RESUMEN
A case of meningioma confined to the ethmoid region is reported. After emphasizing the rare nature of these primary localizations, and their clinical latency, a brief summary is given of the embryologic origin of these tumors. Comparison of the long-term course of double-sac meningiomas and those developing primarily in the ethmoid region showed improved prognosis for the latter, following total surgical excision, the former having a very marked tendency to recur.
Asunto(s)
Hueso Etmoides/diagnóstico por imagen , Meningioma/diagnóstico por imagen , Neoplasias Craneales/diagnóstico por imagen , Adulto , Humanos , Masculino , Meningioma/embriología , RadiografíaAsunto(s)
Hiperhidrosis/diagnóstico , Atrofia Muscular/diagnóstico , Mioclonía/diagnóstico , Miotonía/diagnóstico , Adolescente , Cara , Humanos , Masculino , SíndromeRESUMEN
Paget's disease of the skull is the main cause of basilar artery syndromes in the adult. They may cause various neurological symptoms, including signs of ischemia of the spinal cord or medulla, or involvement of the cranial nerves and brain stem and, also, distant symptoms due to hydrocephalus, with various mental disorders including transient, recurrent, coma. The authors discuss 30 cases found in the world literature and 6 unreported personal cases, study the clinical symptoms of these cases of basilar artery compression due to Paget's disease, and the methods of neuro-radiological investigation, and emphasize the interest, in severe forms, of early surgical decompression before the stage of severe neurological complications. Regular supervision of patients with Pagets disease is thus essential to detect at an early stage, decompensation of basilar artery insufficiency in Paget's disease. In late forms, calcitonin may be indicated.