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Ectopia amigdalina cerebelosa borderline en un niño con cefalea. Caso clínico / Borderline cerebellar tonsillar ectopia in a child with headache. Case report
Cizmeci, Mehmet Nevzat; Kanburoglu, Mehmet Kenan; Gultop, Kebiret; Cay, Pinar; Kosehan, Dilek; Sonmez, Fatma Mujgan.
  • Cizmeci, Mehmet Nevzat; Fatih University Medical School. TR
  • Kanburoglu, Mehmet Kenan; Fatih University Medical School. TR
  • Gultop, Kebiret; Fatih University Medical School. TR
  • Cay, Pinar; Fatih University Medical School. TR
  • Kosehan, Dilek; Fatih University Medical School. TR
  • Sonmez, Fatma Mujgan; Fatih University Medical School. TR
Arch. argent. pediatr ; 111(4)ago. 2013. ilus
Article in English | LILACS | ID: lil-694653
RESUMEN
La cefalea es un síntoma que conlleva un malestar signifcativo y deterioro funcional en quienes lo sufren con frecuencia, tanto en la infancia como en la edad adulta. Algunas afecciones se asocian con una mayor frecuencia de cefaleas. La ectopia amigdalina cerebelosa borderline, defnida como la protrusión de las amígdalas cerebelosas por foramen magnum), es una de esas afecciones. Aunque no está claro el signifcado clínico de esta entidad como causa de cefalea, hay estudios que informaron su asociación en el 16% de los pacientes. Se presenta el caso de un paciente de 9 años que acudió a la consulta por padecer una cefalea frontal de 5 años de evolución. Se diagnosticó ectopia amigdalina cerebelosa borderline mediante una resonancia magnética. Se describe este caso dado lo atípico de la presentación de esta entidad en la infancia.
ABSTRACT
Frequent headache is a symptom that leads to signifcant distress and functional impairment, both in childhood and in adulthood. Some medical conditions are associated with a higher frequency of headaches. Borderline cerebellar tonsillar ectopia which may be defned as the downward extension of cerebellar tonsils of < 5 mm below the foramen magnum is among these conditions. Although questions persist about the clinical signifcance of this rare entity on headache, there are studies reporting severe headache syndrome in 16% of these patients. We report a 9-year old male patient, who presented to our clinic with a frontal headache of 5 years' duration, and was found to have borderline cerebellar tonsillar ectopia on magnetic resonance imaging. To the best of our knowledge, there has not been a reported case of this coexistence at this early stage of life. We would like to contribute to the literature, owing to the very rare and atypical presentation of this entity in the early childhood period.
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Full text: Available Index: LILACS (Americas) Main subject: Palatine Tonsil / Cerebellar Diseases / Choristoma Type of study: Etiology study Limits: Child / Humans / Male Language: English Journal: Arch. argent. pediatr Journal subject: Pediatrics Year: 2013 Type: Article Affiliation country: Turkey Institution/Affiliation country: Fatih University Medical School/TR

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Full text: Available Index: LILACS (Americas) Main subject: Palatine Tonsil / Cerebellar Diseases / Choristoma Type of study: Etiology study Limits: Child / Humans / Male Language: English Journal: Arch. argent. pediatr Journal subject: Pediatrics Year: 2013 Type: Article Affiliation country: Turkey Institution/Affiliation country: Fatih University Medical School/TR