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Case of Lumbar Schwannoma Presenting with Isolated Signs and Symptoms of Intracranial Hypertension.
World Neurosurg. 2018 Nov; 119:209-214.WN

Abstract

BACKGROUND

Hydrocephalus and intracranial hypertension are rare signs of spinal tumors when presenting in isolation, particularly with benign tumors.

CASE DESCRIPTION

Herein reported is a case of a 53-year-old woman who presented with headache, blurry vision, communicating hydrocephalus, and intracranial hypertension. No primary intracranial pathology was identified, and there were no clinical signs or symptoms of intraspinal pathology. Lumbar puncture revealed elevated opening pressure, cerebrospinal fluid protein, and suspected tumor cells in the cerebrospinal fluid, thus prompting spinal imaging. A primary lumbar schwannoma was subsequently determined to underlie her symptoms, which resolved with tumor resection.

CONCLUSIONS

Clinical suspicion of spinal pathology should be maintained in patients with unexplained intracranial hypertension, even in the absence of localizing signs of spinal pathology.

Authors+Show Affiliations

Long School of Medicine, University of Texas Health, San Antonio, Texas, USA; Department of Neurosurgery, University of Texas Health, San Antonio, Texas, USA. Electronic address: ishaque@livemail.uthscsa.edu.Department of Neurosurgery, University of Texas Health, San Antonio, Texas, USA.Department of Neurosurgery, University of Texas Health, San Antonio, Texas, USA.Department of Pathology, University of Texas Health, San Antonio, Texas, USA.Department of Neurosurgery, University of Texas Health, San Antonio, Texas, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30096499

Citation

Ishaque, Mariam, et al. "Case of Lumbar Schwannoma Presenting With Isolated Signs and Symptoms of Intracranial Hypertension." World Neurosurgery, vol. 119, 2018, pp. 209-214.
Ishaque M, McGinity MJ, Tavakoli SG, et al. Case of Lumbar Schwannoma Presenting with Isolated Signs and Symptoms of Intracranial Hypertension. World Neurosurg. 2018;119:209-214.
Ishaque, M., McGinity, M. J., Tavakoli, S. G., Henry, J. M., & Papanastassiou, A. M. (2018). Case of Lumbar Schwannoma Presenting with Isolated Signs and Symptoms of Intracranial Hypertension. World Neurosurgery, 119, 209-214. https://doi.org/10.1016/j.wneu.2018.07.225
Ishaque M, et al. Case of Lumbar Schwannoma Presenting With Isolated Signs and Symptoms of Intracranial Hypertension. World Neurosurg. 2018;119:209-214. PubMed PMID: 30096499.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case of Lumbar Schwannoma Presenting with Isolated Signs and Symptoms of Intracranial Hypertension. AU - Ishaque,Mariam, AU - McGinity,Michael J, AU - Tavakoli,Samon G, AU - Henry,James M, AU - Papanastassiou,Alexander M, Y1 - 2018/08/08/ PY - 2018/06/01/received PY - 2018/07/24/accepted PY - 2018/8/11/pubmed PY - 2018/12/12/medline PY - 2018/8/11/entrez KW - Hydrocephalus KW - Intracranial hypertension KW - Spinal schwannoma SP - 209 EP - 214 JF - World neurosurgery JO - World Neurosurg VL - 119 N2 - BACKGROUND: Hydrocephalus and intracranial hypertension are rare signs of spinal tumors when presenting in isolation, particularly with benign tumors. CASE DESCRIPTION: Herein reported is a case of a 53-year-old woman who presented with headache, blurry vision, communicating hydrocephalus, and intracranial hypertension. No primary intracranial pathology was identified, and there were no clinical signs or symptoms of intraspinal pathology. Lumbar puncture revealed elevated opening pressure, cerebrospinal fluid protein, and suspected tumor cells in the cerebrospinal fluid, thus prompting spinal imaging. A primary lumbar schwannoma was subsequently determined to underlie her symptoms, which resolved with tumor resection. CONCLUSIONS: Clinical suspicion of spinal pathology should be maintained in patients with unexplained intracranial hypertension, even in the absence of localizing signs of spinal pathology. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/30096499/Case_of_Lumbar_Schwannoma_Presenting_with_Isolated_Signs_and_Symptoms_of_Intracranial_Hypertension_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(18)31705-4 DB - PRIME DP - Unbound Medicine ER -