Oikawa S, Kyoshima K, Takemae T, Kobayashi S
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
Surg Neurol. 1992 Oct;38(4):309-14. doi: 10.1016/0090-3019(92)90047-q.
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.
报告了一例伴有视力障碍的多发性脊髓神经鞘瘤病例。一名63岁男性因视乳头水肿导致进行性视力障碍入院，无脊髓症状和体征。神经影像学检查显示交通性脑积水和马尾神经的两个占位性病变。两个肿瘤均被发现为神经鞘瘤。脊髓肿瘤继发颅内高压并不常见，多发性脊髓神经鞘瘤也很罕见。对于没有脊髓症状和体征的患者，很难诊断出脊髓肿瘤。强调了在这种情况下通过磁共振成像检查脊髓病变的重要性。
