RESUMEN
INTRODUCTION: A case of accumulation of CSF into the brain parenchyma simulating a brain tumor, secondary to an obstructed ventriculoperitoneal shunt, is presented. Until now, only seven cases of this rare complication have been described. CASE REPORT: Magnetic resonance showed an expansive, low-density intracranial lesion on the right frontal and parietal lobe. This mass was biopsied, but no tumor was found and the diagnosis was brain edema. CONCLUSION: The mistake in the diagnosis was due to the clinical symptoms and to the MR images.
Asunto(s)
Edema Encefálico/etiología , Líquido Cefalorraquídeo , Hidrocefalia/cirugía , Imagen por Resonancia Magnética , Complicaciones Posoperatorias/etiología , Derivación Ventriculoperitoneal/instrumentación , Edema Encefálico/diagnóstico , Edema Encefálico/cirugía , Neoplasias Encefálicas/diagnóstico , Líquido Cefalorraquídeo/fisiología , Niño , Cuerpo Calloso/patología , Diagnóstico Diferencial , Falla de Equipo , Lóbulo Frontal/patología , Lóbulo Frontal/cirugía , Humanos , Hipertensión Intracraneal/diagnóstico , Hipertensión Intracraneal/etiología , Hipertensión Intracraneal/cirugía , Masculino , Examen Neurológico , Lóbulo Parietal/patología , Lóbulo Parietal/cirugía , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/cirugía , Reoperación , Tercer Ventrículo/patologíaRESUMEN
We report on the case of a 50-year old woman with two intracranial meningiomas and two spinal ones. All were diagnosed at the same time and there were no signs of neurofibromatosis. Multiple meningiomas in different neural spaces are extremely rare, and even rarer is the simultaneous diagnosis of separate coincident lesions. The literature in this regard is reviewed.