RESUMO
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.
Assuntos
Feminino , Humanos , Lactente , Vértebras Lombares/diagnóstico por imagem , Imageamento por Ressonância Magnética , Escoliose/etiologia , Disrafismo Espinal/diagnóstico por imagem , Coluna Vertebral/diagnóstico por imagem , Resultado do TratamentoAssuntos
Infecções por Actinomycetales/tratamento farmacológico , Adulto , Anti-Infecciosos/uso terapêutico , Infecções Bacterianas/diagnóstico por imagem , Encefalopatias/microbiologia , Feminino , Granuloma/microbiologia , Humanos , Couro Cabeludo/lesões , Combinação Trimetoprima e Sulfametoxazol/uso terapêuticoRESUMO
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.