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Primary spinal cord astrocytoma presenting as intracranial hypertension: a case report.
Korean J Spine. 2012 Sep; 9(3):272-4.KJ

Abstract

Increased intracranial pressure (IICP) is rarely seen in association with primary spinal tumors. We describe a 58-year-old man who was diagnosed with a primary spinal cord astrocytoma, who first presented with hypesthesia, followed by intracranial hypertension, papilledema and blurred vision. On first admission, he presented with hypesthesia but without paraparesis, headache or blurred vision. Spinal MRI showed a relatively well-enhanced solid mass with a cystic portion at the cervico-thoracic level, shown histologically to be a grade I pilocytic astrocytoma. After gross total resection of the tumor, the patient had no significant neurological changes. Nine months later, the patient was admitted with headache, blurred vision and paraparesis. An ophthalmologic examination showed papilledema and lumbar tapping revealed IICP. A spinal MRI showed recurrence of the tumor which was found to be a glioblastoma after reexplorative debulking surgery. After resection, his headaches and blurred vision improved, but his paraparesis did not. These findings show that a primary spinal cord astrocytoma may cause IICP.

Authors+Show Affiliations

Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25983830

Citation

Lim, Sungryong, et al. "Primary Spinal Cord Astrocytoma Presenting as Intracranial Hypertension: a Case Report." Korean Journal of Spine, vol. 9, no. 3, 2012, pp. 272-4.
Lim S, Lee SJ, Rhim SC. Primary spinal cord astrocytoma presenting as intracranial hypertension: a case report. Korean J Spine. 2012;9(3):272-4.
Lim, S., Lee, S. J., & Rhim, S. C. (2012). Primary spinal cord astrocytoma presenting as intracranial hypertension: a case report. Korean Journal of Spine, 9(3), 272-4. https://doi.org/10.14245/kjs.2012.9.3.272
Lim S, Lee SJ, Rhim SC. Primary Spinal Cord Astrocytoma Presenting as Intracranial Hypertension: a Case Report. Korean J Spine. 2012;9(3):272-4. PubMed PMID: 25983830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary spinal cord astrocytoma presenting as intracranial hypertension: a case report. AU - Lim,Sungryong, AU - Lee,Seung Joo, AU - Rhim,Seung Chul, Y1 - 2012/09/30/ PY - 2012/04/30/received PY - 2012/09/18/revised PY - 2012/09/25/accepted PY - 2015/5/19/entrez PY - 2012/9/1/pubmed PY - 2012/9/1/medline KW - Astrocytoma KW - Intracranial hypertension KW - Papilledema KW - Spinal cord neoplasms SP - 272 EP - 4 JF - Korean Journal of Spine JO - Korean J Spine VL - 9 IS - 3 N2 - Increased intracranial pressure (IICP) is rarely seen in association with primary spinal tumors. We describe a 58-year-old man who was diagnosed with a primary spinal cord astrocytoma, who first presented with hypesthesia, followed by intracranial hypertension, papilledema and blurred vision. On first admission, he presented with hypesthesia but without paraparesis, headache or blurred vision. Spinal MRI showed a relatively well-enhanced solid mass with a cystic portion at the cervico-thoracic level, shown histologically to be a grade I pilocytic astrocytoma. After gross total resection of the tumor, the patient had no significant neurological changes. Nine months later, the patient was admitted with headache, blurred vision and paraparesis. An ophthalmologic examination showed papilledema and lumbar tapping revealed IICP. A spinal MRI showed recurrence of the tumor which was found to be a glioblastoma after reexplorative debulking surgery. After resection, his headaches and blurred vision improved, but his paraparesis did not. These findings show that a primary spinal cord astrocytoma may cause IICP. SN - 1738-2262 UR - https://www.unboundmedicine.com/medline/citation/25983830/Primary_spinal_cord_astrocytoma_presenting_as_intracranial_hypertension:_a_case_report_ L2 - http://e-neurospine.org/journal/view.php?doi=10.14245/kjs.2012.9.3.272 DB - PRIME DP - Unbound Medicine ER -
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