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[PMID]:29381990
[Au] Autor:Zheng RW; Liu D; Eric TE; Ning YZ; Chen LL; Hu H; Ren Y
[Ad] Endereço:Department of Acupuncture and Moxibustion, Dongfang Hospital, The Second Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
[Ti] Título:A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis.
[So] Source:Medicine (Baltimore);96(47):e8833, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not extensively documented, and is very easily misdiagnosed. PATIENT CONCERNS: A case of a 53-year-old male with Ramsay Hunt syndrome in conjunction with cranial polyneuritis is presented with early symptoms of vertigo, cephalalgia, and facial palsy, followed by zoster oticus 10 days later. DIAGNOSES: Diagnosis was challenging as this condition presents with multiple neuropathies, and attempting to diagnose based on clinical symptoms was often misleading. Polymerase chain reaction can be used to test for presence of the virus in the cerebrospinal fluid, followed by targeted drug therapy. INTERVENTIONS: Acupuncture, in conjunction with fire cupping, bloodletting around the afflicted region on the face, as well as oral consumption of herbal medicine and vitamins for nerve nourishment was given to treat this disease. OUTCOMES: Due to misdiagnosis resulting in delayed treatment, peripheral facial paralysis was left as the main sequelae, while other symptoms responded quickly to treatment. After a 6-month follow-up, facial palsy was still present. LESSONS: Considering that targeted antiviral therapy can be used to increase the effectiveness of treatment, early diagnosis, and timely use of medication is critical.
[Mh] Termos MeSH primário: Doenças dos Nervos Cranianos/diagnóstico
Erros de Diagnóstico/efeitos adversos
Herpes Zoster da Orelha Externa/diagnóstico
Neurite (Inflamação)/diagnóstico
[Mh] Termos MeSH secundário: Antivirais/uso terapêutico
Doenças dos Nervos Cranianos/virologia
Paralisia Facial/diagnóstico
Paralisia Facial/virologia
Cefaleia/diagnóstico
Cefaleia/virologia
Herpes Zoster da Orelha Externa/virologia
Seres Humanos
Masculino
Meia-Idade
Neurite (Inflamação)/virologia
Vertigem/diagnóstico
Vertigem/virologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antiviral Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008833


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[PMID]:29187689
[Au] Autor:Hattori K; Matsuda N; Murakami T; Ito E; Ugawa Y
[Ad] Endereço:Department of Neurology, Fukushima Medical University.
[Ti] Título:[A case of leptomeningeal melanomatosis with acute paraplegia and multiple cranial nerve palsies].
[So] Source:Rinsho Shinkeigaku;57(12):769-774, 2017 Dec 27.
[Is] ISSN:1882-0654
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 62-year-old man with acute paraplegia was transferred to our hospital. He had flaccid paraplegia and multiple cranial nerve palsies, such as mydriasis of the left pupil, abduction palsy of the left eye, hoarseness and dysphagia, but no meningeal irritation signs. MRI of the spinal canal showed swellings of the conus medullaris and the cauda equine, and also contrast enhancement of the spinal meninges. The cerebrospinal fluid (CSF) showed pleocytosis and protein increment. The lymph node was swollen in his right axilla. The biopsy specimen from the right axillary lymph node revealed metastasis of malignant melanoma histologically. Careful check-up of his whole body found a malignant melanoma in the subungual region of the right ring finger. Repeated cytological examination revealed melanoma cells in the CSF, confirming the diagnosis of leptomeningeal melanomatosis. His consciousness was gradually deteriorated. His family members chose supportive care instead of chemotherapy or surgical therapy after full information about his conditions. Finally, he died 60 days after transfer to our hospital. This is a rare case of leptomenigeal melanomatosis presenting with acute paraplegia and multiple cranial nerve palsies. Careful follow-up and repeated studies are vital for the early diagnosis of leptomenigeal melanomatosis in spite of atypical clinical presentation.
[Mh] Termos MeSH primário: Doenças dos Nervos Cranianos/etiologia
Melanoma/complicações
Neoplasias Meníngeas/complicações
Paraplegia/etiologia
[Mh] Termos MeSH secundário: Doença Aguda
Evolução Fatal
Seres Humanos
Linfonodos/patologia
Metástase Linfática
Imagem por Ressonância Magnética
Masculino
Melanoma/diagnóstico
Melanoma/patologia
Neoplasias Meníngeas/diagnóstico por imagem
Neoplasias Meníngeas/patologia
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.5692/clinicalneurol.cn-001092


