ABSTRACT
La meningoencefalitis herpética y la meningitis tuberculosa constituyen dos enfermedades infecciosas graves del sistema nervioso central. En ambos casos, el pronóstico depende de la instauración precoz del tratamiento. Se presenta un caso clínico complejo en una niña de 4 años de edad, en el que la clínica y las pruebas complementarias no fueron suficientes para diferenciar ambas entidades. Sólo se obtuvo confirmación microbiológica de la presencia de virus herpes simple tipo 1 en el líquido cefalorraquídeo. No obstante, se decidió completar el tratamiento antituberculoso. El caso fue comentado a escala nacional con la Red Española de Estudio de la Tuberculosis Infantil (pTBred). No existió acuerdo unánime sobre la conveniencia o no de retirar la medicación antituberculosa (AU)
Herpetic meningoencephalitis and tuberculous meningitis are two severe infectious diseases affecting the central nervous system. In both cases, prognosis depends on early treatment. A four years old girl is presented as a complex clinical case. Symptoms and complementary tools were not enough to differentiate both infections. Only herpes simplex virus type 1 was confirmed in cerebrospinal fluid. However, to complete TB treatment was the final therapy decision. The case was nationally discussed with the Spanish Pediatric TB Research Network (pTBred). No unanimous agreement on whether or not to remove the TB medication was reached (AU)
Subject(s)
Humans , Female , Child, Preschool , Encephalitis, Herpes Simplex/diagnosis , Tuberculosis, Meningeal/diagnosis , Cerebrospinal Fluid/microbiology , Coinfection/complications , Central Nervous System Infections/microbiology , Antitubercular Agents/therapeutic useABSTRACT
El objetivo de este artículo es revisar la terminología que describe las alteraciones morfológicas del disco intervertebral para lograr unificar entre radiólogos y especialistas médico-quirúrgicos el tipo, la localización y la gravedad de dichas alteraciones. Es crucial emplear una terminología simplificada, estandarizada y unificada, para que exista un adecuado entendimiento no solamente entre los especialistas en Radiodiagnóstico, sino también con las distintas especialidades a las que van dirigidos los informes radiológicos (Traumatología y Neurocirugía fundamentalmente). Esta terminología ayudará a hacer un diagnóstico más preciso y a un mejor manejo del paciente(AU)
This article reviews the terminology used to describe morphological alterations in the intervertebral discs. Radiologists must be able to communicate information about the type, location, and severity of these alterations to medical and surgical clinicians. It is crucial to use simple, standard, and unified terminology to ensure comprehension not only among radiologists but also with professionals from the different specialties for whom the radiology reports are written (fundamentally traumatologists and neurosurgeons). This terminology will help ensure a more accurate diagnosis and better patient management(AU)
Subject(s)
Humans , Male , Female , Terminology as Topic , Intervertebral Disc/pathology , Intervertebral Disc , Intervertebral Disc Degeneration , Hernia , Magnetic Resonance Imaging/instrumentation , Magnetic Resonance Imaging/methods , Intervertebral Disc Displacement , Intervertebral Disc/anatomy & histology , Intervertebral Disc/physiologyABSTRACT
This article reviews the terminology used to describe morphological alterations in the intervertebral discs. Radiologists must be able to communicate information about the type, location, and severity of these alterations to medical and surgical clinicians. It is crucial to use simple, standard, and unified terminology to ensure comprehension not only among radiologists but also with professionals from the different specialties for whom the radiology reports are written (fundamentally traumatologists and neurosurgeons). This terminology will help ensure a more accurate diagnosis and better patient management.
