RESUMO
The postoperative period after craniopharyngioma surgery has a high likelihood of complications and its management can be challenging. We present the case of a 10-year-old boy who was operated for craniopharyngioma. In the postoperative period he developed lacunar infarct, endocrine disturbances, delayed vasospasm leading to cerebral infarction and status epilepticus. The likely cause of status epilepticus was likely delayed cerebral infarction compounded with dyselectrolytemia. We discuss the possible etiology of delayed cerebral infarction.
Assuntos
Craniofaringioma , Neoplasias Hipofisárias , Estado Epiléptico , Infarto Cerebral , Criança , Craniofaringioma/cirurgia , Humanos , Masculino , Neoplasias Hipofisárias/cirurgia , Complicações Pós-Operatórias/etiologia , Estado Epiléptico/etiologiaRESUMO
A case of pure epidural cavernous angioma involving the dorsal region of the spine is presented. The clinical picture was of a slowly progressive compressive myelopathy. Imaging studies only showed a dorsally located epidural mass lesion. Histology confirmed the diagnosis of this rare type of lesion. The patient improved after excision of the lesion.
Assuntos
Neoplasias Epidurais/patologia , Hemangioma Cavernoso do Sistema Nervoso Central/patologia , Doenças da Medula Espinal/patologia , Neoplasias Epidurais/complicações , Neoplasias Epidurais/cirurgia , Hemangioma Cavernoso do Sistema Nervoso Central/complicações , Hemangioma Cavernoso do Sistema Nervoso Central/cirurgia , Humanos , Laminectomia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Doenças da Medula Espinal/complicações , Doenças da Medula Espinal/cirurgiaRESUMO
Beetles (Coleoptera) have been recognised as providing significant entomological evidence in the medico-legal field, particularly with reference to dry human skeletal remains in the later stages of decomposition. The Dermestidae (skin beetles) and Cleridae (bone beetles) have been found as the most common types infesting exposed human remains and providing evidence in estimating the minimum postmortem interval (PMI).
Assuntos
Besouros/classificação , Medicina Legal/métodos , Mudanças Depois da Morte , Adulto , Animais , Besouros/crescimento & desenvolvimento , Feminino , Humanos , Estágios do Ciclo de Vida , Masculino , Fatores de TempoRESUMO
A 'burning' topic in India is the burn deaths of young females. Such a way of ending life is peculiarly common in our country. Many young newly married females die from burn injuries, the most common reasons given in post-mortem reports therefore being that she caught a light (a) while cooking; (b) after an oil explosion in a stove; or (c) when a chimney fell on her at night. These are the usual explanations given in post-mortem requisition documents furnished by the police, but on enquiry from relatives and neighbours many were found not to be true. The article discusses the methods to be used in medicolegal investigations of burn deaths, summarizes statistics gleaned from police records of deaths by burning, especially those of 16- to 25-year-old newly married women, criticizes the blind acceptance of dying declarations by the courts, and highlights the magnitude of these problems.