ABSTRACT
Os autores apresentam um caso de hemorragia digestiva alta, associado a lesao neoplasica primaria na fossa posterior, em uma criança de cinco anos de idade, com quadro de hipertensao intracraniana que evoluiu para obito, por sangramento digestivo. A relacao existente entre as lesoes agudas da mucosa gastroduodenal (LAMGD) e doenças do sistema nervoso central (SNC) Ú um fato ha muito conhecido. Cushing, em 1932, observou pela primeira vez hipersecrecao gastrica e aceleracao da motilidade gastrintestinal em pacientes portadores de traumatismo cranioencefalico e neoplasias encefalicas. O tratamento proposto consiste no uso de bloqueadores anti-H2 da mucosa gastrica e, se necessaria, alternativa cirurgica.
Subject(s)
Gastrointestinal Hemorrhage , Peptic Ulcer/surgery , Peptic Ulcer/diagnosis , Brain Injuries , Brain Neoplasms , ChildABSTRACT
Head trauma in children is an important aspect of the childïs care not only for the pathophysiological differences between head trauma in children and in adults, but also because of the legal aspects related to childïs abuse. The authors review some important points about causes, pathophysiology, first evaluation and treatment of head trauma in children
Subject(s)
Humans , Child , Child, Preschool , Craniocerebral Trauma , Diffuse Axonal Injury , Hematoma, Epidural, Cranial , Subarachnoid Hemorrhage, Traumatic/etiology , Neurologic Examination , Skull FracturesABSTRACT
The occurrence of cerebral metastasis due to hepatocellular carcinoma (HCC) is uncommon. The authors present a case of cerebral metastasis as a primary manifestation of HCC without pulmonary involvement. The dissemination pathways, the intervention and the prognosis are discussed