title: Multiple spinal neurinomas presenting visual disturbance as the initial symptom: case report.
abstract: A case of multiple spinal neurinomas with visual disturbance is reported. A 63-year-old man was admitted with a complaint of progressive visual disturbance due to papilledema without spinal symptoms and signs. The neuroimaging studies demonstrated communicating hydrocephalus and two mass lesions in the cauda equina. Both tumors were found to be neurinomas. Intracranial hypertension secondary to spinal tumors is unusual, and multiple spinal neurinomas are rare. In the patient without spinal symptoms and signs, it is difficult to make a diagnosis of spinal tumor. Importance of checking for a spinal cord lesion by magnetic resonance imaging in such a case is stressed.
authors.affiliation: Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Oikawa
authors.forename: K
authors.initials: K
authors.lastname: Kyoshima
authors.forename: T
authors.initials: T
authors.lastname: Takemae
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D009442:Neurilemmoma / Q000150:complications / Q000175:diagnosis*; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000175:diagnosis*; D014786:Vision Disorders / Q000209:etiology*