Froin's Syndrome due to Spinal Paraganglioma - A Case Report

Authors

  • Nazish Iqbal
  • Muhammad Waqaruddin Sheroze
  • Abdul Ali Khan

DOI:

https://doi.org/10.58397/ashkmdc.v23i3.77

Keywords:

Cerebrospinal fluid, paraganglioma, spinal neoplasm, spinal cord tumor, magnetic reso- nance imaging.

Abstract

Yellow coloured, i.e. xanthochromic cerebrospinal fluid,  with  hypercoagulability  and  high  protein  con- tent is pathognomic of Froin's syndrome. We present a  case  of  Froin's  syndrome  in  a  patient  with  spinal paraganglioma.

A 55-year-old male patient presented with urinary hesitancy, numbness in lower limbs and difficulty in walking. During spinal anaesthesia, the anaesthetist  noticed  xanthochromic  spinal  fluid.  Upon  mag-  netic resonance imaging lumbosacral,  an  intradural  focal  lesion  of  abnormal  signal  intensity  extend-  ing from T12-L1 vertebral  level  was  seen.  Laminectomy  with  excision  of  the  mass  was  performed  and a fleshy encapsulated mass was excised. Histopathology report showed the specimen to be a neoplastic lesion, and immuno-histochemical studies confirmed the mass to be a paraganglioma.

This case emphasizes that in  case  of  Froin's  syndrome,  one  should  think  of  spinal  cord  tumours  while evaluating the patient. A magnetic resonance imaging of the spine should also be done to look for spinal pathology along with other investigations.

Author Biographies

Nazish Iqbal

Department of Neurosurgery, Abbasi Shaheed hospital.

Muhammad Waqaruddin Sheroze

Department of Neurosurgery, Abbasi Shaheed hospital.

Abdul Ali Khan

Department of Neurosurgery, Abbasi Shaheed hospital.

Downloads

Published

2018-09-30