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

F. B. Freimann; S. Kroppenstedt; P. Vajkoczy; C. Sprung

doi:10.1055/s-0032-1313719

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

Cent Eur Neurosurg 2013; 74(02): 124-127
DOI: 10.1055/s-0032-1313719

Case Report

Georg Thieme Verlag KG Stuttgart · New York

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

F. B. Freimann

¹Charité-Universitätsmedizin Berlin, Klinik und Poliklinik für Neurochirurgie, Berlin, Germany

,

S. Kroppenstedt

¹Charité-Universitätsmedizin Berlin, Klinik und Poliklinik für Neurochirurgie, Berlin, Germany

,

P. Vajkoczy

¹Charité-Universitätsmedizin Berlin, Klinik und Poliklinik für Neurochirurgie, Berlin, Germany

,

C. Sprung

¹Charité-Universitätsmedizin Berlin, Klinik und Poliklinik für Neurochirurgie, Berlin, Germany

› Author Affiliations

Abstract

Full Text

References

References
1 Amlashi SFA, Riffaud L, Morandi X. Communicating hydrocephalus and papilloedema associated with intraspinal tumours: report of four cases and review of the mechanisms. Acta Neurol Belg 2006; 106 (1) 31-36
2 Ashkenazi E, Onesti ST, Kader A , et al. Paraganglioma of the filum terminale: case report and literature review. J Spinal Disord 1998; 11 (6) 540-542
3 Bozkurt G, Ziyal IM, Akbay A , et al. Cauda-filar paraganglioma with ‘silk cocoon’ appearance on spinal angiography. Acta Neurochir 2005; 147: 99-100
4 Brass SD, Dinkin MJ, Williams Z , et al. Case 38-2009: a 16-year-old boy with paroxysmal headaches and visual changes. N Engl J Med 2009; 361 (24) 2367-2368
5 Chen Y, Tang L, Chen C , et al. Intracranial hypertension as an initial manifestation of spinal neuroectodermal tumor. Clin Neurol Neurosurg 2005; 107 (5) 408-411
6 Chow S, Chu R, Ho S , et al. Paraganglioma presenting as a vascular malformation: case report. J Plast Reconstr Aesthet Surg 2006; 59: 90-93
7 Cinalli G, Sainte-Rose C, Lellouch-Tubiana A , et al. Hydrocephalus associated with intramedullary low-grade glioma. Illustrative cases and review of the literature. J Neurosurg 1995; 83 (3) 480-485
8 Döpp F, Schreiber SJ, von Münster T , et al. How does the blood leave the brain? A systematic ultrasound analysis of cerebral venous drainage patterns. Neuroradiology 2004; 46 (7) 565-570
9 Glasauer FE. Thoracic and lumbar intraspinal tumours associated with increased intracranial pressure. J Neurol Neurosurg Psychiatry 1964; 27: 451-458
10 Gutenberg A, Wegner C, Pilgram-Pastor SM , et al. Paraganglioma of the filum terminale: review and report of the first case analyzed by CGH. Clin Neuropathol 2010; 29 (4) 227-232
11 Hardten DR, Wen DY, Wirtschafter JD , et al. Papilledema and intraspinal lumbar paraganglioma. J Clin Neuroophthalmol 1992; 12 (3) 158-162
12 Haslbeck KM, Eberhardt KEW, Nissen U , et al. Intracranial hypertension as a clinical manifestation of cauda equina paraganglioma. Neurology 1999; 52 (6) 1297-1298
13 Iliya AR, Davis RP, Seidman RJ. Paraganglioma of the cauda equina: case report with magnetic resonance imaging description. Surg Neurol 1991; 35: 366-367
14 Landi A, Tarantino R, Marotta N , et al. Paraganglioma of the filum terminale: case report. World J Surg Oncol 2009; 7: 95
15 Niggemann P, Kuchta J, Grosskurth D , et al. Position dependent changes of the cerebral venous drainage – implications for the imaging of the cervical spine. Cen Eur Neurosurg 2011; 72: 32-37
16 Maurice-Williams RS, Lucey JJ. Raised intracranial pressure due to spinal tumours: 3 rare cases with a probable common mechanism. Br J Surg 1975; 62 (2) 92-95
17 Morandi X, Amlashi SFA, Riffaud L. A dynamic theory for hydrocephalus revealing benign intraspinal tumours: tumoural obstruction of the spinal subarachnoid space reduces total CSF compartment compliance. Med Hypotheses 2006; 67 (1) 79-81
18 Porter A, Lyons MK, Wingerchuk DM , et al. Spinal cord astrocytoma presenting as “idiopathic” intracranial hypertension. Clin Neurol Neurosurg 2006; 108 (8) 787-789
19 Purohit AK, Dinakar I, Sundaram C , et al. Anaplastic astrocytoma of the spinal cord presenting with features of raised intracranial pressure. Childs Nerv Syst 1990; 6 (2) 113-115
20 Rhee HY, Jo DJ, Lee J , et al. Paraganglioma of the filum terminale presenting with normal pressure hydrocephalus. Clin Neurol Neurosurg 2010; 112 (7) 578-581
21 Ridsdale L, Moseley I. Thoracolumbar intraspinal tumours presenting features of raised intracranial pressure. J Neurol Neurosurg Psychiatry 1978; 41: 737-745
22 Rifkinson-Mann S, Wisoff JH, Epstein F. The association of hydrocephalus with intramedullary spinal cord tumors: a series of 25 patients. Neurosurgery 1990; 27 (5) 749-754
23 Sankhla S, Khan GM. Cauda equina paraganglioma presenting with intracranial hypertension: case report and review of the literature. Neurol India 2004; 52 (2) 243-244
24 Schreiber SJ, Lürtzing F, Götze R , et al. Extrajugular pathways of human cerebral venous blood drainage assessed by duplex ultrasound. J Appl Physiol 2003; 94: 1802-1805
25 Singh NG, Sarkar C, Sharma MC , et al. Paraganglioma of cauda equina: report of seven cases. Brain Tumor Pathol 2005; 22 (1) 15-20
26 Sonneland PR, Scheithauer BW, LeChago J , et al. Paraganglioma of the cauda equina region. Clinicopathologic study of 31 cases with special reference to immunocytology and ultrastructure. Cancer 1986; 58 (8) 1720-1735
27 Sousa J, O’Brien D, Crooks D. Paraganglioma of the filum terminale. J Clin Neurosci 2005; 12 (5) 584-585
28 Tzekov C, Naydenov E, Kalev O. Ependymoma of the cauda equina starting with communicating hydrocephalus: a case report. Pediatr Neurosurg 2007; 43 (5) 399-402
29 Vassilyadi M, Michaud J. Hydrocephalus as the initial presentation of a spinal cord astrocytoma associated with leptomeningeal spread. Pediatr Neurosurg 2005; 41 (1) 29-34
30 Yarnitsky D, Honigman S, Hemli JA , et al. Normal-pressure hydrocephalus associated with spinal cord tumor. Acta Neurol Scand 1987; 76 (4) 302-305

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

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