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Arch Soc Esp Oftalmol · Jul 2008
Case Reports[Visual acuity loss, the initial sympton of a spinal cord neoplasm].
- A C Millán-Rodríguez, V Lázaro-González, E Dios-Castro, R E Regal, F J Cores, and P C Fernández-Vila.
- Hospital Provincial, Complexo Hospitalario de Pontevedra, Pontevedra, España. janoft@yahoo.es
- Arch Soc Esp Oftalmol. 2008 Jul 1;83(7):437-40.
Case ReportA 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.DiscussionThe 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.
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