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Intraspinal tumors accompanied by hydrocephalus: case report, systematic review, and discussion of treatment strategy.
Neurologist. 2011 Nov; 17(6):342-5.N

Abstract

INTRODUCTION

Intraspinal tumor accompanied by hydrocephalus is an unusual but well-documented condition. Although many authors have proposed a variety of possible causes, the etiology is still unknown. Meanwhile, little has been discussed about the treatment strategy.

CASE REPORT

We report a case of intraspinal neurinoma accompanied by hydrocephalus. The patient presented with numbness and weakness of the legs, incontinence, and headache. Computed tomography scan demonstrated hydrocephalus and obvious peri-ventricular edema. She was given ventriculoperitoneal (V-P) shunt, but the shunt system had to be removed due to a postoperative intracranial hematoma. To our surprise, the hydrocephalus resolved after the tumor resection. We reviewed the literature and discussed a reasonable treatment strategy for this condition.

CONCLUSIONS

In patients presenting with hydrocephalus of unclear etiology, attention should be paid to possible spine pathology. If an intraspinal neurinoma is found, a V-P shunt is usually not necessary. A V-P shunt is only indicated when hydrocephalus does not improve after tumor resection.

Authors+Show Affiliations

Department of Neurosurgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22045288

Citation

Sun, Hui, and Hengli Tian. "Intraspinal Tumors Accompanied By Hydrocephalus: Case Report, Systematic Review, and Discussion of Treatment Strategy." The Neurologist, vol. 17, no. 6, 2011, pp. 342-5.
Sun H, Tian H. Intraspinal tumors accompanied by hydrocephalus: case report, systematic review, and discussion of treatment strategy. Neurologist. 2011;17(6):342-5.
Sun, H., & Tian, H. (2011). Intraspinal tumors accompanied by hydrocephalus: case report, systematic review, and discussion of treatment strategy. The Neurologist, 17(6), 342-5. https://doi.org/10.1097/NRL.0b013e318235c617
Sun H, Tian H. Intraspinal Tumors Accompanied By Hydrocephalus: Case Report, Systematic Review, and Discussion of Treatment Strategy. Neurologist. 2011;17(6):342-5. PubMed PMID: 22045288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intraspinal tumors accompanied by hydrocephalus: case report, systematic review, and discussion of treatment strategy. AU - Sun,Hui, AU - Tian,Hengli, PY - 2011/11/3/entrez PY - 2011/11/3/pubmed PY - 2012/2/24/medline SP - 342 EP - 5 JF - The neurologist JO - Neurologist VL - 17 IS - 6 N2 - INTRODUCTION: Intraspinal tumor accompanied by hydrocephalus is an unusual but well-documented condition. Although many authors have proposed a variety of possible causes, the etiology is still unknown. Meanwhile, little has been discussed about the treatment strategy. CASE REPORT: We report a case of intraspinal neurinoma accompanied by hydrocephalus. The patient presented with numbness and weakness of the legs, incontinence, and headache. Computed tomography scan demonstrated hydrocephalus and obvious peri-ventricular edema. She was given ventriculoperitoneal (V-P) shunt, but the shunt system had to be removed due to a postoperative intracranial hematoma. To our surprise, the hydrocephalus resolved after the tumor resection. We reviewed the literature and discussed a reasonable treatment strategy for this condition. CONCLUSIONS: In patients presenting with hydrocephalus of unclear etiology, attention should be paid to possible spine pathology. If an intraspinal neurinoma is found, a V-P shunt is usually not necessary. A V-P shunt is only indicated when hydrocephalus does not improve after tumor resection. SN - 2331-2637 UR - https://www.unboundmedicine.com/medline/citation/22045288/Intraspinal_tumors_accompanied_by_hydrocephalus:_case_report_systematic_review_and_discussion_of_treatment_strategy_ L2 - http://dx.doi.org/10.1097/NRL.0b013e318235c617 DB - PRIME DP - Unbound Medicine ER -