RESUMO
The authors present two cases of mutism after posterior fossa surgery. Two patients aged 16 and 5 years old respectively with astrocytoma and medulloblastoma, developed mutism after the operation. Topographic aspects of the condition are discussed and its neurological expression.
Assuntos
Astrocitoma/cirurgia , Neoplasias Encefálicas/cirurgia , Fossa Craniana Posterior/cirurgia , Meduloblastoma/cirurgia , Mutismo/etiologia , Complicações Pós-Operatórias , Adolescente , Astrocitoma/diagnóstico por imagem , Neoplasias Encefálicas/diagnóstico por imagem , Pré-Escolar , Feminino , Humanos , Masculino , Meduloblastoma/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Cerebral metastasis occur in 10 to 20% of patients with choriocarcinoma. We describe the twelfth patient with oncotic aneurysms from choriocarcinoma verified by cerebral angiography. The importance to consider this disease in a woman of childbearing age who develop an intracerebral hemorrhage or a lesion with mass effect is emphasized, as well as laboratial and radiological characteristics. Therapeutic approaches with chemotherapic agents, surgery and irradiation are discussed.
Assuntos
Neoplasias Encefálicas/secundário , Coriocarcinoma/secundário , Aneurisma Intracraniano/etiologia , Neoplasias Uterinas/patologia , Adulto , Neoplasias Encefálicas/complicações , Neoplasias Encefálicas/diagnóstico por imagem , Angiografia Cerebral , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/etiologia , Coriocarcinoma/complicações , Coriocarcinoma/diagnóstico por imagem , Feminino , Humanos , Aneurisma Intracraniano/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Cerebral metastasis occur in 10 to 20% of patients with choriocarcinoma. We describe the twelfth patient with oncotic aneurysms from choriocarcinoma verified by cerebral angiography. The importance to consider this disease in a woman of childbearing age who develop an intracerebral hemorrhage or a lesion with mass effect is emphasized, as well as laboratial and radiological characteristics. Therapeutic approaches with chemotherapic agents, surgery and irradiation are discussed
Assuntos
Humanos , Feminino , Adulto , Neoplasias Encefálicas , Coriocarcinoma , Aneurisma Intracraniano , Neoplasias Uterinas , Neoplasias Encefálicas , Angiografia Cerebral , Hemorragia Cerebral , Coriocarcinoma , Aneurisma Intracraniano , Tomografia Computadorizada por Raios XRESUMO
The authors report three cases of Landry-Guillain-Barré-Strohl syndrome successfully treated by plasma exchange--the only cases in the Brazilian State of Rio Grande do Sul. The authors go through a brief literature revision and discuss more thoroughly the plasma exchange procedure, establishing criteria for its indication.
