RESUMEN
Oral mucositis is a painful condition that occurs in 80% of patients who undergo haematopoietic stem cell transplantation (HSCT). Our objective was to determine the impact of mucositis on quality of life (QoL) of patients subjected to HSCT treated with low-level laser therapy (LLLT). Patients were evaluated: (1) on the first day of treatment; (2) 5 days after autologous or 8 days after allogeneic transplantation; (3) once bone marrow had integrated; and (4) 30 days after discharge. Clinical evaluation was performed using the World Health Organization criteria; oral health QoL was measured using the Oral Health Impact Profile (OHIP-14); and mucositis symptoms with the Patient-Reported Oral Mucositis Symptom (PROMS) scale. The higher the score, the lower the patient's QoL. The OHIP-14 responses showed that at D + 5/D + 8, all domains had the highest scores, while at times 1 and 4, the scores were lower. In the PROMS scale, all domains scored worst at time 2, and the differences between the scores at the four times were statistically significant. The study has shown that QoL improves over time in patients undergoing LLLT therapy for mucositis prevention.
Asunto(s)
Trasplante de Células Madre Hematopoyéticas/efectos adversos , Terapia por Luz de Baja Intensidad/métodos , Estomatitis/radioterapia , Adolescente , Adulto , Anciano , Niño , Preescolar , Femenino , Neoplasias Hematológicas/terapia , Hospitalización , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Salud Bucal , Estudios Prospectivos , Calidad de Vida , Adulto JovenRESUMEN
We present an unusual case of thoracic constrictive arachnoiditis after pantopaque myelography, used 10 years before in the diagnosis of intradural arachnoid cyst.
Asunto(s)
Aminas , Aracnoiditis/inducido químicamente , Medios de Contraste/efectos adversos , Ácidos Ciclohexanocarboxílicos , Yofendilato/efectos adversos , Paraparesia/etiología , Siringomielia/etiología , Ácido gamma-Aminobutírico , Acetatos/uso terapéutico , Analgésicos/uso terapéutico , Quistes Aracnoideos/diagnóstico por imagen , Aracnoiditis/complicaciones , Aracnoiditis/cirugía , Constricción Patológica/inducido químicamente , Constricción Patológica/complicaciones , Constricción Patológica/cirugía , Gabapentina , Humanos , Masculino , Persona de Mediana Edad , Mielografía/efectos adversos , Paraparesia/cirugía , Siringomielia/tratamiento farmacológico , Siringomielia/cirugía , Factores de TiempoRESUMEN
We analysed 72 cases of primary intracranial hemorrhage surgically treated from 1970 to 1999. The hemorrhages were diagnosed by computerized axial tomography in 52 patients. Most hematomas were situated in the cerebral hemispheres (30 percent in thalamus-basal ganglia region and 50 percent in the subcortical matter). There were 10 patients with cerebellar hemorrhage. Hypertension (based in blood pressure recordings in the hospital and history) was found in 24 patients (33 percent). The most frequent findings were coma, intracranial hypertension and hemimotor deficit. The death rate registered was 27.7 percent; however, it was found a significant difference in the mortality index when considering the 70-79 decade (62.7 percent) and the 90-99 decade (20.7 percent). A critical analysis was made about depth hematomas, consciousness state and intracranial hypertension with herniation related to surgical procedure.
Asunto(s)
Hemorragia Cerebral/etiología , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Hemorragia Cerebral/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Distribución por SexoRESUMEN
We present two cases of mutism observed after resection of tumors of the cerebellum, in two children of the feminine sex, being in the first case of medulloblastoma and in the second of juvenile astrocytoma. In both patients there was pre-operative lesion of low cranial nerves. The pathophysiology of the mutism involves anatomical, vascular and emotional factors, being its essential characteristics discussed with base in revision of the literature.
Asunto(s)
Astrocitoma/cirugía , Neoplasias Cerebelosas/cirugía , Traumatismos del Nervio Craneal/etiología , Meduloblastoma/cirugía , Mutismo/etiología , Complicaciones Posoperatorias/etiología , Adolescente , Niño , Femenino , Humanos , Mutismo/epidemiologíaRESUMEN
Two cases of isolated fourth ventricle are reported, the first due to cerebellar haemorrhage, and the second due to congenital hydrocephalus with multiple shunt revisions and Dandy-Walker cyst. In our opinion, there are two basic treatment for isolated forth ventricle. The direct approach to the fourth ventricle is indicated when there is presence of an intraventricular cyst. The fourth ventricular shunting, independent of the supratentorial shunt, is the best treatments for patients with an isolated fourth ventricle without the presence of a cyst.
Asunto(s)
Encefalopatías/cirugía , Hemorragia Cerebral/complicaciones , Ventrículos Cerebrales/cirugía , Hidrocefalia/complicaciones , Adolescente , Encefalopatías/etiología , Fosa Craneal Posterior/cirugía , Drenaje , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Analysis of nine patients with intracranial arachnoid cysts surgically treated from 1974 to 1995. The treatment consisted of cystoperitoneal shunt in seven patients and craniotomy with excision of cyst membrane in the other two cases. After surgery, bacterial meningitis and failure shunt device were observed in three cases. Both the infectious process and the shunt device were respectively treated and corrected at once. It has been observed total clinical improvement in all nine cases. A review of the literature has been made and some pathophysiological, diagnostic and therapeutic aspects are discussed.
Asunto(s)
Quistes Aracnoideos/cirugía , Adolescente , Adulto , Quistes Aracnoideos/diagnóstico , Quistes Aracnoideos/fisiopatología , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
The experience with the surgical treatment of cerebellar astrocytomas in 25 children is reported. The clinical presentation, incidence, CT-scan diagnostic studies, pathology, recurrence and treatment aspects are discussed. The series included children until 10 years old with peak (7 cases) in the 7th year of age. The more frequent opening symptoms were: headache, vomit and gait disturbances. No surgical mortality occurred in the series. The authors conclude that surgical radical resection is the best therapeutics for this type of tumor and that radiotherapy is indicated only for tumors with malignant histology.