RESUMO
We report a case of antral-mastoid cholesterol granuloma, invading the middle cranial fossa, clinically showing a sudden onset of neurological symptoms. The histopathologic, diagnostic, and therapeutic aspects of this lesion are commented.
Assuntos
Encefalopatias/diagnóstico , Colesterol , Granuloma de Corpo Estranho/diagnóstico , Adulto , Diagnóstico Diferencial , Granuloma de Corpo Estranho/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Processo Mastoide , Tomografia Computadorizada por Raios XRESUMO
Presentamos un caso de granuloma de colesterol antromastoideo con invasión de la fosa craneal media, y con una presentación clínica dominada por los síntomas neurológicos de aparición súbita. Se comentan los aspectos histopatológicos, diagnósticos y terapéuticos del proceso. (AU)
We report a case of antral-mastoid cholesterol granuloma, invading the middle cranial fossa, clinically showing a sudden onset of neurological symptoms. The histopathologic, diagnostic, and therapeutic aspects of this lesion are commented (AU)
Assuntos
Adulto , Masculino , Humanos , Colesterol , Granuloma de Corpo Estranho/diagnóstico , Encefalopatias/diagnóstico , Tomografia Computadorizada por Raios X , Diagnóstico Diferencial , Imageamento por Ressonância MagnéticaRESUMO
Chordomas are dysembryogenic tumors originating from the notochordal process. The case of a 9-month-old male infant with involvement of the ethmoidal sinus and anterior fossa is reported. These tumors are rare in ENT practice and in children arise in the clivus. The diagnosis was made by biopsy, CT and MRI. Surgery is the only effective treatment, with chemotherapy and radiotherapy having little value. The complication and relapse rates are high.
