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Rehabilitation Practice and Science

Translated Title

脊髓腫瘤－診斷腦中風之陷阱：病例報告

Abstract

It has been reported that neurilemomas comprise approximately 30% of primary intraspinal neoplasms. Spinal cord tumors, sometimes without spinal symptoms, occasionally cause signs and symptoms of intracranial disease in the form of papilledema and/or hydrocephalus.The association of hydrocephalus with benign extramedullary spinal cord tumors is particularly rare. The incidence was only 1% to 3%. So, in the diagnosis of intraspinal tumor, the associated presentations of intracranial hypertension were as important as hydrocephalus. Especially, when some of these signs and symptoms were noted in the elderly, intraspinal lesion should also be taken into consideration in addition to the most common cause of stroke. We described a patient, a 70-year-old woman, who noted the onset of progressive soreness and weakness in her right limbs in October 1991. Cerebral lacumar infarct with right hemiparesis was diagnosed intially by neurlolgist in December 1991. Hydrocephalus was found in the brain CT scan. Ventroperitoneal shunting was done by beurosurgeon. After discharge, the weakness and hypertonicity slowly progressed and extended to the left side extremities. Under the suspicion of cervical myelopathy, we discovered a C3-4 dumbbell-shaped nodular mass by cervical myelography and CT scan. Surgical resection was done and the pathology revealed neurilemoma.

Language

Traditional Chinese

First Page

145

Last Page

148

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