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Capillary hemangioma of the cauda equina presenting with radiculopathy and papilledema.
J Neuroophthalmol. 2006 Jun; 26(2):98-102.JN

Abstract

A 42-year-old, non-obese man with a three-month history of headache, pulsatile tinnitus, transient visual obscurations, and scintillations later developed low back pain with right lower extremity radiation. Brain MRI and magnetic resonance venography were normal, but spine MRI revealed a mass in the cauda equina. Neuro-ophthalmologic examination disclosed bilateral optic disc edema with normal visual function. During spine surgery, cerebrospinal fluid, released under high pressure despite prior hyperventilation, contained a glucose level of 51 mg/dl and a protein level of 1840 mg/dl. Histologic and immunohistochemical features of the lesion were compatible with a capillary hemangioma. Although spinal cord tumors have been associated with papilledema, this is the first report of a capillary hemangioma of the cauda equina in this context. If papilledema is present, spinal cord imaging should be performed when lumbar puncture discloses unexplained protein elevation and in cases that lack clinical features typical of idiopathic intracranial hypertension.

Authors+Show Affiliations

Department of Ophthalmology, University of Virginia Health System, PO Box 800715, Charlottesville, Virginia 22908, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16845308

Citation

Ghazi, Nicola G., et al. "Capillary Hemangioma of the Cauda Equina Presenting With Radiculopathy and Papilledema." Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society, vol. 26, no. 2, 2006, pp. 98-102.
Ghazi NG, Jane JA, Lopes MB, et al. Capillary hemangioma of the cauda equina presenting with radiculopathy and papilledema. J Neuroophthalmol. 2006;26(2):98-102.
Ghazi, N. G., Jane, J. A., Lopes, M. B., & Newman, S. A. (2006). Capillary hemangioma of the cauda equina presenting with radiculopathy and papilledema. Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society, 26(2), 98-102.
Ghazi NG, et al. Capillary Hemangioma of the Cauda Equina Presenting With Radiculopathy and Papilledema. J Neuroophthalmol. 2006;26(2):98-102. PubMed PMID: 16845308.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Capillary hemangioma of the cauda equina presenting with radiculopathy and papilledema. AU - Ghazi,Nicola G, AU - Jane,John A, AU - Lopes,M Beatriz S, AU - Newman,Steven A, PY - 2006/7/18/pubmed PY - 2006/8/17/medline PY - 2006/7/18/entrez SP - 98 EP - 102 JF - Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society JO - J Neuroophthalmol VL - 26 IS - 2 N2 - A 42-year-old, non-obese man with a three-month history of headache, pulsatile tinnitus, transient visual obscurations, and scintillations later developed low back pain with right lower extremity radiation. Brain MRI and magnetic resonance venography were normal, but spine MRI revealed a mass in the cauda equina. Neuro-ophthalmologic examination disclosed bilateral optic disc edema with normal visual function. During spine surgery, cerebrospinal fluid, released under high pressure despite prior hyperventilation, contained a glucose level of 51 mg/dl and a protein level of 1840 mg/dl. Histologic and immunohistochemical features of the lesion were compatible with a capillary hemangioma. Although spinal cord tumors have been associated with papilledema, this is the first report of a capillary hemangioma of the cauda equina in this context. If papilledema is present, spinal cord imaging should be performed when lumbar puncture discloses unexplained protein elevation and in cases that lack clinical features typical of idiopathic intracranial hypertension. SN - 1070-8022 UR - https://www.unboundmedicine.com/medline/citation/16845308/Capillary_hemangioma_of_the_cauda_equina_presenting_with_radiculopathy_and_papilledema_ L2 - http://dx.doi.org/10.1097/01.wno.0000222973.55486.d2 DB - PRIME DP - Unbound Medicine ER -