Assuntos
Doenças Parotídeas/etiologia , Ritidoplastia/efeitos adversos , Ductos Salivares/lesões , Idoso , Dilatação Patológica/patologia , Dissecação/efeitos adversos , Dissecação/métodos , Fasciotomia , Feminino , Humanos , Doença Iatrogênica , Músculo Masseter/cirurgia , Músculos do Pescoço/cirurgia , Ductos Salivares/patologiaRESUMO
A 5-year-old female presented with a history of precocious puberty and increased height. MRI of the brain revealed a nonenhancing hypothalamic mass and associated suprasellar arachnoid cyst. The patient underwent a right frontal craniotomy with orbital osteotomy for wide fenestration of the cyst. Intraoperatively, it was clear the mass represented a hamartoma with a very smooth glistening surface. For this reason, no biopsy of the wall was performed. Postoperatively, the patient remains neurologically intact and without any medication dependence. This case highlights the occurrence of a suprasellar arachnoid cyst in association with a hypothalamic hamartoma.
Assuntos
Cistos Aracnóideos/diagnóstico , Hamartoma/diagnóstico , Doenças Hipotalâmicas/diagnóstico , Cistos Aracnóideos/cirurgia , Estatura , Pré-Escolar , Craniotomia , Feminino , Hamartoma/cirurgia , Humanos , Doenças Hipotalâmicas/cirurgia , Puberdade Precoce/etiologiaRESUMO
A 52-year-old woman presented with pain, decreased visual acuity, decreased color vision, and visual field loss in the OD. Fundus examination revealed optic disc edema and later a macular star figure consistent with neuroretinitis. Magnetic resonance imaging showed enhancement of the orbital optic nerve sheath and perineural fat suggestive of optic perineuritis. The patient was not treated. At 11 months, visual function and fundus examination had returned to normal. This unusual simultaneous occurrence of neuroretinitis and optic perineuritis suggests that these two entities may have a similar pathogenesis.
