RESUMO
Capillary hemangiomas are considered benign vascular tumours. Two-thirds of hemangiomas occur in the head and neck region. They commonly originate from the vascular networks around the geniculate ganglion. They are underdiagnosed because there are a great many diseases with similar clinical and radiologic signs. Therefore, the histological exam is definitive for diagnosis.
Assuntos
Neoplasias da Orelha/diagnóstico , Orelha Média , Hemangioma Capilar/diagnóstico , Idoso , Humanos , MasculinoRESUMO
OBJECTIVE: To report an unusual case of significant neurological recovery in a 26-year-old growth hormone-deficient female patient with significant neurological sequelae resulting from brain surgery at 11 years of age. DESIGN: Case report. RESULTS: Most of the neurological sequelae present at admission recovered after 8 months of combined growth hormone administration and kinesitherapy/speech therapy. These include an increase in tongue size and mobility and in the amount and quality of saliva, improvement in vocal cords function, recovery of oesophageal peristalsis and disappearance of sleep apnoea. CONCLUSION: Since the patient had undergone intensive physical rehabilitation for a 15-year period with no significant improvement, it is tempting to speculate that the correction of growth hormone deficiency improved her rehabilitation. Therefore, we propose that growth hormone treatment, combined with the adequate kinesitherapy, may be a useful therapy for effective recovery from some neurological deficits in patients with growth hormone deficiency.
Assuntos
Astrocitoma/cirurgia , Neoplasias Encefálicas/cirurgia , Traumatismos dos Nervos Cranianos/reabilitação , Hormônio do Crescimento/deficiência , Complicações Pós-Operatórias/reabilitação , Paralisia das Pregas Vocais/reabilitação , Adulto , Criança , Traumatismos dos Nervos Cranianos/etiologia , Esôfago/fisiopatologia , Terapia por Exercício , Feminino , Hormônio do Crescimento Humano/uso terapêutico , Humanos , Complicações Pós-Operatórias/etiologia , Fonoterapia , Língua/patologia , Língua/fisiopatologia , Paralisia das Pregas Vocais/etiologiaRESUMO
Paragangliomas are neuroendocrine tumors. The thyroid gland is one of the anatomic sites in which paraganglia are not normally located and are exceptionally rare. We report a case of a 36-year-old Hispanic woman with a soft mass measuring about 30 mm in the right thyroid lobe. Patient was operated on and the neoplasm showed microscopically a typical nesting organoid pattern (zellballen). The inmunohistochemical analysis revealed that the tumor showed strongly and diffuse stain for NSE, Synaptophysin, Chromogranin A, and S-100 protein in the sustentacular cells, whereas no inmunoreactivity was detected with antibodies against thyroglobulin, calcitonin, TTF-1, CEA, and AE1-AE3. The MIB-1 labeling showed 7% of neoplastic cells. Head and neck paragangliomas usually develop slowly, and this tumor exhibited a low proliferative activity. In view of the uncertain malignant potential of paragangliomas, we recommended a careful long-term follow-up.