RESUMO
El neurinoma del acústico es el tumor benigno más frecuente a nivel del ángulo pontocerebeloso (ACP), que provoca lesiones de tipo compresivo en las estructuras cerebrales adyacentes a su recorrido, manifestándose habitualmente por una hipoacusia neurosensorial, acúfenos con o sin vértigo unilaterales, por lo que debe conocerse la amplia variedad clínica con que se presenta desde su inicio, entre ellas como una parálisis facial. Presentamos el caso de un schwannoma vestibular en una embarazada diagnosticado por una parálisis facial periférica
Acoustic neurinoma is the most frequent benign tumour at the cerebellopontile angle. It causes compressive type lesions in adjacent cerebral structures. Its usual symptoms are sensorineural hearing loss and tinnitus with or without unilateral vertigo, which is why we have to know the wide variety of clinical signs it can present from its beginning, including facial palsy. We present the case of a vestibular schwannoma in a pregnant lady diagnosed by a peripheral facial palsy
Assuntos
Humanos , Masculino , Adulto , Neurilemoma/complicações , Neurilemoma/diagnóstico , Paralisia Facial/complicações , Paralisia Facial/diagnóstico , Diagnóstico Diferencial , Perda Auditiva/diagnóstico , Audiometria/métodos , Neurilemoma/patologia , Neurilemoma/terapia , Paresia/complicações , Paresia/diagnósticoRESUMO
Acoustic neurinoma is the most frequent benign tumour at the cerebellopontile angle. It causes compressive type lesions in adjacent cerebral structures. Its usual symptoms are sensorineural hearing loss and tinnitus with or without unilateral vertigo, which is why we have to know the wide variety of clinical signs it can present from its beginning, including facial palsy. We present the case of a vestibular schwannoma in a pregnant lady diagnosed by a peripheral facial palsy.
Assuntos
Neoplasias da Orelha/diagnóstico , Paralisia Facial/diagnóstico , Neuroma Acústico/diagnóstico , Adulto , Diagnóstico Diferencial , Neoplasias da Orelha/patologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Neuroma Acústico/patologiaRESUMO
Fourteen cases of granulomatous mastitis (GM) studied by fine-needle aspiration (FNA) are reviewed and nine cytologic features (necrosis, neutrophil granulocytes, foamy cells, plasma cells, granulomas, epitheloid cells, multinucleated giant cells of foreign body type and Langhans' type, duct cells, and the presence of acid-fast bacilli) are reappraised in a semiquantitative manner. The main objective of this study was to find out if one or more of these features would permit the various granulomatous entities identified in surgical pathology to be separated cytologically. The results suggest that FNA does not permit the various granulomatous lesions identified in surgical pathology to be differentiated, since in this series different entities share a common cytologic pattern. Only the presence of acid fast bacilli in smears would enable a tuberculous etiology to be diagnosed. The opinion is put forward that the term GM should be avoided in the cytologic report and substituted by the noncommitted term "granulomatous lesion of the breast.