RESUMEN
Extra-intestinal manifestations of inflammatory bowel diseases are frequent and numerous. We report a case of ulcerative colitis associated with multiple sclerosis, ankylosing spondylitis and pyoderma gangrenosum. This observation shows the rare association of ulcerative colitis-multiple sclerosis, and extra-intestinal manifestations of inflammatory colitis are discussed.
Asunto(s)
Colitis Ulcerosa/complicaciones , Esclerosis Múltiple/etiología , Femenino , Humanos , Persona de Mediana Edad , Piodermia Gangrenosa/etiología , Espondilitis Anquilosante/etiologíaRESUMEN
Intravascular malignant lymphomatosis (IML) is characterised by proliferation of tumoral cells within small vessels. Angiotropic large cell lymphoma commonly affects the central nervous system and the skin, although any organ may be involved. Few cases are diagnosed ante mortem. We report a new case of IML in a 62-year-old woman who presented with the main clinical features of central nervous system involvement: cerebrovascular events, epileptic seizures, subacute dementia and spinal cord syndrome. Cranial magnetic resonance imaging demonstrated increased periventricular signal on T2-weighted images. Diagnosis was established by brain biopsy. Despite corticosteroid and radiation therapy no improvement occurred and the patient died 14 months after the onset of the first symptoms.
Asunto(s)
Neoplasias del Sistema Nervioso Central/diagnóstico , Hemangioendotelioma/diagnóstico , Linfoma de Células B Grandes Difuso/diagnóstico , Biopsia , Encéfalo/patología , Neoplasias del Sistema Nervioso Central/patología , Femenino , Hemangioendotelioma/patología , Humanos , Linfoma de Células B Grandes Difuso/patología , Persona de Mediana EdadAsunto(s)
Inmunoglobulinas Intravenosas/efectos adversos , Meningitis Aséptica/etiología , Enfermedades del Sistema Nervioso/tratamiento farmacológico , Adulto , Anciano , Femenino , Humanos , Inmunoglobulinas Intravenosas/uso terapéutico , Masculino , Meningitis Aséptica/diagnóstico , Persona de Mediana Edad , Estudios Prospectivos , Estudios RetrospectivosRESUMEN
The technique of auditory evoked potentials evaluates the auditory pathways along the vestibulocochlear nerve and in the brainstem. The authors stress the importance of this examination in the diagnosis of tumours of the cerebellopontine angle and they discuss its place in relation to radiological investigations.