Πέμπτη 19 Νοεμβρίου 2020

What are the symptoms of idiopathic intracranial hypertension? Changes in eyesight such as blurry vision or double vision. Vision loss, especially in the peripheral vision. Feeling dizzy or nauseated. Vomiting. Neck stiffness. Trouble walking. Frequent headaches, often along with nausea or vomiting.

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Abstract

Background

Isolated onset of intracranial hypertension due to spinal cord tumor is rare, thus, easily leading to misdiagnosis and delay in effective treatment.

Case presentation

Herein, we describe a 45-year-old female patient who manifested isolated symptoms and signs of intracranial hypertension and whose condition was initially diagnosed as idiopathic intracranial hypertension and transverse sinus stenosis. The patient received a stent implantation; however, no improvements were observed. One year later her symptoms exacerbated, and during rehospitalization a spinal imaging examination revealed a lumbar tumor. Pathologic evaluation confirmed schwannoma, and tumor resection significantly improved her symptoms, except for poor vision.

Conclusions

Space-occupying lesions of the spine should be considered in the differential diagnosis of idiopathic intracranial hypertension, even in the absence of spine-localized signs or symptoms.

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