RESUMO
BACKGROUND: Dural presentation of a cavernous hemangioma is a rare occurrence. Classically an intraparenchymal lesion with varying symptomatology including mostly headaches, seizures, and neurologic deficits depending on its location, a few cases have been reported along the convexity of the brain, even less eroding the calvaria, with none occasioning abnormal movements as the initial presentation. CASE DESCRIPTION: This is a case of a 67-year-old male who presented to the clinic for atypical progressive choreiform movements of the right side of his body and a soft subgaleal mass. Radiographic imaging showed a parietal tumor with intradural and extradural invasion mimicking a meningioma, which does not provide, given its location, a clear explanation of the symptoms. A craniotomy was performed on 29 January, 2018, during which the tumor was resected along with the invaded dura mater and calvaria. CONCLUSIONS: A pathology report was positive for cavernous hemangioma, an unexpected diagnosis based on the tumor's characteristics. After surgery, the patient recovered completely without residual symptoms, suggesting a compressive mass effect causing the atypical movement disorders.
Assuntos
Neoplasias Encefálicas/complicações , Coreia/etiologia , Hemangioma Cavernoso do Sistema Nervoso Central/complicações , Idoso , Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/patologia , Neoplasias Encefálicas/cirurgia , Dura-Máter/diagnóstico por imagem , Dura-Máter/cirurgia , Hemangioma Cavernoso do Sistema Nervoso Central/diagnóstico por imagem , Hemangioma Cavernoso do Sistema Nervoso Central/patologia , Hemangioma Cavernoso do Sistema Nervoso Central/cirurgia , Humanos , Masculino , Invasividade Neoplásica , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/cirurgia , Crânio/diagnóstico por imagem , Crânio/patologia , Crânio/cirurgiaAssuntos
Histiocitose de Células de Langerhans/patologia , Leucemia Mieloide Aguda/patologia , Segunda Neoplasia Primária/patologia , Idoso de 80 Anos ou mais , Antineoplásicos/uso terapêutico , Cromossomos Humanos Par 8/genética , Citarabina/uso terapêutico , Humanos , Leucemia Mieloide Aguda/tratamento farmacológico , Leucemia Mieloide Aguda/genética , Masculino , TrissomiaRESUMO
We report the unusual occurrence of 3 cases of Laugier-Hunziker syndrome in the same family.
Assuntos
Hiperpigmentação/genética , Doenças da Boca/genética , Linhagem , Síndrome de Peutz-Jeghers/diagnóstico , Língua/patologia , Adulto , Biópsia por Agulha , Diagnóstico Diferencial , Feminino , Doenças Genéticas Inatas/diagnóstico , Humanos , Hiperpigmentação/patologia , Imuno-Histoquímica , Pessoa de Meia-Idade , Doenças da Boca/patologia , Mucosa Bucal/patologia , SíndromeRESUMO
We report on a 19-year-old man with a spinal cord compression secondary to granulocytic sarcoma (GS) as the initial presentation of a chronic myelogenous leukemia (CML). Blastic crisis developed two months later. According to our case report and to the literature, the diagnosis of GS could predict a rapid progression to blastic phase.
