Intracranial Hypertension and the Importance of Cerebral Venous Drainage Variability: A Case Report of Headache as the Initial Clinical Presentation of an Intraspinal Paraganglioma^[*]

Conclusion

We postulate that in benign intraspinal tumors with bulking of the spinal cavity and a decreased CSF compliance, a tumor-related vessel dilatation and the patient’s type of cerebral venous drainage, is besides an increased CSF protein content, decisive for the probability to develop increased ICP. We demonstrated in our reported case that these 3 conditions are due to the intraspinal paraganglioma. Which of these components leads in pathophysiology may be decisive for developing either IH alone or increased ICP with HC.

^* This article was originally published online in Central European Neurosurgery on December 6, 2011 (DOI:10.1055/s-0031-1291205)

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