1. Papilledema and tumours of the cauda equina: a case report.
- Author
-
Caruso R, Marrocco L, and Wierzbiki V
- Subjects
- Adult, Cerebrospinal Fluid Proteins analysis, Humans, Intracranial Hypertension etiology, Magnetic Resonance Imaging, Male, Neurilemmoma cerebrospinal fluid, Neurilemmoma diagnosis, Neurilemmoma surgery, Peripheral Nervous System Neoplasms cerebrospinal fluid, Peripheral Nervous System Neoplasms diagnosis, Peripheral Nervous System Neoplasms surgery, Sciatica complications, Cauda Equina, Neurilemmoma complications, Papilledema etiology, Peripheral Nervous System Neoplasms complications
- Abstract
Purpose: Bilateral papilledema is a rare symptom of cauda equina tumours. The authors report a case of neurinoma of cauda equina, which had a bilateral papilledema among its initial symptoms., Case Report: A 28 years old man showed the presence of a bilateral papilledema; a cerebral MRI did not show any endocranial pathology. After three months the patient started suffering, especially at night, of right-leg-sciatica. A lumbar MRI showed a neurinoma of the cauda equina. The patient was operated and after surgery the papilledema slowly shrank., Conclusions: The tumours of cauda equina could cause endocranial hypertension and consequently a papilledema because of hyperproteinorachia. If there is a bilateral papilledema and the cerebral MRI does not show any endocranial pathology, there is the need for the examination of any spinal disorders.
- Published
- 2008