RESUMO
Objective: to describe a craniofacial meningioma. Description: a 50 years old female patient presented progressive headaches and left exoftalmus during the last year. MRI showed a tumoral lesion that involved the etmoidorbitalmaxilary region. Intervention: the lesion was resected through the subfrontal approach after performing a bifrontal craniotomy with a supraorbital osteotomy. Pathology informed meningioma. Postoperatively the patient showed transient left ptosis, diplopia and CSF fistula. After 19 months the patient was asymptomatic and control MRI showed no tumor. Conclusion: the craniofacial meningioma was totally resected using a combined approach with low morbidity at 18 months
Assuntos
Anormalidades Craniofaciais/cirurgia , Anormalidades Craniofaciais/diagnóstico , Meningioma , Base do CrânioRESUMO
Objective: to describe the case of a penetrating cranial knife wound. Description: a 18 years old male patient arrived to the hospital with a knife stabbed into the left temporal cranial region. He presented a Glasgow coma scale of 9/15 and a right hemiplegia. He was studied with x-rays and a CT scan. Intervention: he was taken to surgery and the knife was removed. Postoperative outcome was uneventful. He made rehabilitation for a right hemiparesis. Conclusion: good results can be obtained with removal at surgery of a stabbed knife into the cranium
Assuntos
Humanos , Masculino , Adolescente , Crânio/lesões , Traumatismos Craniocerebrais , Ferimentos Perfurantes/cirurgia , Ferimentos Perfurantes/diagnósticoRESUMO
OBJETIVO: Describir un nuevo caso de aplopejia pituitaria. DESCRIPCION: paciente de sexo masculino y 65 años de edad que en forma repjetina comienza con cefaleas, diplopia y rigidez de nuca. La resonancia magnetica mostro una lesion expansiva selar de 30 x 30 mm. INTERVENCION: Se opero por via subfrontal, evacuando un hematoma y resecando el tumor. La evolucion postoperatoria a los 3 meses mostro ausencia del tumor y desaparicion de los sintomas. CONCLUSION: la apoplejia pituitaria es poco frecuente. El diagnostico con resonancia magnetica es sencillo. La cirugia precoz es el tratamiento de eleccion