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Arq. neuropsiquiatr ; 65(4a): 988-991, dez. 2007. ilus
Article in English | LILACS | ID: lil-470128

ABSTRACT

The basal encephaloceles refer to rare entities and they correspond to herniation of brain tissue through defects of skull along the cribiform plate or the sphenoid bone. A rare morning glory syndrome, with characteristic retinal defect has been reported in association with basal encephaloceles. Hypophysis hormonal deficiencies may occur. We accounted for a pituitary dwarfism with delayed diagnosed transsphenoidal encephalocele associated with morning glory syndrome, showing the alterations found in retinography, computed tomography and magnetic resonance imaging.


As encefaloceles basais são entidades raras e correspondem a herniações do tecido cerebral através de um defeito do crânio, ao longo da lâmina crivosa etmoidal ou do osso esfenoidal. A rara síndrome morning glory, com alterações de fundo de olho características pode apresentar-se associada à encefalocele basal. Deficiências hormonais hipofisárias podem ocorrer. Relatamos caso de nanismo hipofisário com encefalocele transesfenoidal de diagnóstico tardio associada à síndrome de morning glory, mostrando as alterações na retinografia, tomografia computadorizada e ressonância magnética.


Subject(s)
Child , Humans , Male , Dwarfism, Pituitary/complications , Encephalocele/complications , Optic Disk/abnormalities , Dwarfism, Pituitary/diagnosis , Encephalocele/diagnosis , Fundus Oculi , Magnetic Resonance Imaging , Optic Disk/pathology , Syndrome , Tomography, X-Ray Computed
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