Symptomatic spinal extramedullary mass lesion secondary to chronic overdrainage of ventricular fluid - Case report

被引：20

作者：

Matsumoto, K ^{[1
]}

Ohta, M ^{[1
]}

Takeshita, I ^{[1
]}

机构：

[1] Kyushu Rosai Hosp, Dept Neurosurg, Kitakyushu, Fukuoka, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2002年 / 42卷 / 03期

关键词：

spinal mass lesion; meningeal enhancement; ventriculoperitoneal shunt; magnetic resonance imaging;

D O I：

10.2176/nmc.42.140

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 69-year-old man presented with progressive nuchal pain and spastic gait 2 years after undergoing ventriculoperitoneal (VP) shunting for a pineal astrocytoma with obstructive hydrocephalus. The neurological manifestations were compatible with radiculomyelopathy caused by an upper cervical lesion. Magnetic resonance imaging showed an enhanced extramedullary mass lesion tightly constricting the upper cervical spinal cord. The pressure of the shunt system was 150 mmH(2)O, and lumbar puncture revealed normal cerebrospinal fluid (CSF) pressure of 170 mmH(2)O. After removal of the shunt system, the clinical symptoms and neuroradiological findings markedly improved. This symptomatic spinal mass lesion was thought to be formed secondary to chronic depletion of ventricular CSF through the VP shunt.

引用

页码：140 / 142

页数：3

共 13 条

[1] LOW SPINAL FLUID PRESSURE SYNDROMES [J].

BELL, WE ;

JOYNT, RJ ;

SAHS, AL .

NEUROLOGY, 1960, 10 (05) :512-521

[2]

DESTIAN S, 1989, AM J NEURORADIOL, V10, P1021

[3] PATHOLOGICAL-CHANGES ASSOCIATED WITH INTRACRANIAL HYPOTENSION AND MENINGEAL ENHANCEMENT ON MRI [J].

GOOD, DC ;

GHOBRIAL, M .

NEUROLOGY, 1993, 43 (12) :2698-2700

[4] Diffuse meningeal enhancement in patients with overdraining, long-standing ventricular shunts [J].

Hochman, MS ;

Naidich, TP .

NEUROLOGY, 1999, 52 (02) :406-409

[5] SPONTANEOUS INTRACRANIAL HYPOTENSION WITH PACHYMENINGEAL ENHANCEMENT ON MRI [J].

HOCHMAN, MS ;

NAIDICH, TP ;

KOBETZ, SA ;

FERNANDEZMAITIN, A .

NEUROLOGY, 1992, 42 (08) :1628-1630

[6] Spinal dural enhancement on magnetic resonance imaging associated with spontaneous intracranial hypotension - Report of three cases and review of the literature [J].

Moayeri, NN ;

Henson, JW ;

Schaefer, PW ;

Zervas, NT .

JOURNAL OF NEUROSURGERY, 1998, 88 (05) :912-918

[7] MENINGEAL BIOPSY IN INTRACRANIAL HYPOTENSION - MENINGEAL ENHANCEMENT ON MRI [J].

MOKRI, B ;

PARISI, JE ;

SCHEITHAUER, BW ;

PIEPGRAS, DG ;

MILLER, GM .

NEUROLOGY, 1995, 45 (10) :1801-1807

[8]

OHTA M, 2001, NO SHINKEI CEKA J, V10, P353

[9] MRI CHANGES IN INTRACRANIAL HYPOTENSION [J].

PANNULLO, SC ;

REICH, JB ;

KROL, G ;

DECK, MDF ;

POSNER, JB .

NEUROLOGY, 1993, 43 (05) :919-926

[10]

Schalltenbrand G, 1938, Zentralbl Neurochir, V3, P290

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