RESUMO
Encephaloceles consist of brain tissue and meninges that has herniated through a skull defect, usually located in the midline. They are seen more commonly in children and very rarely in adults. We present a case of an 84-year-old patient who was incidentally diagnosed with a lytic bone lesion in the right parietal intradiploic space, after computed tomography of the head was performed. A magnetic resonance imaging scan of the brain showed herniation of brain tissue through the defect. Magnetic resonance imaging was crucial in demonstrating the presence of parenchyma and its continuity with the rest of the brain, consequently distinguishing it from other entities. We report the imaging findings of a parietal indradiploic encephalocele with its differential diagnosis and a review of the relevant literature.
Assuntos
Encéfalo/diagnóstico por imagem , Encefalocele/diagnóstico , Crânio/diagnóstico por imagem , Idoso de 80 Anos ou mais , Encéfalo/patologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Crânio/patologia , Tomografia Computadorizada por Raios XRESUMO
Lingual abscess is an unusual condition but it may become a life-threatening entity. It presents as a very painful swelling of the tongue that, in its early stages, can be managed by antibiotic treatment. When the airway is obstructed, drainage is required by an open incision or aspiration with a large bore needle. We report a case who consulted on two occasions for a lingual abscess, which opened spontaneously. Due to the rarity of recurrent cases, the causes, diagnosis and treatments will be reviewed.
Assuntos
Abscesso/cirurgia , Corpos Estranhos/complicações , Doenças da Língua/cirurgia , Língua , Infecção dos Ferimentos/cirurgia , Abscesso/diagnóstico por imagem , Abscesso/tratamento farmacológico , Abscesso/etiologia , Antibacterianos/uso terapêutico , Terapia Combinada , Diabetes Mellitus Tipo 2/complicações , Corpos Estranhos/diagnóstico , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Plásticos , Recidiva , Ruptura Espontânea , Sucção , Tomografia Computadorizada por Raios X , Língua/lesões , Doenças da Língua/diagnóstico por imagem , Doenças da Língua/tratamento farmacológico , Doenças da Língua/etiologia , Escovação Dentária/efeitos adversos , Infecção dos Ferimentos/diagnóstico por imagem , Infecção dos Ferimentos/tratamento farmacológico , Infecção dos Ferimentos/etiologiaRESUMO
El absceso lingual es una enfermedad infrecuente pero que puede llegar a comprometer la vida del paciente. Se presenta como una tumoración lingual muy dolorosa, pudiendo ser manejada en sus estadios iniciales únicamente con tratamiento antibiótico. Cuando se asocia afectación de la vía aerodigestiva, su drenaje es necesario mediante aspiración con aguja gruesa o mediante apertura quirúrgica. Se presenta un caso que sufrió en 2 ocasiones un absceso lingual, con apertura espontánea del mismo. Debido a la muy baja incidencia de los casos recurrentes de absceso lingual se procederá a una revisión de su etiología, diagnóstico y tratamiento(AU)
Lingual abscess is an unusual condition but it may become a life-threatening entity. It presents as a very painful swelling of the tongue that, in its early stages, can be managed by antibiotic treatment. When the airway is obstructed, drainage is required by an open incision or aspiration with a large bore needle. We report a case who consulted on two occasions for a lingual abscess, which opened spontaneously. Due to the rarity of recurrent cases, the causes, diagnosis and treatments will be reviewed(AU)