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Papiledema bilateral como primera manifestación de una carcinomatosis meníngea / Bilateral papilledema as first sign of a meningeal carcinomatosis

Rev. esp. investig. oftalmol; 3(4): 220-222, oct.-dic. 2013. ilus
Article in Spanish | IBECS | ID: ibc-132294
Introduction. Meningeal carcinomatosis (MC) is a rare complication of late-stage tumors. The 5% of the tumors are presented as a MC. Clinically it was manifested with diplopia, papilledema and / or visual deficits. MC is usually diagnosed by magnetic resonance imaging and cerebrospinal fluid analysis. Case report. A 54-year old man with prostate adenocarcinoma,presented to the emergency service with papilledema, and visual obscurations as first manifestation of meningeal carcinomatosis. Discussion. We discuss how to proceed before a bilateral papilledema due to intracranial hypertension.

CONCLUSIONS:

The importance of considering the possibility of a malignant meningeal invasion, when we find a patient with neurologicaland / or visual deficits without evidence of infection or space occupying lesion (AU)
Responsible library: ES1.1
Localization: BNCS