Hydrocephalus as presenting feature of spinal astrocytoma in a adolescent patient.
We report the case of an adolescent with a thoracic spine astrocytoma whose initial presentation was communicating hydrocephalus. We speculate that the mechanism may be reduced meningeal compliance due to meningeal spread of the tumour. Craniospinal MR imaging should be considered as part of the routine work up for patients presenting with unexplained hydrocephalus, elevated CSF protein and/or long tract symptoms/signs.
Neuroscience Department, James Cook University Hospital, Middlesbrough, UK.
F
F
Hassan
A
A
Paluzzi
R
R
Kayello
N
N
Bradey
R D
RD
Strachan
D000293:Adolescent; D001254:Astrocytoma / Q000150:complications*; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery; D008297:Male; D013120:Spinal Cord Neoplasms / Q000150:complications*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt