Bush Kathryn, Bateman D E
Neurology Department, Chester Lodge, Sunderland Royal Hospital, , Sunderland, UK.
Pract Neurol. 2014 Jun;14(3):179-81. doi: 10.1136/practneurol-2013-000620. Epub 2013 Aug 5.
An asymptomatic 72-year-old man presented with bilateral papilloedema. Cranial CT imaging was normal, but lumbar puncture found an opening pressure of 320 mmH2O (120-250) with raised cerebrospinal fluid protein, increased red blood cells and xanthochromia. MR scan of spine showed a cauda equina tumour, histologically defined as a paraganglioma. The papilloedema resolved after surgery.
一名72岁无症状男性出现双侧视乳头水肿。头颅CT成像正常,但腰椎穿刺发现初压为320 mmH₂O(120 - 250),脑脊液蛋白升高,红细胞增多且有黄变症。脊柱磁共振扫描显示马尾神经肿瘤,组织学诊断为副神经节瘤。手术后视乳头水肿消退。