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Encefalomielitis aguda diseminada de presentación atípica: utilidad de la biopsia estereotáctica para su diagnóstico. Caso clínico / Diagnosis of acute disseminated encephalomyelitis using a stereotaxic biopsy: Report of one case
Vázquez S., Pedro; Reccius M., Andrés; Díaz S., Mario; Sáez U., Lía; Orellana P., Patricia; Valdés W., Cristián; Díaz T., Violeta.
Affiliation
  • Vázquez S., Pedro; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Reccius M., Andrés; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Díaz S., Mario; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Sáez U., Lía; Universidad de Chile. Hospital Clínico. Departamento de Anatomía Patológica. Santiago. CL
  • Orellana P., Patricia; Universidad de Chile. Hospital Clínico. Departamento de Imagenología. Santiago. CL
  • Valdés W., Cristián; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
  • Díaz T., Violeta; Universidad de Chile. Hospital Clínico. Departamento de Neurología-Neurocirugía. Santiago. CL
Rev. méd. Chile ; 134(7): 883-886, jul. 2006. ilus
Article in Es | LILACS | ID: lil-434590
Responsible library: BR1.1
RESUMO
We report a 15 year-old female presenting with behavioral disturbances, headache, left hemiparesis and paresis of the vertical gaze. CAT scan and magnetic resonance showed an involvement of right thalamus, third ventricle and medial temporal lobe suggesting an encephalitis or lymphoma. 201Thalium SPECT suggested a lymphoma. A stereotaxic biopsy showed a subacute demyelinizing lesion, compatible with an acute disseminated encephalomyelitis. The patient was treated with Methylprednisolone with resolution of symptoms. She remains in good condition after one year of follow-up.
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Full text: 1 Index: LILACS Main subject: Encephalomyelitis, Acute Disseminated Type of study: Diagnostic_studies Limits: Adolescent / Female / Humans Language: Es Journal: Rev. méd. Chile Journal subject: MEDICINA Year: 2006 Type: Article
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Full text: 1 Index: LILACS Main subject: Encephalomyelitis, Acute Disseminated Type of study: Diagnostic_studies Limits: Adolescent / Female / Humans Language: Es Journal: Rev. méd. Chile Journal subject: MEDICINA Year: 2006 Type: Article