Document Detail

Intraventricular bleeding and transient hydrocephalus in a patient with hemorrhagic filum terminale ependymoma undergoing anticoagulation therapy with phenprocoumon.
MedLine Citation:
PMID:  20036457     Owner:  NLM     Status:  MEDLINE    
The authors discuss a rare case of hemorrhage in a filum terminale ependymoma presenting with acute paraparesis and transient hydrocephalic dementia in association with long-term phenprocoumon anticoagulation. The CT scan of the brain revealed the presence of blood in both occipital horns and communicating hydrocephalus. The symptoms gradually resolved after tumor removal and there was no need for shunting. This is a complex clinical presentation of a spinal cord tumor associated hemorrhage, which further illustrates the possibility of retrograde passage of blood from the lumbosacral region to the ventricles.
Aikaterini Patrona; Albrecht Harders; Kirsten Schmieder; Martin Scholz
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-29
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  112     ISSN:  1872-6968     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-02     Completed Date:  2010-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  252-7     Citation Subset:  IM    
Department of Neurosurgery, Ruhr-University of Bochum, Germany. <>
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MeSH Terms
Anticoagulants / administration & dosage,  adverse effects*
Cauda Equina / pathology*
Cerebral Ventricles / pathology*
Dementia, Vascular / etiology,  physiopathology
Ependymoma / complications*,  diagnosis,  surgery
Hemorrhage / chemically induced,  complications*
Hydrocephalus / complications,  etiology
Paraparesis / etiology,  physiopathology
Phenprocoumon / administration & dosage,  adverse effects*
Spinal Cord Neoplasms / complications*,  diagnosis,  surgery
Treatment Outcome
Reg. No./Substance:
0/Anticoagulants; 435-97-2/Phenprocoumon

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