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Encefalomielitis aguda diseminada de presentación atípica: utilidad de la biopsia estereotáctica para su diagnóstico. Caso clínico / Diagnosis of acute disseminated encephalomyelitis using a stereotaxic biopsy: Report of one case
Vázquez S., Pedro; Reccius M., Andrés; Díaz S., Mario; Sáez U., Lía; Orellana P., Patricia; Valdés W., Cristián; Díaz T., Violeta.
  • Vázquez S., Pedro; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Reccius M., Andrés; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Díaz S., Mario; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Sáez U., Lía; Universidad de Chile. Hospital Clínico. Departamento de Anatomía Patológica. Santiago. CL
  • Orellana P., Patricia; Universidad de Chile. Hospital Clínico. Departamento de Imagenología. Santiago. CL
  • Valdés W., Cristián; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Díaz T., Violeta; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
Rev. méd. Chile ; 134(7): 883-886, jul. 2006. ilus
Article in Spanish | LILACS | ID: lil-434590
RESUMO
We report a 15 year-old female presenting with behavioral disturbances, headache, left hemiparesis and paresis of the vertical gaze. CAT scan and magnetic resonance showed an involvement of right thalamus, third ventricle and medial temporal lobe suggesting an encephalitis or lymphoma. 201Thalium SPECT suggested a lymphoma. A stereotaxic biopsy showed a subacute demyelinizing lesion, compatible with an acute disseminated encephalomyelitis. The patient was treated with Methylprednisolone with resolution of symptoms. She remains in good condition after one year of follow-up.
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Full text: Available Index: LILACS (Americas) Main subject: Encephalomyelitis, Acute Disseminated Type of study: Diagnostic study Limits: Adolescent / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2006 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de Chile/CL

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Full text: Available Index: LILACS (Americas) Main subject: Encephalomyelitis, Acute Disseminated Type of study: Diagnostic study Limits: Adolescent / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2006 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de Chile/CL