Recurrent Headache, Ophthalmoplegia, and Quadriparesis induced by Intracranial Hypertension

J Korean Neurol Assoc > Volume 23(5); 2005 > Article

Journal of the Korean Neurological Association 2005;23(5): 686-689.

반복되는 두통, 안구운동마비와 사지위약으로 발현한 두개내압상승

서현진, 이대균 이유진 이상암

울산대학교 의과대학 서울아산병원 신경과

Recurrent Headache, Ophthalmoplegia, and Quadriparesis induced by Intracranial Hypertension

Hyun-Jin Seo

Department of Neurology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea

Abstract

A 67-year-old man developed intermittent headaches, ophthalmoplegia, loss of consciousness, and hyporeflexic quadriparesis. An examination disclosed bilateral papilledema, constricted visual fields, and elevated intracranial pressure. All these symptoms were well correlated with intermittent high intracranial pressure which represented Lundberg A wave. Repeated lumbar punctures finally revealed metastatic malignant cells from lung cancer. Leptomeningeal metastasis may manifest with various constellations of symptoms.KeyWords:Intracranial hypertension, Ophthalmoplegia, Radiculopathy