ABSTRACT
We present the case of a 70-year-old patient presented to our institution for paresthesia of the right hemiface associated with dysarthria in aggravation since 1 year. He was diagnosed with right trigeminal melanoma metastasis. This case is characterized by a thickening of the right trigeminal nerve from his cisternal segment to his mandibular branch V3. MRI demonstrated an intensive perineural spread by a melanotic melanoma.
Subject(s)
Cranial Nerve Neoplasms/pathology , Cranial Nerve Neoplasms/secondary , Magnetic Resonance Imaging/methods , Melanoma/pathology , Melanoma/secondary , Trigeminal Nerve Diseases/pathology , Aged , Chemoradiotherapy , Cranial Nerve Neoplasms/surgery , Diagnosis, Differential , Humans , Male , Melanoma/therapy , Treatment Outcome , Trigeminal Nerve Diseases/surgeryABSTRACT
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.
Subject(s)
Decompression, Surgical/methods , Encephalitis, Herpes Simplex/surgery , Aged , Brain Edema/diagnostic imaging , Brain Edema/etiology , Cognition , Female , Follow-Up Studies , Gait , Humans , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.
