TY  - JOUR
AU  - Fries, Franca Laura
AU  - Kleiser, Benedict
AU  - Schwarz, Patricia
AU  - Tieck, Maria P
AU  - Laichinger, Kornelia
AU  - Mengel, Annerose
AU  - Ziemann, Ulf
AU  - Kowarik, Markus C
TI  - Diagnosis of Froin's Syndrome by Parallel Analysis of Ventriculoperitoneal Shunt and Lumbar Cerebrospinal Fluid in a Patient with Cervical Spinal Stenosis.
JO  - Journal of Clinical Medicine
VL  - 12
IS  - 15
SN  - 2077-0383
CY  - Basel
PB  - MDPI
M1  - DZNE-2023-00791
SP  - 5012
PY  - 2023
AB  - Elevated protein levels in cerebrospinal fluid (CSF) can occur in various pathologies and are sometimes difficult to interpret. We report a 62-year-old male patient with subacute neurological deterioration, progressive tetraparesis, and cytoalbumin dissociation in the lumbar CSF. The patient had a pre-existing cervical spinal stenosis with mild tetraparesis. Based on the initial cytoalbumin dissociation (protein 938 mg/dL, 4 leucocytes/µL), Guillain-Barré syndrome was initially considered. For further diagnosis, a CSF sample was taken from a pre-existing ventriculoperitoneal shunt, which showed a normal protein and cell count considering the patient's age (protein 70 mg/dL, 1 leucocyte/µL). In conclusion, we suggest that intermediate aggravation of tetraparesis was due to pneumonia with septic constellation, and the cytoalbumin dissociation was interpreted as Froin's syndrome (FS) due to spinal stenosis. In this unique case, we were able to prove the -often suspected- case of FS by parallel analysis of ventriculoperitoneal shunt and lumbar CSF. The triad of xanthochromia, high protein levels, and marked coagulation was first described by Georges Froin and occurs in various processes leading to severe spinal stenosis. The altered composition of lumbar CSF might be due to impaired CSF circulation; however, the exact mechanisms of this phenomenon require further investigation.
KW  - Froin’s syndrome (Other)
KW  - Froin’s syndrome (Other)
KW  - Froin’s syndrome (Other)
KW  - Froin’s syndrome (Other)
KW  - cervical spinal stenosis (Other)
KW  - elevated CSF protein (Other)
KW  - lumbar puncture (Other)
KW  - ventriculoperitoneal shunt (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:37568414
C2  - pmc:PMC10419929
DO  - DOI:10.3390/jcm12155012
UR  - https://pub.dzne.de/record/259757
ER  -