J Korean Neurol Assoc > Volume 21(2); 2003 > Article

Journal of the Korean Neurological Association 2003;21(2): 213-216.

"정상압 수두증의 임상 양상을 보인 마미부 신경초종 1예"

조용진 , 김원규 황충진 홍근식

인제대학교 의과대학 일산백병원 신경과학교실,신경외과학교실

"A Case of Cauda Equina Schwannoma Presenting as Normal Pressure Hydrocephalus"

Yong-Jin Cho

"Department of Neurology and Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University"

Abstract

"A 61-year-old man presented with cognitive dysfunction and an 8-month history of progressive gait disturbance. Brain MRI revealed communicating hydrocephalus. Under the impression of normal pressure hydrocephalus, cere-brospinal fluid (CSF) study was done and showed unusually increased opening pressure (40 츠 H2O) and protein con-centration (650 mg/dl). Spine MRI was performed to rule out the possibility of intraspinal tumor. It revealed cauda equina mass, which was confirmed to be schwannoma pathologically. Intraspinal tumor should be suspected in patients with abnormally increased CSF opening pressure and/or CSF protein who presented as normal pressure hydrocephalus.Key Words : Normal pressure hydrocephalus, Intraspinal tumor, Schwannoma"