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Related Experiment Videos

Multiple spinal neurinomas presenting visual disturbance as the initial symptom: case report.

S Oikawa1, K Kyoshima, T Takemae

  • 1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.

Surgical Neurology
|October 1, 1992
PubMed
Summary

Multiple spinal neurinomas caused visual disturbance and intracranial hypertension in a patient lacking typical spinal symptoms. Early magnetic resonance imaging is crucial for diagnosing these rare spinal cord tumors.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Oncology

Background:

  • Spinal tumors, particularly multiple neurinomas, are rare occurrences.
  • Intracranial hypertension typically presents with neurological deficits, but can be caused by spinal pathologies.

Observation:

  • A 63-year-old male presented with progressive visual disturbance due to papilledema.
  • The patient exhibited no overt spinal symptoms or signs, complicating initial diagnosis.
  • Neuroimaging revealed communicating hydrocephalus and two cauda equina mass lesions.

Findings:

  • Histopathological analysis confirmed both mass lesions as neurinomas.
  • The case highlights an unusual presentation of intracranial hypertension secondary to spinal tumors.

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Implications:

  • This case underscores the diagnostic challenge of spinal tumors in patients without characteristic symptoms.
  • Routine magnetic resonance imaging (MRI) of the spine is recommended for patients with unexplained intracranial hypertension or visual disturbances.
  • Early detection of spinal cord lesions through MRI can prevent severe neurological complications.