RESUMO
An unusual number of cases of rhomb encephalitis have occurred in Chile because of the increased frequency of infections caused by Listeria monocytogenes. We report three females aged 36, 40 and 55 years, with the disease. All presented with a prodrome characterized by headache, nausea, vomiting and fever, followed by ataxia and unilateral palsies of the third, seventh and twelfth cranial nerves. One patient presented also a hemi-hypoesthesia. Magnetic resonance showed lesions in the posterior aspect of the brain stem, specifically in relation to the floor of the fourth ventricle. Blood cultures were positive for Listeria monocytogenes.
Assuntos
Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Encefalite/microbiologia , Listeriose/diagnóstico , Listeria monocytogenes/isolamento & purificação , Rombencéfalo/microbiologia , Encefalite/diagnósticoRESUMO
El carcinoma hepatocelular fibrolamelar(CHF) es un tumor hepático maligno, poco frecuente, con características clínicas, histológicas e imagenológicas que lo diferencian del carcinoma hepatocelular. Se le consideraba de mejor pronóstico que el hepatocarcinoma, sin embargo, estudios recientes han demostrado altas tasas de recidivas y metástasis. Presentamos el caso clínico de un paciente con diagnóstico de CHF, el que evoluciona con desarrollo de metástasis cerebral, sin reportes similares en la literatura.
Fibrolamellar hepatocellular carcinoma (FHC) is an infrequent liver tumor with clinical, histological and radiological features that makes it distinguishable from hepatocellular carcinoma. It has been considered to have a better prognosis compared to hepatocarcinoma, but recent studies have shown a worst outcome than initially assumed, with a high rate of relapse and metastasis. We present a case of FHC that developed brain metastases, which has not been previously described in the literature.