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颅内压增高症状一般见于颅内占位性病变,而脊髓肿瘤很少见。如脊髓肿瘤有颅内压增高症状且有脊髓定位体征时,其诊断尚不困难。如其颅内压增病症状先出现,而脊髓症状轻微或完全缺如时,则未考虑脊髓病变而行开颅手术,或延误诊断及治疗者亦不少见。作者报导一例特殊的脊髓肿瘤,其起病以视乳头水肿、颅内压增高为主要症状。患者女性,25岁,病初自觉头沉重,视力模糊,内科曾按原发性高血压病治疗无效,症状渐加重,经眼科发现有视乳头水肿而转神经外科。首次入院体格检查除发现双眼视乳头水肿外,未发现其他异常。腰穿脑脊液压力370毫米水柱,脑脊液化验均正
Increased intracranial pressure is generally seen in intracranial space-occupying lesions, and spinal cord tumors are rare. If the spinal cord tumor has symptoms of increased intracranial pressure and spinal cord localization signs, its diagnosis is not difficult. If the symptoms of intracranial pressure increase appear first, and the symptoms of the spinal cord are slight or completely absent, craniotomy without considering the spinal cord lesions, or delaying diagnosis and treatment is not uncommon. The authors reported a case of a special spinal cord tumor whose onset was papilledema and increased intracranial pressure as the main symptoms. The patient was a 25-year-old woman with a heavy head at the beginning of the illness. His eyesight was blurred, and internal medicine had no treatment according to primary hypertension. The symptoms worsened. The optic nerve was found to have optic disc edema and turned to neurosurgery. Physical examination on the first admission did not reveal other abnormalities except for binocular papilledema. Lumbar cerebrospinal fluid pressure 370 mm water column, cerebrospinal fluid test are positive