RESUMO
Epidermal cysts of parapharyngeal location are very unusual tumors, with a benign character, though when they reach a great size, adjacent zones and vascular and nervous structures of great importance can be affected. We are going to describe the clinical aspects of this case, the instructions and the surgical approach used: the Fabre inferior and internal jaw approach of the lateropharingeal space and infrasphenotemporal fossa, which avoids the aesthetics and functional aftereffects of other more common approaches.
Assuntos
Cisto Epidérmico , Doenças Faríngeas , Cisto Epidérmico/diagnóstico , Cisto Epidérmico/cirurgia , Humanos , Pessoa de Meia-Idade , Doenças Faríngeas/diagnóstico , Doenças Faríngeas/cirurgiaRESUMO
Los quistes epidermoides de localización parafaríngea son tumores muy infrecuentes, de carácter benigno, aunque cuando alcanzan un gran tamaño, pueden afectar a zonas vecinas y comprometer a estructuras vasculares y nerviosas de gran importancia. Presentamos las características clínicas de un caso, así como las indicaciones y la técnica quirúrgica empleada: abordaje inferior y mandibular interno de Fabre de la región laterofaríngea y fosa infraesfenotemporal, que evita las secuelas estéticas y funcionales de otras vías más utilizadas (AU)
Epidermal cysts of parapharyngeal location are very unusual tumors, with a benign character, though when they reach a great size, adjacent zones and vascular and nervous structures of great importance can be affected. We are going to describe the clinical aspects of this case, the instructions and the surgical approach used: the Fabre inferior and internal jaw approach of the lateropharingeal space and infrasphenotemporal fossa, which avoids the aesthetics and functional aftereffects of other more common approaches (AU)
Assuntos
Pessoa de Meia-Idade , Humanos , Doenças Faríngeas/diagnóstico , Cisto Epidérmico/diagnóstico , Doenças Faríngeas/cirurgia , Cisto Epidérmico/cirurgiaRESUMO
We report a case of rhombencephalitis with meningitis in a 36-years-old previously healthy man; neurological signs and symptoms were initially consistent with a diagnosis of Wallenberg syndrome. Analysis of cerebrospinal fluid showed predominantly lymphocytic pleocytosis and elevated protein levels. A CT brain scan was normal. MRI of the brain showed a hypertensive type lesion in T2, in the right pontomedullary region that suggested inflammation. A blood culture grew Listeria monocytogenes. The patient improved and fully recovered with appropriate antibiotic treatment. Listeria monocytogenes is a recognized cause of acute brainstem meningoencephalitis. Differential diagnoses that must be considered are other forms of purulent meningitis, viral meningoencephalitis, granulomatosis infections of the central nervous system and, occasionally, stroke.
Assuntos
Síndrome Medular Lateral/diagnóstico , Síndrome Medular Lateral/etiologia , Listeria monocytogenes/isolamento & purificação , Meningites Bacterianas/complicações , Meningites Bacterianas/microbiologia , Rombencéfalo/microbiologia , Adulto , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios XRESUMO
Se detalla un estudio de pacientes sometidos a cirugía biliar y referente a la litiasis residual, en cuanto a su incidencia, profilaxis y terapéutica compleja que motivó a revisar la experiencia de los autores en esa patología (AU)
Assuntos
Humanos , Masculino , Feminino , Cálculos Biliares/cirurgiaRESUMO
Se detalla un estudio de pacientes sometidos a cirugía biliar y referente a la litiasis residual, en cuanto a su incidencia, profilaxis y terapéutica compleja que motivó a revisar la experiencia de los autores en esa patología