Papilledema and Spinal Ependymoma: When Eyes are Windows to the Spinal Cord

A 15-year-old girl presented with a 1-year history of lower back pain and a 2-month history of headaches. Fundus examination revealed high-grade papilledema (Figure  1). Brain magnetic resonance imaging (MRI) showed extensive susceptibility artifact throughout the infratentorial and supratentorial subarachnoid space, reflecting superficial siderosis (Figure 2, A). MRI of the lumbosacral spine revealed an intradural, extramedullary spinal mass between L3 and S5 (Figure 2, B).

Source: The Journal of Pediatrics - July 24, 2016 Category: Pediatrics Authors: Ammar Hussain, Scott Haines Tags: Rediscovering the Physical Exam Source Type: research