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1.
Arq Neuropsiquiatr ; 53(4): 837-40, 1995 Dec.
Artículo en Portugués | MEDLINE | ID: mdl-8729785

RESUMEN

A case of chondromyxoid fibroma (CMF) arising from the 5th right costovertebral junction and spreading into spinal canal causing spinal cord compression is presented. A myelotomography revealed a complete block at T5 level. The patient underwent a decompressive laminectomy with removal of an epidural tumor. This specimen was sent for pathological examination and interpreted as a CMF. The patient had a neurological improvement, post operative MRI revealed a spinal cord free of compression, and we decided on the follow up of the case. Two years later there was recurrence of the tumor. A posterolateral access by costotransversectomy was made and the lesion was resected. The patient had a neurological improvement which persists on the follow up (two years, at present). Clinical, radiologic and histologic findings, surgical management and recurrence are discussed. The pertinent literature is reviewed.


Asunto(s)
Condroblastoma/complicaciones , Compresión de la Médula Espinal/etiología , Neoplasias de la Médula Espinal/complicaciones , Adulto , Condroblastoma/cirugía , Femenino , Estudios de Seguimiento , Humanos , Laminectomía , Neoplasias de la Médula Espinal/cirugía
2.
Rev Inst Med Trop Sao Paulo ; 34(6): 587-91, 1992.
Artículo en Portugués | MEDLINE | ID: mdl-1342129

RESUMEN

Three new cases of human infection with Lagochilascaris minor are reported. All the patients were from the state of Pará (Brazil), living in rural areas or close to the forest. They were admitted to hospitals in the Federal District due to the presence of abscesses in the region of the neck, ear, mastoid process and, in two of them, to the involvement also of the central nervous system. Microscopic examination of tissue samples taken from the lesions showed sections of eggs and worms--in different evolutive stages--identified as Lagochilascaris minor. Larvae and adult worms obtained from existing fistulae proved also to be of the same species. The three patients were treated with anthelmintic drugs and surgical excision of the lesions, with good clinical results. In two of them, however, relapsing occurred, suggesting that the drugs do not destroy the worm eggs, in spite of the apparent healing of the lesions.


Asunto(s)
Infecciones por Nematodos/patología , Adolescente , Adulto , Animales , Antinematodos/administración & dosificación , Brasil , Niño , Terapia Combinada , Quimioterapia Combinada , Femenino , Humanos , Nematodos/aislamiento & purificación , Infecciones por Nematodos/tratamiento farmacológico , Infecciones por Nematodos/parasitología , Infecciones por Nematodos/cirugía , Recurrencia
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