Two cases of normal pressure hydrocephalus caused by ependymoma of the cauda equina
| العنوان: | Two cases of normal pressure hydrocephalus caused by ependymoma of the cauda equina |
|---|---|
| المؤلفون: | Motoo Kubota, Isamu Miura, Nobuhiko Momozaki, Masahito Yuzurihara |
| المصدر: | Surgical Neurology International |
| بيانات النشر: | Scientific Scholar, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Ependymoma, musculoskeletal diseases, medicine.medical_specialty, medicine.medical_treatment, Urinary incontinence, Case Report, Myxopapillary ependymoma, Spinal tumor, Cauda equina, 03 medical and health sciences, 0302 clinical medicine, Lumbar, Normal pressure hydrocephalus, medicine, Urinary retention, business.industry, Laminectomy, medicine.disease, Hydrocephalus, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Surgery, Neurology (clinical), Radiology, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | Background: Normal pressure hydrocephalus (NPH) associated with tumors of the cauda equina is rare. Here, we report two cases of NPH attributed to cauda equina ependymomas. Case Description: A 63-year-old male presented with progressive gait disturbance, dementia, and urinary incontinence. When the lumbar MR documented an intradural tumor involving the cauda equina at the L2-L3 level; the tumor was excised; pathologically, it proved to be a myxopapillary ependymoma. Postoperatively, however, the patient’s continued gait disturbance led to a brain CT that documented ventricular dilation consistent with NPH; following ventriculoperitoneal (VP) shunt placement his symptoms improved. A 65-year-old female also presented with gait disturbance, dementia, and urinary retention. Here, procedures were performed in reverse. When a brain CT showed hydrocephalus, a VP shunt was placed. When symptoms persisted, a lumbar MR demonstrated a T12-L2 intradural tumor; following a lumbar laminectomy for tumor excision, symptoms stabilized. The pathological diagnosis was also consistent with a conus/cauda equina ependymoma. Over the next 10 years, the patient had residual bladder dysfunction (e.g., requiring straight catheterization), but had no shunt dysfunction. Conclusion: We observed two cases of ependymomas of the cauda equina and brain CTs documenting NPH that was successfully surgically managed with stabilization of neurological deficit. In the first case, L2-L3 laminectomy for tumor removal was succeeded by shunting for NPH, while in the second case, initial VP shunting for NPH was followed by a T12-L2 laminectomy for tumor excision. |
| اللغة: | English |
| تدمد: | 2152-7806 2229-5097 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24b60cd2127f8efe2039d4aeb85edb16Test http://europepmc.org/articles/PMC7827580Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....24b60cd2127f8efe2039d4aeb85edb16 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21527806 22295097 |
|---|