Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report
Cederberg, David LU ; Marklund, Niklas LU
and Nittby Redebrandt, Henrietta
LU
(2020)
In Acta Neurochirurgica
162(8).
p.1819-1823
- 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.
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/62a64925-e7a0-403b-8732-6611fcfcde5c
- author
- Cederberg, David
LU
; Marklund, Niklas
LU
and Nittby Redebrandt, Henrietta
LU
- organization
- publishing date
- 2020-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Intracranial hypertension, Intracranial pressure, Lymphoma
- in
- Acta Neurochirurgica
- volume
- 162
- issue
- 8
- pages
- 5 pages
- publisher
- Springer
- external identifiers
-
- scopus:85078314404
- pmid:31965320
- ISSN
- 0001-6268
- DOI
- 10.1007/s00701-020-04231-x
- language
- English
- LU publication?
- yes
- id
- 62a64925-e7a0-403b-8732-6611fcfcde5c
- date added to LUP
- 2020-02-10 09:51:03
- date last changed
- 2024-04-17 05:00:51
@article{62a64925-e7a0-403b-8732-6611fcfcde5c,
abstract = {{<p>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.</p>}},
author = {{Cederberg, David and Marklund, Niklas and Nittby Redebrandt, Henrietta}},
issn = {{0001-6268}},
keywords = {{Intracranial hypertension; Intracranial pressure; Lymphoma}},
language = {{eng}},
number = {{8}},
pages = {{1819--1823}},
publisher = {{Springer}},
series = {{Acta Neurochirurgica}},
title = {{Extreme intracranial pressure elevation > 90 mmHg in an awake patient with primary CNS lymphoma—case report}},
url = {{http://dx.doi.org/10.1007/s00701-020-04231-x}},
doi = {{10.1007/s00701-020-04231-x}},
volume = {{162}},
year = {{2020}},
}