Ectopia amigdalina cerebelosa borderline en un niño con cefalea. Caso clínico / Borderline cerebellar tonsillar ectopia in a child with headache. Case report
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.
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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