title: Papilledema and tumours of the cauda equina: a case report.
abstract: OBJECTIVE
  Bilateral papilledema is a rare symptom of cauda equina tumours. The authors report a case of neurinoma of cauda equina, which had a bilateral papilledema among its initial symptoms.
  
  
  METHODS
  A 28 years old man showed the presence of a bilateral papilledema; a cerebral MRI did not show any endocranial pathology. After three months the patient started suffering, especially at night, of right-leg-sciatica. A lumbar MRI showed a neurinoma of the cauda equina. The patient was operated and after surgery the papilledema slowly shrank.
  
  
  CONCLUSIONS
  The tumours of cauda equina could cause endocranial hypertension and consequently a papilledema because of hyperproteinorachia. If there is a bilateral papilledema and the cerebral MRI does not show any endocranial pathology, there is the need for the examination of any spinal disorders.
authors.affiliation: Rome Army Medical Center and Department of Neurological Sciences, Rome University Sapienza, Rome, Italy. ricccaru@alice.it
authors.forename: R
authors.initials: R
authors.lastname: Caruso
authors.forename: L
authors.initials: L
authors.lastname: Marrocco
authors.forename: V
authors.initials: V
authors.lastname: Wierzbiki
mesh_terms: D000328:Adult; D002420:Cauda Equina; D002556:Cerebrospinal Fluid Proteins / Q000032:analysis; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D009442:Neurilemmoma / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010211:Papilledema / Q000209:etiology*; D010524:Peripheral Nervous System Neoplasms / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012585:Sciatica / Q000150:complications
chemical_list: D002556:Cerebrospinal Fluid Proteins