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Disk edema and peripheral neuropathy

L A Breen1

  • 1Department of Neurology, West Virginia University Health Sciences Center, Morgantown.

Survey of Ophthalmology
|March 1, 1994
PubMed
Summary
This summary is machine-generated.

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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.

Related Experiment Videos

  • 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.