A Case of Cauda Equina Schwannoma Presenting as Normal Pressure Hydrocephalus.
- Author:
Yong Jin CHO
1
;
Won Kyoo KIM
;
Choong Jin WHANG
;
Keun Sik HONG
Author Information
1. Department of Neurology, Ilsan Paik Hospital, College of Medicine, Inje University, 2240 Daehwa-dong, Ilsan-gu, Goyang-si, Gyeonggi-do, 411-706, Korea. clavicle@chollian.net
- Publication Type:Case Report
- Keywords:
Normal pressure hydrocephalus;
Intraspinal tumor;
Schwannoma
- MeSH:
Brain;
Cauda Equina*;
Cerebrospinal Fluid;
Gait;
Humans;
Hydrocephalus;
Hydrocephalus, Normal Pressure*;
Magnetic Resonance Imaging;
Middle Aged;
Neurilemmoma*;
Spine
- From:Journal of the Korean Neurological Association
2003;21(2):213-216
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 61-year-old man presented with cognitive dysfunction and an 8-month history of progressive gait disturbance. Brain MRI revealed communicating hydrocephalus. Under the impression of normal pressure hydrocephalus, cerebrospinal fluid (CSF) study was done and showed unusually increased opening pressure (40 cm H2O) and protein concentration (650 mg/dl). Spine MRI was performed to rule out the possibility of intraspinal tumor. It revealed cauda equina mass, which was confirmed to be schwannoma pathologically. Intraspinal tumor should be suspected in patients with abnormally increased CSF opening pressure and/or CSF protein who presented as normal pressure hydrocephalus.