RESUMO
An 83-year-old man reported falling and bumping his right lateral forehead on the ground 3 weeks previously. Physical examination revealed a soft, reddish swelling on the lateral forehead. Computed tomography confirmed a hematoma of the right lateral forehead. On the seventh hospital day, the swelling showed slight enlargement. Re-examination revealed a pulsatile mass with a palpable thrill and systolic bruit. Doppler echo showed pulsation of the swelling, which disappeared with compression of the anterior branch of the superficial temporal artery (STA). Surgical exploration was performed, and the pseudoaneurysm was resected. Pathological findings confirm a pseudoaneurysm.
Assuntos
Acidentes por Quedas , Falso Aneurisma/diagnóstico , Traumatismos Craniocerebrais/diagnóstico , Artérias Temporais/lesões , Idoso de 80 Anos ou mais , Falso Aneurisma/etiologia , Falso Aneurisma/cirurgia , Traumatismos Craniocerebrais/etiologia , Traumatismos Craniocerebrais/cirurgia , Seguimentos , Humanos , Masculino , Procedimentos Neurocirúrgicos/métodos , Medição de Risco , Artérias Temporais/cirurgia , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Ultrassonografia DopplerRESUMO
Malignant rhabdoid tumor (MRT) is a rare and highly aggressive tumor that primarily occurs in very young children. We report here a patient with a primary MRT of the orbit who received tandem high-dose chemotherapy and gamma-knife radiosurgery. Although the tumor was not completely removed, and the initial chemotherapy failed, the patient achieved long-term survival after this modality of treatment. This approach may be one to be further considered in patients with MRT.