Résumé
Congenital medulloblastoma is a rare brain tumor that appears in less than 1% of pediatric patients. Congenital medulloblastoma has a poor prognosis and should be suspected in patients with clinical manifestations of hyporeactivity, slow suction reflexes, and the presence of hydrocephalus. Herein we present the case of a 12-day-old female newborn who developed non-communicative hydrocephalus, hyporeactivity, and hyporeflexia. Magnetic resonance imaging of her brain showed a heterogeneous and cystic mass on the posterior cranial fossa. A suboccipital craniotomy was performed. The histopathologic analysis reported a congenital medulloblastoma. She remained in hospital until her death at 112 days old. This is one of the first case reports with clinical-radiological and pathological documentation. Awareness of this diagnosis can allow prenatal intervention, rendering a better prognosis. This case report exemplifies the importance of good prenatal follow-up.
Sujets)
Humains , Femelle , Grossesse , Nouveau-né , Tumeurs du cervelet/congénital , Médulloblastome/congénital , Diagnostic prénatal , Issue fataleRésumé
Se presenta un caso de lipoblastoma benigno de mediastino en un niño de 14 años de edad atendido en el Hospital Universitario "Dr. José E. González", Monterrey, N.L. Esta patología es muy poco frecuente, sobre todo en esta edad y en esta localización. Se trata de un tumor benigno que requiere resección completa. Al paciente se le practicó una tocacotomía anterolateral bilateral resecando completamente el tumor, siendo su peso de 3,100 g y midiendo 26 por 21 cm. La evolución fué satisfactoria