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[PMID]:29213030
[Au] Autor:Alabri H; Lewis WD; Manjila S; Alkhachroum AM; De Georgia MA
[Ad] Endereço:Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.
[Ti] Título:Acute Bilateral Ophthalmoplegia Due to Vertebrobasilar Dolichoectasia: A Report of Two Cases.
[So] Source:Am J Case Rep;18:1302-1308, 2017 Dec 07.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND Vertebrobasilar dolichoectasia (VBD) is a complex progressive arterial disease characterized by dilation, elongation, and tortuosity of the vertebral and basilar arteries, and may be congenital or acquired. VBD may lead to progressive compression of the brainstem, cranial nerve abnormalities, and intracranial hemorrhage, but may also be associated with arterial thrombosis, with ischemic stroke as the most common clinical outcome. CASE REPORT Two cases of VBD are presented, both with acute bilateral ophthalmoplegia and cranial nerve palsies, and vertebrobasilar arterial thrombosis that resulted in ischemic stroke. CONCLUSIONS VBD is a complex arterial disease with a variety of clinical manifestation, with bilateral ophthalmoplegia being a rare presentation. Clinical management of VBD is a challenge as there are no current management guidelines. Therefore, clinical management of cases of VBD should be individualized to balance the risks and benefits of treatment options for each patient.
[Mh] Termos MeSH primário: Infarto Encefálico/etiologia
Trombose Intracraniana/etiologia
Oftalmoplegia/etiologia
Insuficiência Vertebrobasilar/complicações
[Mh] Termos MeSH secundário: Doença Aguda
Idoso
Infarto Encefálico/diagnóstico por imagem
Doenças dos Nervos Cranianos/etiologia
Feminino
Seres Humanos
Trombose Intracraniana/diagnóstico por imagem
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE


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[PMID]:28723776
[Au] Autor:Huang Y; Chen J; Gui L
[Ad] Endereço:aDepartment of Neurology bDepartment of General Surgery and Center of Minimal Invasive Gastrointestinal Surgery, Southwest Hospital, The Third Military Medical University, Chongqing, China.
[Ti] Título:A case of idiopathic hypertrophic pachymeningitis presenting with chronic headache and multiple cranial nerve palsies: A case report.
[So] Source:Medicine (Baltimore);96(29):e7549, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Idiopathic hypertrophic pachymeningitis (IHP) is a rare condition, characterized by a chronic fibrosing inflammatory process usually involving either the intracranial or spinal dura mater, but rarely both. Here, we report a rare case of IHP affecting both the intracranial and spinal dura mater. We also discussed the diagnosis, management, and outcome of IHP. PATIENT CONCERNS: We reviewed the case of a 60-year-old woman presenting with chronic headache, multiple cranial nerve palsies and gait disturbance. Magnetic resonance imaging (MRI) of her head revealed thickened and contrast-enhanced dura in the craniocervical region as well as obstructive hydrocephalus and cerebellar tonsillar herniation. The patient had a suboccipital craniectomy and posterior decompression through C1 plus a total laminectomy. The dura was partially resected to the extent of the bony decompression, and a duroplasty was performed. DIAGNOSES: Microscopic examination of the surgically resected sample showed chronic inflammatory changes, lymphoplasmacytic cell infiltration, fibrous tissue hyperplasia, and hyaline degeneration. Blood tests to evaluate the secondary causes of hypertrophic pachymeningitis (HP) were unremarkable. INTERVENTIONS: Steroid was used to treat suspected IHP. OUTCOMES: Postoperatively, the patient showed gradual improvement in her headache, glossolalia, and bucking. Prior to discharge, a follow-up MRI showed improvement of the dura mater thickening. LESSONS: IHP is a chronic inflammatory disorder of the dura mater that usually causes neurological deficits. Clinical manifestations of IHP, MRI findings, and laboratory abnormalities are the essential components for making an accurate diagnosis. When the radiological or laboratory evaluation is uncertain, but neurological deficits are present, a prompt surgical approach should be considered. Postoperative steroid therapy and close observation for recurrence are necessary to ensure a good long-term outcome.
[Mh] Termos MeSH primário: Doenças dos Nervos Cranianos/complicações
Doenças dos Nervos Cranianos/diagnóstico
Transtornos da Cefaleia/complicações
Transtornos da Cefaleia/diagnóstico
Meningite/complicações
Meningite/diagnóstico
[Mh] Termos MeSH secundário: Encéfalo/diagnóstico por imagem
Doenças dos Nervos Cranianos/patologia
Doenças dos Nervos Cranianos/terapia
Diagnóstico Diferencial
Dura-Máter/diagnóstico por imagem
Dura-Máter/patologia
Dura-Máter/cirurgia
Feminino
Transtornos da Cefaleia/patologia
Transtornos da Cefaleia/terapia
Seres Humanos
Meningite/patologia
Meningite/terapia
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007549


