Visual acuity loss, the initial sympton of a spinal cord neoplasm

A 46-year-old woman, who presented with right visual acuity loss, was found to have papilledema, and subsequently shown to have ventricular dilatation in a cerebral Magnetic Resonance Imaging (MRI) assessment. Elevated protein levels were found in the cerebrospinal fluid. Spinal MRI revealed the pre...

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Veröffentlicht in:	Archivos de la Sociedad Española de Oftalmología 2008-07, Vol.83 (7), p.437-440
Hauptverfasser:	Millán-Rodríguez, A C, Lázaro-González, V, Dios-Castro, E, Regal, R E, Cores, F J, Fernández-Vila, P C
Format:	Artikel
Sprache:	spa
Schlagworte:	Cerebral Ventricles - pathology Cerebrospinal Fluid Proteins - analysis Dilatation, Pathologic - etiology Female Humans Laminectomy Magnetic Resonance Imaging Middle Aged Neurilemmoma - cerebrospinal fluid Neurilemmoma - complications Neurilemmoma - diagnosis Neurilemmoma - surgery Papilledema - etiology Spinal Cord Neoplasms - cerebrospinal fluid Spinal Cord Neoplasms - complications Spinal Cord Neoplasms - diagnosis Spinal Cord Neoplasms - surgery Thoracic Vertebrae Vision Disorders - etiology Visual Acuity Visual Field Tests
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Zusammenfassung:	A 46-year-old woman, who presented with right visual acuity loss, was found to have papilledema, and subsequently shown to have ventricular dilatation in a cerebral Magnetic Resonance Imaging (MRI) assessment. Elevated protein levels were found in the cerebrospinal fluid. Spinal MRI revealed the presence of a spinal cord neoplasm. After surgical removal of the tumor, which turned out to be a neurilemmoma, the patient's visual acuity was restored. The ocular presentation and the relationship between intracranial hypertension and spinal tumors are discussed. Likewise, the importance of considering the various causes of papilledema is emphasized.
ISSN:	0365-6691