Purpose: The purpose of this case report is to share and spread the awareness of diagnosing and managing idiopathic intracranial hypertension in atypical scenarios as in this case, who presented with multiple other me...Purpose: The purpose of this case report is to share and spread the awareness of diagnosing and managing idiopathic intracranial hypertension in atypical scenarios as in this case, who presented with multiple other medical conditions, and had no papilloedema. The presenting signs and symptoms of mere headache were misleading. The other medical conditions could have explained the patient’s headache. These included cervical spine osteoporosis, and middle ear otolith disease. This case is unique because she was found to have IIH without papilloedema, and despite having multiple cancers in the uterus, breasts, and recently the thyroid, she had no malignant cells in the CSF. The patient was treated for IIH, and her malignancies were treated separately by the corresponding physicians. Method: The patient was assessed in 2019, and was followed up closely till 2021, in collaboration with her neurologist, oncologist, and orthopedist. Result: The patient had IIH after her neurologist attempted a lumbar puncture, which showed high CSF pressure. Conclusion: Headache is a common symptom presented by patients of different ages and backgrounds. The absence of papilloedema does not exclude the diagnosis of IIH. When possible etiologies for headache are ruled out (e.g. middle and inner ear infections, anemia, intracranial tumors, glaucoma, etc.), chronic headaches that do not respond to medications, and present with visual field changes may require a lumbar puncture.展开更多
Objective To study the possible mechanism of bilateral papilloedema associated with intraspinal tumor at the lumbo sacral level Methods Three cases were reported Detailed clinical history was evaluated Patient...Objective To study the possible mechanism of bilateral papilloedema associated with intraspinal tumor at the lumbo sacral level Methods Three cases were reported Detailed clinical history was evaluated Patients were followed up for 2, 3 and 5 months after resection of the tumor Related literature was reviewed Results Papilloedema was soon resolved and the level of protein in the cerebrospinal fluid (CSF) decreased significantly after resection of tumor These indicated a close relationship between papilloedema, CSF protein and intraspinal tumor Conclusion This is the first report of papilloedema associated with a lumbo sacral intraspinal tumor in Chinese literature The high level of protein in CSF may be the cause of both papilloedema and increased intracranial pressure In patients with bilateral papilloedema, if no intracranial cause could be found, lumbo sacral intraspinal tumor should be considered展开更多
文摘Purpose: The purpose of this case report is to share and spread the awareness of diagnosing and managing idiopathic intracranial hypertension in atypical scenarios as in this case, who presented with multiple other medical conditions, and had no papilloedema. The presenting signs and symptoms of mere headache were misleading. The other medical conditions could have explained the patient’s headache. These included cervical spine osteoporosis, and middle ear otolith disease. This case is unique because she was found to have IIH without papilloedema, and despite having multiple cancers in the uterus, breasts, and recently the thyroid, she had no malignant cells in the CSF. The patient was treated for IIH, and her malignancies were treated separately by the corresponding physicians. Method: The patient was assessed in 2019, and was followed up closely till 2021, in collaboration with her neurologist, oncologist, and orthopedist. Result: The patient had IIH after her neurologist attempted a lumbar puncture, which showed high CSF pressure. Conclusion: Headache is a common symptom presented by patients of different ages and backgrounds. The absence of papilloedema does not exclude the diagnosis of IIH. When possible etiologies for headache are ruled out (e.g. middle and inner ear infections, anemia, intracranial tumors, glaucoma, etc.), chronic headaches that do not respond to medications, and present with visual field changes may require a lumbar puncture.
文摘Objective To study the possible mechanism of bilateral papilloedema associated with intraspinal tumor at the lumbo sacral level Methods Three cases were reported Detailed clinical history was evaluated Patients were followed up for 2, 3 and 5 months after resection of the tumor Related literature was reviewed Results Papilloedema was soon resolved and the level of protein in the cerebrospinal fluid (CSF) decreased significantly after resection of tumor These indicated a close relationship between papilloedema, CSF protein and intraspinal tumor Conclusion This is the first report of papilloedema associated with a lumbo sacral intraspinal tumor in Chinese literature The high level of protein in CSF may be the cause of both papilloedema and increased intracranial pressure In patients with bilateral papilloedema, if no intracranial cause could be found, lumbo sacral intraspinal tumor should be considered