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[PMID]:28651265
[Au] Autor:Örgel A; Hauser TK; Nägele T; Horger M
[Ti] Título:[Imaging in Cranial Nerve Neuritis by Lyme-Neuroborreliosis].
[Ti] Título:Neuritis bei Lyme-Neuroborreliose..
[So] Source:Rofo;189(7):599-602, 2017 07.
[Is] ISSN:1438-9010
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Borrelia
Doenças dos Nervos Cranianos/diagnóstico por imagem
Neuroborreliose de Lyme/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Neurite (Inflamação)/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Medicina Baseada em Evidências
Seres Humanos
Aumento da Imagem/métodos
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-104535


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[PMID]:28625304
[Au] Autor:Peralta F; Devroe S
[Ad] Endereço:Department of Anesthesiology, Northwestern University Feinberg School of Medicine, 251 E. Huron St., F5-704, Chicago, IL 60611, USA. Electronic address: feyce.peralta@northwestern.edu.
[Ti] Título:Any news on the postdural puncture headache front?
[So] Source:Best Pract Res Clin Anaesthesiol;31(1):35-47, 2017 Mar.
[Is] ISSN:1878-1608
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Unintentional dural puncture followed by postdural puncture headache is a well-known complication following neuraxial labor analgesia. Risk factors for the development of postdural puncture headache may be related to the patient's history and characteristics, the neuraxial technique, and obstetrical events. The diagnosis of postdural puncture headache is usually made depending on the clinical presentation (orthostatic headache after a neuraxial procedure). Occasionally, neuroimaging and neurological consultation are warranted. Complications following postdural puncture headache may include transient or permanent hypoacusis, cranial nerve palsies, subdural hematoma, and chronic headache. Evidence is limited regarding the safety and effectiveness of different interventions aimed to prevent or treat postdural puncture headache.
[Mh] Termos MeSH primário: Cefaleia Pós-Punção Dural/etiologia
[Mh] Termos MeSH secundário: Doenças dos Nervos Cranianos/etiologia
Feminino
Transtornos da Cefaleia/etiologia
Perda Auditiva/etiologia
Hematoma Subdural/etiologia
Seres Humanos
Trabalho de Parto
Cefaleia Pós-Punção Dural/diagnóstico
Cefaleia Pós-Punção Dural/prevenção & controle
Gravidez
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170620
[St] Status:MEDLINE


