Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma-case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31965320.
- Also identified by DOI 10.1007/s00701-020-04231-x and PMC identifier 7360534.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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.
Medical subject headings
- Central Nervous System Neoplasms
- Intracranial Hypertension
- Lymphoma