RESUMO
Symptomatic pleural collection of cerebrospinal fluid is a rare but accepted complication in hydrocephalic paediatric patients treated with ventriculopleural shunts. Few cases have been described in adults, usually as complication of trauma, tumours or spinal surgery, particularly post-laminectomy. It should be considered in the differential diagnosis of pleural effusion after neurosurgical procedures involving the spine. We describe two patients with large cerebrospinal fluid collections in the pleural cavity caused by postoperative duropleural fistula, who presented with neurological symptoms, cerebrospinal fluid pressure headache and meningitis.
Assuntos
Dura-Máter , Fístula/complicações , Fístula/diagnóstico , Doenças do Sistema Nervoso/etiologia , Doenças Pleurais/complicações , Doenças Pleurais/diagnóstico , Derrame Pleural/etiologia , Dura-Máter/diagnóstico por imagem , Feminino , Fístula/diagnóstico por imagem , Transtornos Neurológicos da Marcha/etiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Parestesia/etiologia , Ácido Pentético , Doenças Pleurais/diagnóstico por imagem , Tomografia por Emissão de Pósitrons , Compostos Radiofarmacêuticos , Pentetato de Tecnécio Tc 99mRESUMO
Five subjects with TMJ dysfunction showed difficulty in making reproducible mandibular border movements as recorded by a pantograph. These subjects were treated with occlusal bite splints, and muscle activity was studied by electromyography. After one month of treatment, most subjects showed relief of clinical symptoms and improved EMG muscular activity. Most of the subjects' mandibular movements did not improve to the point of making reproducible border movements on a pantograph. The length of time and the type of treatment may have had a significant effect on the results. This should be investigated further.