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[PMID]:28623857
[Au] Autor:Nazir HF; AlFutaisi A; Zacharia M; Elshinawy M; Mevada ST; Alrawas A; Khater D; Jaju D; Wali Y
[Ad] Endereço:Child Health Department, Sultan Qaboos University Hospital, Muscat, Oman.
[Ti] Título:Vincristine-induced neuropathy in pediatric patients with acute lymphoblastic leukemia in Oman: Frequent autonomic and more severe cranial nerve involvement.
[So] Source:Pediatr Blood Cancer;64(12), 2017 Dec.
[Is] ISSN:1545-5017
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Vincristine (VCR) induced peripheral neuropathy is a common complication in children with acute lymphoblastic leukemia (ALL). PROCEDURES: A retrospective data analysis over an interval of 10 years (2006-2016) of all children with ALL seen at Sultan Qaboos University Hospital was carried out. Electronic medical records of eligible patients were reviewed. Patients with clinical evidence of neuropathy and abnormal nerve conduction studies (NCSs) were included in the study. RESULTS: Nineteen (nine females and 10 males) out of 103 pediatric patients developed VCR-related neuropathy, and their age ranged between 2.5 and 14 years. Symptoms started after 2-11 doses of VCR. All 19 patients had documented peripheral neuropathy on NCSs. The autonomic nervous system and cranial nerves affection was relatively common in our patients; two presented with bradycardia, two patients with unexplained tachycardia, and five had abdominal pain and constipation, complicated by typhlitis in two patients. One patient developed unilateral hearing loss. Two patients developed severe life-threatening cranial nerve involvement with bilateral ptosis and recurrent laryngeal nerve involvement presented as vocal cord paralysis, hoarseness of voice, frequent chocking, and aspiration episodes. CONCLUSIONS: Peripheral neuropathy was the commonest form of VCR-related neuropathy. Autonomic neuropathy was relatively common in our patients. Cranial neuropathy is a serious side effect of VCR that can be severe, involving multiple cranial nerves and needs prompt recognition and management. Concomitant administration of pyridoxine and pyridostigmine does not seem to protect against further neurological damage in some patients.
[Mh] Termos MeSH primário: Antineoplásicos Fitogênicos/efeitos adversos
Doenças do Sistema Nervoso Central/induzido quimicamente
Doenças dos Nervos Cranianos/induzido quimicamente
Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico
Vincristina/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Condução Nervosa/efeitos dos fármacos
Leucemia-Linfoma Linfoblástico de Células Precursoras/fisiopatologia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antineoplastic Agents, Phytogenic); 5J49Q6B70F (Vincristine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170618
[St] Status:MEDLINE
[do] DOI:10.1002/pbc.26677


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[PMID]:28615421
[Au] Autor:Martin JA; Messacar K; Yang ML; Maloney JA; Lindwall J; Carry T; Kenyon P; Sillau SH; Oleszek J; Tyler KL; Dominguez SR; Schreiner TL
[Ad] Endereço:From the Departments of Pediatrics (J.A. Martin, M.L.Y., T.L.S.), Infectious Diseases (K.M., S.R.D.), Hospital Medicine (K.M.), Radiology (J.A. Maloney), Child Psychiatry (J.L.), and Physical Medicine and Rehabilitation (T.C., P.K., J.O.), Section of Child Neurology, Children's Hospital Colorado/Uni
[Ti] Título:Outcomes of Colorado children with acute flaccid myelitis at 1 year.
[So] Source:Neurology;89(2):129-137, 2017 Jul 11.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We describe long-term functional, neurodiagnostic, and psychosocial outcomes of a cohort of 12 children from Colorado diagnosed with acute flaccid myelitis (AFM) in 2014. METHODS: Children were assessed every 3 months for 1 year or until clinical resolution. Assessments included neurologic examination, MRI, EMG/nerve conduction studies (NCS), functional measures (Assisting Hand Assessment, Hammersmith Functional Motor Scale), and Patient-Reported Outcomes Measurement Information System questionnaires. RESULTS: Eight of 12 children completed the study. Six of 8 had persistent motor deficits at 1 year; 2 demonstrated full recovery. Four were not enrolled, 2 of whom reported full recovery. The 6 affected were weakest in proximal muscles, showing minimal to no improvement and significant atrophy at 1 year. All patients improved in distal muscle groups. Cranial nerve dysfunction resolved in 2 of 5 and improved in all. Four of 5 showed progressive functional improvement at 6 and 12 months. Two of 8 reported pain at 1 year. Three of 8 reported depressive symptoms. Repeat MRI was performed in 7 of 8 children a median of 7 months after onset and showed significant improvement or normalization in all but one child. Repeat EMG/NCS was performed on 4 children a median of 8 months after onset and showed ongoing denervation and chronic reinnervation in 3 children with persistent deficits. CONCLUSIONS: At 1 year, children with AFM demonstrated functional gains but weakness persisted. EMG changes correlated with persistent deficits better than imaging. Despite improvements, AFM had substantial long-term functional effects on affected children.
[Mh] Termos MeSH primário: Doenças dos Nervos Cranianos/diagnóstico
Transtornos dos Movimentos/diagnóstico
Músculo Esquelético/fisiopatologia
Doenças Musculares/diagnóstico
Mielite/diagnóstico
Avaliação de Resultados (Cuidados de Saúde)/métodos
[Mh] Termos MeSH secundário: Adolescente
Atrofia/patologia
Criança
Pré-Escolar
Colorado
Doenças dos Nervos Cranianos/diagnóstico por imagem
Doenças dos Nervos Cranianos/etiologia
Doenças dos Nervos Cranianos/fisiopatologia
Eletromiografia
Feminino
Seguimentos
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Transtornos dos Movimentos/diagnóstico por imagem
Transtornos dos Movimentos/etiologia
Transtornos dos Movimentos/fisiopatologia
Doenças Musculares/diagnóstico por imagem
Doenças Musculares/etiologia
Doenças Musculares/fisiopatologia
Mielite/complicações
Mielite/diagnóstico por imagem
Mielite/fisiopatologia
Condução Nervosa/fisiologia
Medidas de Resultados Relatados pelo Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004081


