Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report

We describe a patient with primary CNS lymphomas, awake despite an extreme ICP elevation. A 48-year-old woman presented with headache since 1 month, and bilateral papillary edema was observed. Magnetic resonance imaging revealed diffuse infiltration around the petrous bone. Following external ventri...

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Autores principales: Cederberg, David, Marklund, Niklas, Nittby Redebrandt, Henrietta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2020
Materias:
Case Report - Brain Tumors
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7360534/
https://www.ncbi.nlm.nih.gov/pubmed/31965320
http://dx.doi.org/10.1007/s00701-020-04231-x
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author Cederberg, David
Marklund, Niklas
Nittby Redebrandt, Henrietta
author_facet Cederberg, David
Marklund, Niklas
Nittby Redebrandt, Henrietta
author_sort Cederberg, David
collection PubMed
description We describe a patient with primary CNS lymphomas, awake despite an extreme ICP elevation. A 48-year-old woman presented with headache since 1 month, and bilateral papillary edema was observed. Magnetic resonance imaging revealed diffuse infiltration around the petrous bone. Following external ventricular drainage (EVD) placement, ICP levels of > 90 mmHg were recorded while the patient was fully awake. Cytology revealed an aggressive primary CNS lymphoma. Cerebrospinal fluid (CSF) drainage at high opening pressure levels was required. We conclude that extreme ICP elevations, treatable by CSF drainage, can be observed without a reduced level of consciousness.
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spelling pubmed-73605342020-07-16 Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report Cederberg, David Marklund, Niklas Nittby Redebrandt, Henrietta Acta Neurochir (Wien) Case Report - Brain Tumors We describe a patient with primary CNS lymphomas, awake despite an extreme ICP elevation. A 48-year-old woman presented with headache since 1 month, and bilateral papillary edema was observed. Magnetic resonance imaging revealed diffuse infiltration around the petrous bone. Following external ventricular drainage (EVD) placement, ICP levels of > 90 mmHg were recorded while the patient was fully awake. Cytology revealed an aggressive primary CNS lymphoma. Cerebrospinal fluid (CSF) drainage at high opening pressure levels was required. We conclude that extreme ICP elevations, treatable by CSF drainage, can be observed without a reduced level of consciousness. Springer Vienna 2020-01-22 2020 /pmc/articles/PMC7360534/ /pubmed/31965320 http://dx.doi.org/10.1007/s00701-020-04231-x Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report - Brain Tumors
Cederberg, David
Marklund, Niklas
Nittby Redebrandt, Henrietta
Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
title Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
title_full Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
title_fullStr Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
title_full_unstemmed Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
title_short Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
title_sort extreme intracranial pressure elevation > 90 mmhg in an awake patient with primary cns lymphoma—case report
topic Case Report - Brain Tumors
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7360534/
https://www.ncbi.nlm.nih.gov/pubmed/31965320
http://dx.doi.org/10.1007/s00701-020-04231-x
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