RESUMEN
Extensive en plaque intradural extramedullary tuberculomas can occur as a paradoxical response to chemotherapy for intracranial tuberculomas. We report a case of 31-year-old male who presented with backache and progressive weakness and urgency of micturition. Magnetic resonance imaging dorsolumbar spine which showed an ill-defined T1 hypointense and T2 heterointense lesion noted posterior to the thoracic spinal cord, extending from C7 to D5 vertebral levels suggestive of en plaque meningioma. The patient underwent D1-D5 laminectomy, with subtotal debulking of the tumor. The histopathological examination of lesion was suggestive of granulomatous inflammation with multinucleated and Langhan type giant cells confirming the diagnosis of tuberculoma.
Asunto(s)
Fallo Renal Crónico , Músculo Cuádriceps/lesiones , Traumatismos de los Tendones/diagnóstico , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana Edad , Músculo Cuádriceps/cirugía , Rotura Espontánea/diagnóstico , Rotura Espontánea/diagnóstico por imagen , Rotura Espontánea/cirugía , Traumatismos de los Tendones/diagnóstico por imagen , Traumatismos de los Tendones/cirugía , Tomografía Computarizada por Rayos XAsunto(s)
Discinesias/fisiopatología , Hipertrofia/fisiopatología , Imagen por Resonancia Magnética , Malformaciones del Sistema Nervioso/fisiopatología , Núcleo Olivar/patología , Discinesias/diagnóstico por imagen , Humanos , Hipertrofia/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Malformaciones del Sistema Nervioso/diagnóstico por imagen , Neuroimagen , Paladar Blando/fisiopatología , Lengua/fisiopatologíaAsunto(s)
Enfermedades Neurodegenerativas/etiología , Enfermedades Neurodegenerativas/patología , Núcleo Olivar/diagnóstico por imagen , Accidente Cerebrovascular/complicaciones , Adulto , Humanos , Hipertrofia/etiología , Hipertrofia/patología , Imagen por Resonancia Magnética , Masculino , Arteria Cerebral Posterior/fisiopatología , Accidente Cerebrovascular/diagnóstico por imagenRESUMEN
Acute cerebellitis (AC) is a rare inflammatory syndrome presenting as cerebellar dysfunction, seen more frequently in children. AC can have a variable course with features of cerebellar dysfunction, raised intracranial pressure and neurological deficits, and can sometimes even be potentially fatal due to complications such as obstructive hydrocephalus and brainstem compression, warranting surgical intervention. We report a case of a 12-year-old boy who presented with raised intracranial pressure and ataxia. Imaging with CT and MRI showed AC with obstructive hydrocephalus and tonsillar herniation. He was managed with medications for raised intracranial pressure and with ventriculoperitoneal shunt, and he recovered completely over a period of 2 weeks. Imaging has an important role in the diagnosis of AC and in differentiating it from acute cerebellar ataxia, which has a more benign course. It is crucial to diagnose and promptly manage the rarely occurring but life-threatening complications of AC.