RESUMO
Skull base tumour is rare and until recently was considered unresectable. The authors present a patient with skull base tumour of extra and intracranial compartment penetrating into parapharyngeal space and maxillary bone. Radiologic findings on CT, MRI, arteriography were studied. A surgical technique to expose the cranial base and intraoperative findings are described. Significant improvement occurred after incomplete tumour resection.
Assuntos
Neoplasias Maxilares/cirurgia , Neoplasias Faríngeas/cirurgia , Neoplasias da Base do Crânio/cirurgia , Adulto , Angiografia , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias Maxilares/diagnóstico , Invasividade Neoplásica , Neoplasias Faríngeas/diagnóstico , Neoplasias da Base do Crânio/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
A pregnant woman with cerebral tumour of right hemisphere is reported. In the 30th week of pregnancy intracranial pressure was increased and imminent premature delivery were diagnosed. The patient was operated on for cerebral tumour and immediately after this cesarean section was performed. We conclude that in this case neurosurgical operation followed by cesarean section saved the life of the mother and child.
Assuntos
Neoplasias Encefálicas/diagnóstico , Trabalho de Parto Prematuro , Adulto , Neoplasias Encefálicas/cirurgia , Feminino , Humanos , Gravidez , Tomografia Computadorizada por Raios XRESUMO
Seventy-three patients were treated due to cranio-cerebral junction disorders between 1980 and 1993. All patients were categorized into three groups depending on the disorder type: congenital (38%), traumatic (47%), or neoplastic (15%). In every group character of the lesion, neurological symptoms and indications for surgical or conservative management were analyzed. The outcome was following: neurological status was improved in 24 cases, in 30 cases the condition was stabilized, progressed in 18 cases and 1 patient died.
