[Visual acuity loss, the initial sympton of a spinal cord neoplasm].
METHODS
A 46-year-old woman, who presented with right visual acuity loss, was found to have papilledema, and subsequently shown to have ventricular dilatation in a cerebral Magnetic Resonance Imaging (MRI) assessment. Elevated protein levels were found in the cerebrospinal fluid. Spinal MRI revealed the presence of a spinal cord neoplasm. After surgical removal of the tumor, which turned out to be a neurilemmoma, the patient's visual acuity was restored.


CONCLUSIONS
The ocular presentation and the relationship between intracranial hypertension and spinal tumors are discussed. Likewise, the importance of considering the various causes of papilledema is emphasized.
Millán-Rodríguez
A C
AC
Hospital Provincial, Complexo Hospitalario de Pontevedra, Pontevedra, España. janoft@yahoo.es
Lázaro-González
V
V
Dios-Castro
E
E
Regal
R E
RE
Cores
F J
FJ
Fernández-Vila
P C
PC
D002552:Cerebral Ventricles / Q000473:pathology; D002556:Cerebrospinal Fluid Proteins / Q000032:analysis; D004108:Dilatation, Pathologic / Q000209:etiology; D005260:Female; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009442:Neurilemmoma / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010211:Papilledema / Q000209:etiology; D013120:Spinal Cord Neoplasms / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013904:Thoracic Vertebrae; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity; D058609:Visual Field Tests
D002556:Cerebrospinal Fluid Proteins