Assuntos
Dominância Cerebral , Lateralidade Funcional , Criança , Educação Infantil , Pré-Escolar , Humanos , Fala , RedaçãoRESUMO
The authors present 15 observations of a medullary syndrome of the non-syringomelic type, in patients with Arnold-Chiari's malformation (type I; 13 times - type II; twice), verified surgically, and without severe malformations of the occipito-vertebral articulation. Brown-Sequard's disease was present in 6 cases, subacute combined degeneration in 2 cases, and pyramidal lesions were very predominant in two other cases. The last 5 cases had cordonal signs associated with signs of disturbance of the anterior horns in the medulla, affecting all four limbs, and more especially the lower limbs. In four cases the medullary cavity was exposed, and in two cases extended along the whole length of the cord up to the terminal cone. The literature is reviewed and diagnostic and pathogenic problems raised by these myelopathies are discussed. They merit systematic investigation.
Assuntos
Malformação de Arnold-Chiari/complicações , Doenças da Medula Espinal/complicações , Diagnóstico Diferencial , Humanos , Doenças da Medula Espinal/diagnóstico , SíndromeAssuntos
Amiodarona/efeitos adversos , Benzofuranos/efeitos adversos , Doenças do Sistema Nervoso/induzido quimicamente , Perexilina/efeitos adversos , Piperidinas/efeitos adversos , Angina Pectoris/tratamento farmacológico , Proteínas do Líquido Cefalorraquidiano/análise , Eletromiografia , Humanos , Corpos de Inclusão/ultraestrutura , Metabolismo dos Lipídeos , Microscopia Eletrônica , Transtornos dos Movimentos/induzido quimicamente , Músculos/patologia , Doenças do Sistema Nervoso/patologia , Parestesia/induzido quimicamente , Nervos Periféricos/patologia , Doenças do Sistema Nervoso Periférico/induzido quimicamente , Pigmentos Biológicos/metabolismo , Polirradiculoneuropatia/induzido quimicamente , Células de Schwann/ultraestrutura , Pele/patologia , Tremor/induzido quimicamenteRESUMO
The authors present three cases of multiple, intra-cranial meningiomatosis with contact hyperostosis affecting the grandmother, mother and daughter, in a very stereotypic manner. No other sign of von Recklinghausen's disease was noted, except for two tiny neurofibromas on the left hand in the mother. Only the latter suffered from bilateral deafness, but it was not possible to give definite proof of the presence of an acoustic neuroma in this patient. Anatomical verification in the first case, and surgical intervention in the last, confirmed that it was in fact a meningioma. Thus, a new clinical form of expression of neuro-fibromatosis has been found.