RESUMO
Radiation myelopathy is a well-known complication of irradiation therapy of neoplasms in the vicinity of the spinal cord. In the case presented myelopathy developed after therapeutic Co 60 irradiation of lingual carcinoma on the background of spinal vasculo-dysraphic malformation. The pathogenetic mechanism of necrotic myelopathy in this case is discussed.
Assuntos
Malformações Arteriovenosas/patologia , Carcinoma de Células Escamosas/radioterapia , Músculo Liso Vascular/efeitos da radiação , Medula Espinal/efeitos da radiação , Neoplasias da Língua/radioterapia , Atrofia , Carcinoma de Células Escamosas/patologia , Radioisótopos de Cobalto/efeitos adversos , Feminino , Humanos , Meninges/irrigação sanguínea , Meninges/patologia , Meninges/efeitos da radiação , Pessoa de Meia-Idade , Músculo Liso Vascular/patologia , Teleterapia por Radioisótopo , Espinha Bífida Oculta/patologia , Medula Espinal/irrigação sanguínea , Medula Espinal/patologia , Neoplasias da Língua/patologiaRESUMO
A 51-year-old man with cerebellar signs and raised intracranial pressure had negative indirect and serological tests for cysticercosis. During operation cysticerci were removed from the cisterna magna, fourth ventricle and aqueduct. Histological examination confirmed the diagnosis of cysticercosis. After operation the condition of the patient deteriorated consciousness disturbances, involuntary movements of the left upper extremity and paraparesis appeared. Only after treatment with Praziquantel with simultaneous administration of oedema-reducing agents nearly complete regression of neurological manifestations was achieved.