Papilledema as the presenting manifestation of spinal schwannoma

Fiona Costello; Randy H Kardon; Michael Wall; Patricia Kirby; Timothy Ryken; Andrew G Lee

doi:10.1097/00041327-200209000-00002

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Papilledema as the presenting manifestation of spinal schwannoma

Journal article

Peer reviewed

Papilledema as the presenting manifestation of spinal schwannoma

Fiona Costello, Randy H Kardon, Michael Wall, Patricia Kirby, Timothy Ryken and Andrew G Lee

Journal of neuro-ophthalmology, Vol.22(3), pp.199-203

09/2002

DOI: 10.1097/00041327-200209000-00002

PMID: 12352582

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Abstract

A 63-year-old woman with headache, blurred vision, bilateral optic disc edema, and normal cranial magnetic resonance imaging scan underwent lumbar puncture that revealed an elevated opening pressure (290 mm water), a protein level of 114 mg/dl, and mild pleocytosis. Spinal magnetic resonance imaging later demonstrated a sacral tumor, which proved to be a schwannoma with sarcoid-like features. After surgical removal of the tumor, the patient's manifestations resolved. This case emphasizes that low spinal cord tumors can cause elevated intracranial pressure without causing markedly elevated cerebrospinal fluid protein or cells, or any myelopathic manifestations, perhaps by obstructing sacral cerebrospinal drainage. Comprehensive spine imaging should be a part of the evaluation of a patient with papilledema who has normal brain imaging but abnormal spinal fluid constituents.

Neurilemmoma - surgery

Humans

Middle Aged

Neurilemmoma - pathology

Spinal Cord Neoplasms - complications

Magnetic Resonance Imaging

Sacrum

Spinal Cord Neoplasms - diagnosis

Neurilemmoma - complications

Spinal Cord Neoplasms - surgery

Female

Papilledema - diagnosis

Spinal Cord Neoplasms - pathology

Visual Field Tests

Fundus Oculi

Neurilemmoma - diagnosis

Papilledema - etiology

Details

Title: Subtitle: Papilledema as the presenting manifestation of spinal schwannoma
Creators: Fiona Costello - Department of Ophthalmology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive PFP, Iowa City, IA 52242, USA
Randy H Kardon
Michael Wall
Patricia Kirby
Timothy Ryken
Andrew G Lee
Resource Type: Journal article
Publication Details: Journal of neuro-ophthalmology, Vol.22(3), pp.199-203
DOI: 10.1097/00041327-200209000-00002
PMID: 12352582
NLM abbreviation: J Neuroophthalmol
ISSN: 1070-8022
eISSN: 1536-5166
Publisher: United States
Language: English
Date published: 09/2002
Academic Unit: Neurology; Pathology; Iowa Neuroscience Institute; Neurosurgery; Ophthalmology and Visual Sciences
Record Identifier: 9983979922202771

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