ABSTRACT
El mielomeningocele cervical representa el 3,7 por ciento de los pacientes con espina bífida quística. El saco contiene elementos neurales en continuidad con la "médula espinal madre".Un tratamiento inicial inadecuado es causa de médula anclada, causante de deterioro neurológico y discapacidad, a menos que se realice el tratamiento definitivo en edad temprana.
Subject(s)
Female , Infant, Newborn , Meningomyelocele , Spina Bifida Occulta , Spina Bifida CysticaABSTRACT
Objective: to describe a new case of granulocytic sarcoma or chloroma. Description: a 54 year-old female patient presented with generalized epileptic crisis, right hemiparesis and aphasia. She had a history of acute myeloblastic leukemia that was properly treated. The CT scan showed a spontaneous hyperdense frontal left tumoral lesion with mass effect. The MRI showed a hipointense lesion. Intervention: through a craniotomy the tumor was removed. Postoperatively the outcome was uneventful. Pathology informed granulocytic sarcoma. The patient received radiotherapy but months later died of a leukemia recurrence. Conclusion: surgical removal of a chloroma reduced its mas effect and the patient improved neurologically, but the process could hardly be controlled definitively