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

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.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Cederberg D,Marklund N,Nittby Redebrandt H

doi

10.1007/s00701-020-04231-x

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

1819-1823

issue

8

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-020-04231-x

journal_volume

162

pub_type

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