ACUTE BLEEDING INTO A FILUM TERMINALE EPENDYMOMA

被引:14
作者
HERB, E
SCHWACHENWALD, R
NOWAK, G
MULLER, H
REUSCHE, E
机构
[1] Department of Neurosurgery, Medical University of Lübeck
[2] Institute of Pathology, Medical University of Lübeck
关键词
Cauda compression syndrome; ependymoma; sciatica; subarachnoid hemorrhage;
D O I
10.1007/BF00313026
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We present a case of a 63-year-old male patient who was admitted to our hospital due to an acute compression syndrome of the cauda equina. He had complained about a sciatica for at least one year. CT-diagnosis appeared to be negative, whereas a lumbar myelogram revealed a complete block at L2/3. Emergency surgery was performed, and an ependymoma of the filum terminale was removed into which it had bled massively. The case is compared to the literature findings. These relate ependymomas in the described region with acute onset more often to symptoms caused by subarachnoid bleeding. Mechanical and/or histopathological factors are discussed as the cause of acute bleeding. Spinal ependymomas represent a rare event compared to other neurosurgical diseases. Even more seldom are tumors of this kind causing an acute cauda equina compression syndrome. © 1990 Walter de Gruyter & Co.
引用
收藏
页码:243 / 245
页数:3
相关论文
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