Images in Clinical Medicine
Papilledema and Spinal Cord Tumor
N Engl J Med 2004; 350:e18May 13, 2004
- Article
A 49-year-old man presented with a three-week history of progressive visual loss and headaches. Funduscopic examination revealed bilateral papilledema. Computed tomographic examination of the cerebrum showed a moderate-sized, communicating hydrocephalus. Analysis of cerebrospinal fluid from a lumbar puncture showed a high protein concentration (1632 mg per deciliter). On further questioning, the patient reported a one-year history of intermittent low back pain. Magnetic resonance imaging of the spine showed a tumor of the conus medullaris; a benign ependymoma was completely removed. Postoperatively, the patient's headaches cleared spontaneously, and the findings on funduscopy and the visual acuity returned to normal within four weeks.
Seyed F.A. Amlashi, M.D.
Laurent Riffaud, M.D.
Rennes University Hospital, 35033 Rennes CEDEX, France- Citing Articles (2)
Citing Articles
1
Cabot, Richard C.Harris, Nancy Lee, Shepard, Jo-Anne O., Rosenberg, Eric S., Cort, Alice M., Ebeling, Sally H.Peters, Christine C., Brass, Steven D., Dinkin, Marc J., Williams, Ziv, Krishnamoorthy, Kalpathy S., Copen, William A., Freeman, Stefanie H., . (2009) Case 38-2009. New England Journal of Medicine 361:24, 2367-2378
Full Text2
Cristobal Cruz Colon, Lilliam Díaz, Julio A Rodríguez-Padilla, Luis Serrano. (2009) Papilledema and Visual Loss as the Presenting Signs of a Primary Spinal Primitive Neuroectodermal Tumor. Journal of Neuro-Ophthalmology 29:4, 355-357
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