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Cauda Equina Neurinoma associated with Intracranial Hypertension : Case Report Jun Niwa 1 , Keiji Suetake 1 , Tohru Okuyama 1 , Kazushi Shimizu 1 , Hiroki Hirai 1 1Department of Neurosurgery, Hakodate Municipal Hospital Keyword: spinal tumor , intracranial hypertension , cauda equina , neurinoma , hydrocephalus pp.1151-1155
Published Date 1991/12/1
DOI https://doi.org/10.11477/mf.1406900285
  • Abstract
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A case of cauda equina neurinoma associated with intracranial hypertension is reported.

A 59-year-old female with a history of disturbed orientation was admitted. A neurological examina-tion upon admission revealed the disorientation and gait disturbance. Superficial sensation under L3 was impaired. A computed tomographic (CT) scan presented the enlargement of ventricles and the slightly poor description of cerebral sulci. Since the patient had a high fever up to 40.1 C, meningitis was suspected. Cerebrospinal fluid revealed that cell count was only 2/3, while the potein concentration was markedly elevated (389mg/dl). Froin reaction was extremely positive and fibrin was observed. Based upon these findings, the spinal tumor was considered. Plain lumber film showed the posterior scalloping of the L5 and S1 vertebral bodies. Gd-DTPA enhanced MRI showed a high signal intensity area at the cauda equina.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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