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Related Experiment Videos

Disc swelling: a tall tail?

D C Matzkin1, T L Slamovits, I Genis

  • 1Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

Survey of Ophthalmology
|September 1, 1992
PubMed
Summary
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A rare spinal cord ependymoma caused a man's vision loss due to papilledema. Diagnosis was delayed over a year, highlighting the need for thorough investigation of visual symptoms.

Area of Science:

  • Neuro-oncology
  • Ophthalmology
  • Neurology

Background:

  • Spinal cord tumors can present atypically, sometimes without classic neurological deficits.
  • Papilledema, typically associated with increased intracranial pressure, can be a rare presenting sign of spinal pathology.

Observation:

  • A 30-year-old man experienced monocular vision loss attributed to chronic papilledema.
  • Initial investigations, including neuroradiology and labs, were unremarkable except for elevated cerebrospinal fluid pressure and protein.
  • Neurological symptoms directly related to a spinal cord lesion were absent at presentation.

Findings:

  • The patient was diagnosed with a spinal cord ependymoma after a 12-month diagnostic delay.
  • This case represents the fourth reported instance of a spinal cord tumor causing papilledema and visual loss as the primary manifestation.

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  • The absence of other neurological signs of elevated intracranial pressure or spinal disease complicated the diagnosis.

    • Implications:

    • This case underscores the importance of considering spinal cord pathology in patients with unexplained papilledema and visual disturbances.
    • Delayed diagnosis of spinal cord tumors can lead to prolonged morbidity.
    • Further review of potential mechanisms linking spinal cord tumors to elevated intracranial pressure is warranted.