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Disk edema and peripheral neuropathy
1Department of Neurology, West Virginia University Health Sciences Center, Morgantown.
Survey of Ophthalmology
|March 1, 1994
Summary
A spinal cord tumor caused progressive gait issues and vision problems in a 55-year-old woman. Surgical removal of the myxopapillary ependymoma resolved most symptoms, highlighting effective treatment for this rare condition.
Area of Science:
- Neurology
- Neurosurgery
- Ophthalmology
Background:
- Spinal cord tumors can present with diverse neurological deficits.
- Hydrocephalus and neuro-ophthalmic signs may indicate increased intracranial pressure secondary to spinal pathology.
- Myxopapillary ependymomas are rare tumors typically found in the filum terminale.
Observation:
- A 55-year-old woman experienced progressive gait dysfunction over eight years and recent-onset horizontal diplopia.
- Clinical examination revealed papilledema, intermittent esotropia, and upper and lower motor neuron signs.
- Imaging demonstrated communicating hydrocephalus and a large spinal cord tumor (T11-L3).
Findings:
- The spinal cord tumor was identified as a myxopapillary ependymoma.
- Surgical resection of the tumor led to significant resolution of neurological and ophthalmological symptoms.
- A persistent left foot drop was the only residual deficit.
Implications:
- This case underscores the importance of considering spinal pathology in patients with unexplained neurological and visual disturbances.
- Aggressive surgical management of spinal cord tumors can yield favorable outcomes.
- Understanding the pathophysiology of the neuro-ophthalmic manifestations is crucial for comprehensive patient care.