A child with spinal cord AVM presenting with raised intracranial pressure

Neurology ◽  
2003 ◽  
Vol 60 (10) ◽  
pp. 1724-1725 ◽  
Author(s):  
A. G. Bassuk ◽  
D. M. Burrowes ◽  
B. Velimirovic ◽  
J. Grant ◽  
G. F. Keating
2021 ◽  
pp. 383-444
Author(s):  
Nguyen Thi Hoang Mai ◽  
Mary Warrell ◽  
Charles Newton ◽  
Diana Lockwood

Impaired consciousness, Headache, Raised intracranial pressure, Acute bacterial meningitis, Epidemic meningococcal disease, Viral meningitis, Chronic meningitis, Encephalitis, Rabies, Tetanus, Stroke, Subarachnoid haemorrhage, Subdural haemorrhage, Extradural haematoma, Blackouts/syncope, Space-occupying lesions (SOL), Brain abscess, Hydrocephalus, Epilepsy, Status epilepticus, Cysticercosis, Weak legs and spinal cord disease, Guillain-Barré syndrome, Poliomyelitis (polio), Peripheral neuropathy, Leprosy, Dementia


1984 ◽  
Vol 61 (6) ◽  
pp. 1132-1134 ◽  
Author(s):  
Shalom D. Michowiz ◽  
Harry Z. Rappaport ◽  
Itzchak Shaked ◽  
Allon Yellin ◽  
Abraham Sahar

✓ The occurrence of papilledema in a patient with progressive spastic paraparesis due to herniation of the T11–12 intervertebral disc is reported. The papilledema resolved following discectomy. The association and possible pathogenetic mechanisms between spinal cord lesions and signs of raised intracranial pressure are reviewed.


2021 ◽  
Vol 3 (1) ◽  
pp. e000147
Author(s):  
Matthew Silsby ◽  
Winny Varikatt ◽  
Steve Vucic ◽  
Parvathi Menon

BackgroundHeadache due to raised intracranial pressure is rarely caused by spinal lesions. We describe a patient with primary histiocytic sarcoma who presented with a new onset headache with features of raised intracranial pressure and subtle signs of cauda equina syndrome due to predominant lower spinal cord infiltration and minimal intracranial involvement.CaseA previously well 54-year-old man presented with a 2-month history of new onset headache with features of raised intracranial pressure. Progression of lower limb weakness was delayed and mild with diagnostic delay resulting from the primary presentation with headache leading to an initial focus on cerebral pathology. Subsequent investigations revealed a previously unreported presentation of primary histiocytic sarcoma infiltrating the cauda equina causing raised intracranial pressure headache.ConclusionThis case highlights the importance of a broad search in the investigation of new onset raised intracranial pressure headache, including imaging of the lower spinal cord. Primary histiocytic sarcoma should be considered in the differential diagnosis of this rare syndrome.


1990 ◽  
Vol 6 (2) ◽  
pp. 113-115 ◽  
Author(s):  
A. K. Purohit ◽  
I. Dinakar ◽  
C. Sundaram ◽  
K. S. Ratnakar

2018 ◽  
Vol 89 (6) ◽  
pp. A20.2-A20
Author(s):  
Wai Foong Hooi ◽  
John Waterston

IntroductionPseudo-meningocele is an abnormal collection of cerebrospinal fluid in the extradural space that occurs due to leakage from the CSF-filled spaces surrounding the brain and spinal cord. Pseudo-meningocele may result after spinal surgery. We report a case of a young woman with pseudo-meningocele post lumbar spinal surgery. She subsequently developed recurrent syncope, headaches and clinical signs of raised intracranial pressure (severe papilledema and retinal haemorrhages).CaseA 34 year old woman with spina bifida occulta and a large lipoma at the lumbar spinal level of L5 presented with urinary retention, worsening right leg pain, numbness and foot drop. She subsequently underwent L4-S1 laminectomy, debulking of lipoma and detethering of the cord. Her neurological deficits resolved post-surgery. One month later, the patient re-presented with recurrent syncope and intermittent headaches. She was admitted to the hospital for further investigations. Detailed neurological examination revealed grade IV papilledema and retinal haemorrhages. MRI of the brain showed distended optic nerve sheaths and narrowed distal transverse sinuses, in keeping with intracranial hypertension. MRI spine showed a large CSF collection posterior to the spinal canal at the L4-L5 level, measuring 77×53 mm in trans axial plane and 98 mm in craniocaudal dimension. Her symptoms improved with insertion of external ventricular drain. The symptoms resolved completely after a ventriculo-peritoneal shunt was inserted. She was commenced on acetazolamide. She remained well and asymptomatic. Repeat fundus photography a month later showed complete resolution of papilledema.ConclusionPostoperative pseudo-meningocele is uncommon and the exact incidence is unknown as most of these patients are asymptomatic. This case illustrates that pseudo-meningocele can cause raised intracranial pressure leading to recurrent syncope. It is important for clinician to recognise the varied clinical presentations of meningocele and pseudo-meningocele.References. Marlin A, Epstein F, Rovid R. Positional headache and syncope associated with a pseudomeningocele. Arch Neurol1980;37(11):736–737.. Bekavac I, Hollaran J. Meningocele-induced positional syncope and retinal haemorrhages. AJNR Am J NeuroradiolMay 2003;24:838–839.. Arseni C, Maretsis M. Tumours of the lower spinal cord associated with increased intracranial pressure and papilloedema. J Neurosurg1967;27:105–110.


Author(s):  
Lamkordor Tyngkan ◽  
Nazia Mahfouz ◽  
Sobia Bilal ◽  
Bazla Fatima ◽  
Nayil Malik

AbstractTraumatic brainstem injury can be classified as primary or secondary. Secondary brainstem hemorrhage that evolves from raised intracranial pressure (ICP) and transtentorial herniation is referred to as Duret hemorrhage. We report a 25-year-old male who underwent emergency craniotomy, with evacuation of acute epidural hematoma, and postoperatively developed fatal Duret hemorrhage. Duret hemorrhage after acute epidural hematoma (EDH) evacuation is a very rare complication and the outcome is grave in most of the cases.


1991 ◽  
Vol 74 (4) ◽  
pp. 799-799
Author(s):  
Frederick E. Sieber

2002 ◽  
Vol 249 (9) ◽  
pp. 1292-1297 ◽  
Author(s):  
Frank Winkler ◽  
Stefan Kastenbauer ◽  
Tarek A. Yousry ◽  
Ulrich Maerz ◽  
Hans-W. Pfister

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