RESUMO
A case is reported of an adult male in whom the distal ventriculoperitoneal shunt tip migrated through the right inguinal canal into the scrotum. It perforated the scrotal skin, leading to an infection of the still draining shunt. Migration of ventriculoperitoneal shunts into the scrotum occurs occasionally in children but until now has not been reported in an adult with perforation of the scrotum.
Assuntos
Migração de Corpo Estranho/complicações , Escroto/lesões , Derivação Ventriculoperitoneal/efeitos adversos , Neoplasias Encefálicas/cirurgia , Ependimoma/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , RupturaRESUMO
We present a 35-year-old man with an extradural hematoma extending bilaterally across the midline from the foramen magnum to the vertex who completely recovered following surgery. Because of the extent of the fluid collection, computed tomographic scanning proved invaluable in facilitating the planning of our surgical approach. He had a long history of alcohol abuse and there were features suggesting preexisting alcoholic brain atrophy in his postoperative computed tomography scan. The possible relationship of this finding to the size of the hematoma and the outcome is discussed.
Assuntos
Hemorragia Cerebral , Hematoma Epidural Craniano , Adulto , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/cirurgia , Fossa Craniana Posterior , Forame Magno/diagnóstico por imagem , Hematoma Epidural Craniano/diagnóstico por imagem , Hematoma Epidural Craniano/cirurgia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
Computerized tomography (CT) allows an easy evaluation of the current methods of treatment of chronic subdural hematoma. In a prospective study of 20 consecutive patients, burr-hole evacuation or conservative management monitored by CT proved effective invariably. All patients had returned to normal when discharged from hospital.
Assuntos
Hematoma Subdural/cirurgia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Craniotomia , Feminino , Hematoma Subdural/diagnóstico por imagem , Humanos , Lactente , Inalação , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , TrepanaçãoRESUMO
The case of a three-year-old girl with fibrosarcoma of the right orbit is presented. She was initially treated with surgery and later with radiotherapy. After an interval of thirty-three years she developed a suprasellar epidermoid cyst and two years later a right frontal meningioma. The two benign tumors fulfill the usual criteria for irradiation induced tumors and the possible role of radiotherapy in their induction is discussed.
Assuntos
Neoplasias Encefálicas/etiologia , Cisto Epidérmico/etiologia , Meningioma/etiologia , Neoplasias Primárias Múltiplas/etiologia , Neoplasias Induzidas por Radiação , Pré-Escolar , Craniofaringioma/etiologia , Feminino , Fibrossarcoma/radioterapia , Humanos , Neoplasias Meníngeas/etiologia , Neoplasias Orbitárias/radioterapia , Neoplasias Hipofisárias/etiologiaRESUMO
Fifty-two patients thought to be suffering from dementia when first seen as neurological out-patients were fully investigated. Four of them were found to have tumours, whilst in five the dementia was due to a treatable cause. Neither a long history nor an age above sixty-five precludes a dementia being due to a treatable cause.
Assuntos
Encefalopatias/complicações , Transtornos Mentais/etiologia , Adulto , Fatores Etários , Encefalopatias/diagnóstico , Neoplasias Encefálicas/complicações , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Transtornos Mentais/diagnóstico , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
A vascular malformation was demonstrated in a migrainous female who had developed cluster headaches. The patient responded well to oral dihydroergotamine 1 mg twice daily.
