RESUMEN
Dermoid cysts of the anterior fontanel present as a tumor lesion that tenses up when the child cries or strains. Their midline position in the skull, the fact that some of these cysts contain clear fluid and the presence of an underlying bone defect, lead the clinician to the erroneous diagnosis of encephalocele, for which they are sent for consultation. We report a series of five of these cysts (3 dermoid and 2 epidermoid) located over the anterior fontanel, remark on their clinical significance, and stress their differential diagnosis from encephalocele and from other tumor lesions of the anterior fontanel.
Asunto(s)
Quiste Dermoide/diagnóstico , Encefalocele/diagnóstico , Neoplasias Craneales/diagnóstico , Adolescente , Niño , Preescolar , Quiste Dermoide/congénito , Diagnóstico Diferencial , Humanos , Lactante , Neoplasias Craneales/congénitoRESUMEN
We report five patients with Walker-Warburg syndrome. These patients showed congenital hydrocephalus, encephalocele, agyria, ocular abnormalities (cataracts in 100%), and in four signs of muscular dystrophy. No cause is known for theses abnormalities. Death occurred before two years of age; however, one patient is currently alive with 6 months of age. This disease is recognized as a genetically determined condition with an autosomal recessive mode of inheritance. We comment on the similarities of this syndrome with other syndromes and the latest investigations concerning the pathogenesis. We believe that it is very important to suspect this illness in order that genetic counseling can be offered.
Asunto(s)
Anomalías Múltiples/genética , Encéfalo/anomalías , Anomalías del Ojo/genética , Distrofias Musculares/complicaciones , Anomalías Múltiples/patología , Encéfalo/patología , Consanguinidad , Encefalocele/complicaciones , Encefalocele/genética , Anomalías del Ojo/complicaciones , Femenino , Humanos , Hidrocefalia/complicaciones , Hidrocefalia/genética , Hidrocefalia/patología , Recién Nacido , Masculino , Distrofias Musculares/genética , EspañaRESUMEN
In recent literature the question of the convenience of neurosurgical treatment of cranial depressed fracture of the newborn has been a subject of discussion. The authors review their experience with 4 cases of this condition, that stress the necessity of the operation. Most reported series have dealt with the short-term results of the different ways of treatment. In this article the outcome is evaluated at least 10 years after surgery.
Asunto(s)
Traumatismos del Nacimiento/diagnóstico por imagen , Fracturas Craneales/etiología , Traumatismos del Nacimiento/cirugía , Niño , Electroencefalografía , Femenino , Humanos , Recién Nacido , Masculino , Fracturas Craneales/diagnóstico por imagen , Fracturas Craneales/cirugía , Tomografía Computarizada por Rayos XRESUMEN
A new case of choroid plexus carcinoma is presented. The propositus is the youngest reported in the literature at the moment. Evolution with early cerebral metastasis is emphasized. Neuroradiological and anatomapathological study was verified.