Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
| Autor: | David Cederberg, Henrietta Nittby Redebrandt, Niklas Marklund |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Case Report - Brain Tumors
medicine.medical_specialty Neurology Lymphoma Intracranial Pressure Central Nervous System Neoplasms 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid Edema medicine Humans Wakefulness Neuroradiology Intracranial pressure medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease 030220 oncology & carcinogenesis Drainage Female Surgery Neurology (clinical) Radiology Neurosurgery Intracranial Hypertension medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Acta Neurochirurgica |
| ISSN: | 0942-0940 0001-6268 |
| DOI: | 10.1007/s00701-020-04231-x |
| Popis: | We describe a patient with primary CNS lymphomas, awake despite an extreme ICP elevation. A 48-year-old woman presented with headache since 1 month, and bilateral papillary edema was observed. Magnetic resonance imaging revealed diffuse infiltration around the petrous bone. Following external ventricular drainage (EVD) placement, ICP levels of > 90 mmHg were recorded while the patient was fully awake. Cytology revealed an aggressive primary CNS lymphoma. Cerebrospinal fluid (CSF) drainage at high opening pressure levels was required. We conclude that extreme ICP elevations, treatable by CSF drainage, can be observed without a reduced level of consciousness. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink