Asunto(s)
Infecciones por Actinomycetales/tratamiento farmacológico , Adulto , Antiinfecciosos/uso terapéutico , Infecciones Bacterianas/diagnóstico por imagen , Encefalopatías/microbiología , Femenino , Granuloma/microbiología , Humanos , Cuero Cabelludo/lesiones , Combinación Trimetoprim y Sulfametoxazol/uso terapéuticoRESUMEN
Lumbo-costo-vertebral syndrome, which includes abnormalities of the vertebral bodies, ribs and trunk musculature, is very rare and only few cases have been reported. We report a case of 18-month-old female child with absent ribs, hemivertebrae, superior lumbar hernia (features of lumbo-costo-vertebral syndrome) and posterior spinal dysraphism, which to our knowledge is the first case in the English literature with such a combination of defects. Embryology and management of the case is discussed.
Asunto(s)
Femenino , Humanos , Lactante , Vértebras Lumbares/diagnóstico por imagen , Imagen por Resonancia Magnética , Escoliosis/etiología , Disrafia Espinal/diagnóstico por imagen , Columna Vertebral/diagnóstico por imagen , Resultado del TratamientoRESUMEN
A 45-year-old lady underwent right fronto-parietal craniotomy and subtotal excision of a parasagittal meningioma. Bone flap was not replaced as it was infiltrated by the tumor. In the postoperative period she developed episodes of altered sensorium associated with worsening of left hemiparesis and a sunken scalp at the site of bone defect. Computed tomography (CT) of brain showed sunken scalp flap in the right fronto-parietal region with compression of the underlying brain. A diagnosis of syndrome of the trephined was considered and her symptoms improved with cranioplasty. Pathophysiology of the syndrome of the trephined is discussed.