental meningioma because cerebral angiography showed sinus patency.
RESULTS: The patient's vision worsened. Biopsy of the enlarging mass disclosed metastatic prostate cancer. After radiation therapy, the mass shrank, magnetic resonance angiography disclosed reopening of the transverse sinuses, and papilledema resolved, but visual fields remained severely compromised.
CONCLUSION: Partial blockage of the dural venous sinus by a small mass near the torcula can cause a sufficient increase in intracranial pressure to produce vision-threatening papilledema. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 10682984 |
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