RESUMO
We present the case of a 70-year-old patient presented to our institution for paresthesia of the right hemiface associated with dysarthria in aggravation since 1 year. He was diagnosed with right trigeminal melanoma metastasis. This case is characterized by a thickening of the right trigeminal nerve from his cisternal segment to his mandibular branch V3. MRI demonstrated an intensive perineural spread by a melanotic melanoma.
Assuntos
Neoplasias dos Nervos Cranianos/patologia , Neoplasias dos Nervos Cranianos/secundário , Imageamento por Ressonância Magnética/métodos , Melanoma/patologia , Melanoma/secundário , Doenças do Nervo Trigêmeo/patologia , Idoso , Quimiorradioterapia , Neoplasias dos Nervos Cranianos/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Melanoma/terapia , Resultado do Tratamento , Doenças do Nervo Trigêmeo/cirurgiaRESUMO
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.
Assuntos
Descompressão Cirúrgica/métodos , Encefalite por Herpes Simples/cirurgia , Idoso , Edema Encefálico/diagnóstico por imagem , Edema Encefálico/etiologia , Cognição , Feminino , Seguimentos , Marcha , Humanos , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.