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[PMID]:28534340
[Au] Autor:Kim JH; Hwang JM
[Ad] Endereço:Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
[Ti] Título:Imaging of Cranial Nerves III, IV, VI in Congenital Cranial Dysinnervation Disorders.
[So] Source:Korean J Ophthalmol;31(3):183-193, 2017 Jun.
[Is] ISSN:2092-9382
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Congenital cranial dysinnervation disorders are a group of diseases caused by abnormal development of cranial nerve nuclei or their axonal connections, resulting in aberrant innervation of the ocular and facial musculature. Its diagnosis could be facilitated by the development of high resolution thin-section magnetic resonance imaging. The purpose of this review is to describe the method to visualize cranial nerves III, IV, and VI and to present the imaging findings of congenital cranial dysinnervation disorders including congenital oculomotor nerve palsy, congenital trochlear nerve palsy, Duane retraction syndrome, Möbius syndrome, congenital fibrosis of the extraocular muscles, synergistic divergence, and synergistic convergence.
[Mh] Termos MeSH primário: Nervo Abducente/diagnóstico por imagem
Doenças dos Nervos Cranianos/diagnóstico
Síndrome da Retração Ocular/complicações
Imagem por Ressonância Magnética/métodos
Nervo Oculomotor/diagnóstico por imagem
Nervo Troclear/diagnóstico por imagem
[Mh] Termos MeSH secundário: Doenças dos Nervos Cranianos/etiologia
Síndrome da Retração Ocular/diagnóstico
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170524
[St] Status:MEDLINE
[do] DOI:10.3341/kjo.2017.0024


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[PMID]:28529053
[Au] Autor:Shtaya A; Dabbous B; Fanou E; Bridges L; Hettige S
[Ad] Endereço:Academic Neurosurgery Unit, St George's, University of London, London; Department of Neurosurgery, Atkinson Morley Wing, St George's University Hospital, London, United Kingdom. Electronic address: ashtaya@sgul.ac.uk.
[Ti] Título:Unusual Intraparenchymal Pontomedullary Epidermoid Cyst in a 2-Year-Old Child: A Case Report and Review of the Literature.
[So] Source:World Neurosurg;104:1046.e15-1046.e20, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Intrinsic brainstem epidermoid cysts are rare, benign, slow-growing lesions. Their eloquence precludes complete excision; however, subtotal resection often will result in prolonged or sometimes permanent relief of presenting symptoms and signs. We describe an unusual case and review the literature of this pathology in the pediatric population. CASE DESCRIPTION: We report an intra-axial pontine epidermoid cyst in a 2-year-old girl who presented with developmental delay, multiple cranial nerve palsies, and pneumonia. Magnetic resonance imaging demonstrated an intrinsic pontine lesion with partial restricted diffusion and an enhancing plaque, the latter not typically seen in congenital lesions like epidermoid. However, gross surgical inspection and histopathology confirmed an epidermoid. CONCLUSIONS: Our case, supported by the literature, shows that brain stem epidermoid cysts may have atypical radiologic characteristics and that near-total resection remains safe and can improve outcome.
[Mh] Termos MeSH primário: Encefalopatias/cirurgia
Cisto Epidérmico/cirurgia
Bulbo/cirurgia
Ponte/cirurgia
[Mh] Termos MeSH secundário: Encefalopatias/complicações
Encefalopatias/diagnóstico por imagem
Pré-Escolar
Doenças dos Nervos Cranianos/etiologia
Deficiências do Desenvolvimento/complicações
Cisto Epidérmico/complicações
Cisto Epidérmico/diagnóstico por imagem
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Bulbo/diagnóstico por imagem
Pneumonia Aspirativa/complicações
Ponte/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde