title: Intraventricular bleeding and transient hydrocephalus in a patient with hemorrhagic filum terminale ependymoma undergoing anticoagulation therapy with phenprocoumon.
abstract: The authors discuss a rare case of hemorrhage in a filum terminale ependymoma presenting with acute paraparesis and transient hydrocephalic dementia in association with long-term phenprocoumon anticoagulation. The CT scan of the brain revealed the presence of blood in both occipital horns and communicating hydrocephalus. The symptoms gradually resolved after tumor removal and there was no need for shunting. This is a complex clinical presentation of a spinal cord tumor associated hemorrhage, which further illustrates the possibility of retrograde passage of blood from the lumbosacral region to the ventricles.
authors.affiliation: Department of Neurosurgery, Ruhr-University of Bochum, Germany. Ekaterinapatrona@hotmail.com <Ekaterinapatrona@hotmail.com>
authors.forename: Aikaterini
authors.initials: A
authors.lastname: Patrona
authors.forename: Albrecht
authors.initials: A
authors.lastname: Harders
authors.forename: Kirsten
authors.initials: K
authors.lastname: Schmieder
authors.forename: Martin
authors.initials: M
authors.lastname: Scholz
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D002420:Cauda Equina / Q000473:pathology*; D002552:Cerebral Ventricles / Q000473:pathology*; D015140:Dementia, Vascular / Q000209:etiology / Q000503:physiopathology; D004806:Ependymoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced / Q000150:complications*; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000209:etiology; D020335:Paraparesis / Q000209:etiology / Q000503:physiopathology; D010644:Phenprocoumon / Q000008:administration & dosage / Q000009:adverse effects*; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D010644:Phenprocoumon