RESUMEN
Neuroblastoma is the most common intraspinal solid tumor of childhood. Neurological deterioration due to an intratumoral hemorrhage following a spinal puncture is extremely rare. We report on the case of a 23-day-old neonate who was admitted to our institution for the onset of a paraplegia following a diagnostic lumbar puncture. The MRI showed an epidural tumor with massive intratumoral hemorrhage. Operatively and with histologic confirmation, the mass was determined to be a neuroblastoma. Following surgery, neurological function improved.
Asunto(s)
Neuroblastoma/congénito , Neuroblastoma/diagnóstico , Paraplejía/etiología , Neoplasias de la Médula Espinal/congénito , Neoplasias de la Médula Espinal/diagnóstico , Punción Espinal/efectos adversos , Humanos , Recién Nacido , Masculino , Neuroblastoma/complicaciones , Neoplasias de la Médula Espinal/complicacionesRESUMEN
Intraosseous cavernous hemangiomas of the skull are rare. Meningiomas are quite frequently encountered in a neurosurgical practice. The association between these two entities is nevertheless very uncommon. The authors present a case of a 72-year-old woman suffering from headache. The MRI showed a parietal meningioma with adjacent thick bone. The meningioma and the bone were removed. The histological examination confirmed the diagnosis of meningioma and revealed a cavernoma of the skull. The relationship between the lesions suggests more than a coincidental association. Several hypotheses are proposed to explain common causal connections.