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A Case of Ependymoma Simulating Devic's Syndrome: A Clinicopathological Case Report

A Case of Ependymoma Simulating Devic's Syndrome: A Clinicopathological Case Report Abstract Neuromyelitis optica, an acute demyelinating process usually affecting the optic tract and spinal cord, is thought by some workers to be a specific disease entity and by others to be a syndrome. Many believe that Devic's syndrome and multiple sclerosis are expressions of the same process differing only in acuteness and intensity.1,5 From the department of medicine of The Reading Hospital, a case was encountered which had the clinical picture of Devic's syndrome. This case is of interest because at autopsy a brain tumor infiltrating into nerve sheaths causing symptoms simulating Devic's syndrome was disclosed. Report of Case A 40-year-old white man, an electrician, was admitted to The Reading Hospital on June 3, 1957, with the complaints of headache, vomiting, and dizziness of 10 days' duration. The illness was first noticed as brief episodes of lightheadedness accompanied by dull headaches when arising from a sitting or stooping position. Throbbing References 1. Stansbury, F. C.: Neuromyelitis Optica (Devic's Disease), Presentation of Five Cases, with Pathologic Study, and Review of Literature , Arch. Ophth. 42:292-335 ( (Sept.) ) 1949Crossref 2. 42:465-501 (Oct.) 1949. 3. Svien, H. J.; Gates, E. M., and Kernohan, J. W.: Spinal Subarachnoid Implantation Associated with Ependymoma , Arch. Neurol. & Psychiat. 62:847-856 ( (Dec.) ) 1949. 4. Black, B. K., and Kernohan, J. W.: Primary Diffuse Tumors of the Meninges (So-Called Meningeal Meningiomatosis) , Cancer 3:805-819 ( (Sept.) ) 1950. 5. Platt, W. R.: Exfoliative-Cell Diagnosis of Central Nervous System Lesions , A.M.A. Arch. Neurol. & Psychiat. 66:119-144 ( (Aug.) ) 1951. 6. Greenfield, J. G.: Neuropathology , London, Edward Arnold, 1951. 7. Kernohan, J. W., and Sayre, G. P.: Tumors of the Central Nervous System, in Atlas of Tumor Pathology, Sec. X, Fasc. 35, U. S. Armed Forces Institute of Pathology, 1952. 8. Meissner, G. F.: Carcinoma of the Stomach with Meningeal Carcinosis; Report of Four Cases , Cancer 6:313-318 ( (March) ) 1953. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

A Case of Ependymoma Simulating Devic's Syndrome: A Clinicopathological Case Report

Archives of Ophthalmology , Volume 64 (6) – Dec 1, 1960

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1960.01840010942018
Publisher site
See Article on Publisher Site

Abstract

Abstract Neuromyelitis optica, an acute demyelinating process usually affecting the optic tract and spinal cord, is thought by some workers to be a specific disease entity and by others to be a syndrome. Many believe that Devic's syndrome and multiple sclerosis are expressions of the same process differing only in acuteness and intensity.1,5 From the department of medicine of The Reading Hospital, a case was encountered which had the clinical picture of Devic's syndrome. This case is of interest because at autopsy a brain tumor infiltrating into nerve sheaths causing symptoms simulating Devic's syndrome was disclosed. Report of Case A 40-year-old white man, an electrician, was admitted to The Reading Hospital on June 3, 1957, with the complaints of headache, vomiting, and dizziness of 10 days' duration. The illness was first noticed as brief episodes of lightheadedness accompanied by dull headaches when arising from a sitting or stooping position. Throbbing References 1. Stansbury, F. C.: Neuromyelitis Optica (Devic's Disease), Presentation of Five Cases, with Pathologic Study, and Review of Literature , Arch. Ophth. 42:292-335 ( (Sept.) ) 1949Crossref 2. 42:465-501 (Oct.) 1949. 3. Svien, H. J.; Gates, E. M., and Kernohan, J. W.: Spinal Subarachnoid Implantation Associated with Ependymoma , Arch. Neurol. & Psychiat. 62:847-856 ( (Dec.) ) 1949. 4. Black, B. K., and Kernohan, J. W.: Primary Diffuse Tumors of the Meninges (So-Called Meningeal Meningiomatosis) , Cancer 3:805-819 ( (Sept.) ) 1950. 5. Platt, W. R.: Exfoliative-Cell Diagnosis of Central Nervous System Lesions , A.M.A. Arch. Neurol. & Psychiat. 66:119-144 ( (Aug.) ) 1951. 6. Greenfield, J. G.: Neuropathology , London, Edward Arnold, 1951. 7. Kernohan, J. W., and Sayre, G. P.: Tumors of the Central Nervous System, in Atlas of Tumor Pathology, Sec. X, Fasc. 35, U. S. Armed Forces Institute of Pathology, 1952. 8. Meissner, G. F.: Carcinoma of the Stomach with Meningeal Carcinosis; Report of Four Cases , Cancer 6:313-318 ( (March) ) 1953.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Dec 1, 1960

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