RESUMEN
The authors report the case of a 26-year-old female patient affected by Lhermitte Duclos disease and Cowden disease. Preoperative MRI allowed a correct diagnosis which was confirmed by pathological examination. The authors stress the possibility that Lhermitte Duclos and Cowden disease be a single phakomatosis; for this reason all the patients affected by Lhermitte-Duclos should be screened for the presence of multiple hamartomas or malignant neoplastic lesions typical of Cowden disease.
Asunto(s)
Enfermedades Cerebelosas/complicaciones , Enfermedades Cerebelosas/cirugía , Neoplasias Cerebelosas/complicaciones , Neoplasias Cerebelosas/cirugía , Síndrome de Hamartoma Múltiple/complicaciones , Síndrome de Hamartoma Múltiple/cirugía , Adulto , Enfermedades Cerebelosas/diagnóstico , Enfermedades Cerebelosas/patología , Neoplasias Cerebelosas/diagnóstico , Neoplasias Cerebelosas/patología , Femenino , Síndrome de Hamartoma Múltiple/diagnóstico , Síndrome de Hamartoma Múltiple/patología , Humanos , Hidrocefalia/etiología , Imagen por Resonancia Magnética , Neuronas/patología , Tomografía Computarizada por Rayos XRESUMEN
The authors report a rare case of spinal cord compression syndrome due to a malignant melanotic schwannoma. Pathogenesis, diagnostic difficulty and therapeutical problems are discussed. The authors conclude that such tumours should be surgically treated due to the possibility of a benign clinical behaviour even in those cases showing malignant histological features.
Asunto(s)
Neurilemoma/complicaciones , Compresión de la Médula Espinal/etiología , Neoplasias de la Columna Vertebral/complicaciones , Adulto , Humanos , Inmunohistoquímica , Masculino , Neurilemoma/diagnóstico , Neurilemoma/metabolismo , Neurilemoma/cirugía , Paraparesia Espástica Tropical/etiología , Compresión de la Médula Espinal/cirugía , Neoplasias de la Columna Vertebral/diagnóstico , Neoplasias de la Columna Vertebral/metabolismo , Neoplasias de la Columna Vertebral/cirugía , Tomografía Computarizada por Rayos XRESUMEN
The authors report the case of a patient with primary multiple cerebral hydatid cysts emphasizing the role played by MRI in planning the surgical approach. The indications for medical treatment of such lesions are also discussed.