Asunto(s)
Enfermedades de las Parótidas/etiología , Ritidoplastia/efectos adversos , Conductos Salivales/lesiones , Anciano , Dilatación Patológica/patología , Disección/efectos adversos , Disección/métodos , Fasciotomía , Femenino , Humanos , Enfermedad Iatrogénica , Músculo Masetero/cirugía , Músculos del Cuello/cirugía , Conductos Salivales/patologíaRESUMEN
A 5-year-old female presented with a history of precocious puberty and increased height. MRI of the brain revealed a nonenhancing hypothalamic mass and associated suprasellar arachnoid cyst. The patient underwent a right frontal craniotomy with orbital osteotomy for wide fenestration of the cyst. Intraoperatively, it was clear the mass represented a hamartoma with a very smooth glistening surface. For this reason, no biopsy of the wall was performed. Postoperatively, the patient remains neurologically intact and without any medication dependence. This case highlights the occurrence of a suprasellar arachnoid cyst in association with a hypothalamic hamartoma.
Asunto(s)
Quistes Aracnoideos/diagnóstico , Hamartoma/diagnóstico , Enfermedades Hipotalámicas/diagnóstico , Quistes Aracnoideos/cirugía , Estatura , Preescolar , Craneotomía , Femenino , Hamartoma/cirugía , Humanos , Enfermedades Hipotalámicas/cirugía , Pubertad Precoz/etiologíaRESUMEN
A 52-year-old woman presented with pain, decreased visual acuity, decreased color vision, and visual field loss in the OD. Fundus examination revealed optic disc edema and later a macular star figure consistent with neuroretinitis. Magnetic resonance imaging showed enhancement of the orbital optic nerve sheath and perineural fat suggestive of optic perineuritis. The patient was not treated. At 11 months, visual function and fundus examination had returned to normal. This unusual simultaneous occurrence of neuroretinitis and optic perineuritis suggests that these two entities may have a similar pathogenesis.