RESUMO
A case of temporal ganglioglioma with large leptomeningeal growth is presented. This unusual spread has not been previously described in these tumors.
Assuntos
Neoplasias Encefálicas/patologia , Neuroblastoma/patologia , Espaço Subaracnóideo/patologia , Neoplasias Encefálicas/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Neuroblastoma/diagnóstico por imagem , Espaço Subaracnóideo/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
A case is reported of chronic otitis media and cholesteatoma in an adult patient with behavioral disorders who developed a pyogenic brain abscess. Initially, clinical management focused on the otogenic disease in view of the patient's symptoms and medical history. Finally, less easily recognized discriminating signs and symptoms, and the results of imaging studies were emphasized. These data confirmed the clinical diagnosis of pyogenic brain abscess secondary to cholesteatoma. The case illustrates how one of the most severe infective complications related with cholesteatoma may appear and its a remainder to clinicians to take this possibility into consideration.
Assuntos
Abscesso Encefálico/microbiologia , Colesteatoma da Orelha Média/complicações , Otite Média/complicações , Infecções Estreptocócicas/microbiologia , Streptococcus pyogenes/isolamento & purificação , Adulto , Abscesso Encefálico/diagnóstico por imagem , Colesteatoma da Orelha Média/diagnóstico por imagem , Doença Crônica , Humanos , Masculino , Otite Média/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
SUMMARY: Simultaneous presentation of carotid stenosis and cerebral aneurysms is rare and it is conventionally accepted that symptomatic lesions need to be treated first. Our purpose was to describe our experience in managing patients who simultaneously presented significant carotid stenosis and cerebral aneurysm.