Bilateral @entity3171 as a presentation of an obstructing XXXX .

@entity1 @entity101 @entity6872 @entity548 @entity5 @entity4 @entity16 @entity2816 @entity786 @entity619 @entity1745 @entity10 @entity3762 @entity3171
PURPOSE: To report a rare case of bilateral @entity3171 as presentation of an obstructing @entity6872 . METHODS: Case report. RESULTS: A 41-year-old healthy @entity1 presented with distortion of his peripheral vision for 9 months. He denied @entity10 or @entity16 . Examination showed bilateral @entity4 , @entity548 , and absent spontaneous venous pulsations. Brain magnetic resonance imaging (MRI) and magnetic resonance venography were unrevealing. Lumbar puncture showed a normal opening pressure of 19 cm cerebrospinal fluid (CSF). CSF protein was significantly elevated at 3.22 g/L (0.10-0.45 g/L). Spinal MRI with contrast revealed a @entity5 in the T9 vertebral body extending through the disc spaces into T8 and T10, compressing the spinal cord. Computed tomography-guided biopsy confirmed a @entity6872 . He received radiotherapy to the spine T7-T11 to reduce @entity1745 followed by a 6-month course of chemotherapy with @entity619 , @entity786 , and @entity2816 . Disc swelling improved on starting radiotherapy with complete resolution 8 months posttreatment. MRI spine showed reduction of @entity5 . CONCLUSIONS: This case highlights the importance of spinal imaging in @entity1 with normal cranial scans and raised CSF protein levels who lack the typical @entity3762 intracranial @entity101 phenotype.
