Case Report of International Journal of Case Reports
A case of lumbar intraspinal schwannoma presenting as positional headache
1,2 Shu-Shong Hsu, MD; 3 Ying-Tso Chen, MD
1Department of Surgery, Kaohsiung Veterans General Hospital, Taiwan;
2Department of Surgery, National Defense Medical Center, Taiwan;
3Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Taiwan
The association between spinal tumors with hydrocephalus and intracranial hypertension is rare, and the exact mechanism has remained uncertain. We present a case of L4/5 intraspinal schwannoma presenting as positional headache, with the aim to discuss the underlying pathophysiology and alert clinicians of the possibility of lower spinal tumor as a differential diagnosis of headache.
Keywords: spinal tumor, intracranial hypertension, hydrocephalus, positional headache
How to cite this article:
Shu-Shong Hsu and Ying-Tso Chen. A case of lumbar intraspinal schwannoma presenting as positional headache. International Journal of Case Reports, 2018 2:18. DOI: 10.28933/ijcr-2018-04-2701.
References:
1. Ridsdale L, Moseley I. Thoracolumbar intraspinal tumours presenting features of raised intracranial pressure. J Neurol Neurosurg Psychiatry. 1978; 41(8):737-45
2. Glasauer FE. Thoracic and lumbar intraspinal tumors associated with increased intracranial pressure. J Neurol Neurosurg Psychiatry. 1964; 27:451–8
3. Morandi X, Amlashi SF, Riffaud L. A dynamic theory for hydrocephalus revealing benign intraspinal tumors: tumoral obstruction of the spinal subarachnoid space reduces total CSF compartment compliance. Med Hypotheses. 2006; 67 (1):79–81
4. Rifkinson-Mann S, Wisoff JH, Epstein F. The association of hydrocephalus with intramedullary spinal cord tumors: a series of 25 patients. Neurosurgery 1990;27:749–54
5. Rekate HL. Why would a spinal tumor cause increased intracranial pressure? J Neuroophthalmol. 2002; 22(3):197–198
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