RESUMEN
The case here presented is one of the histoplasmosis cases occurring sporadically in Romania. It is the first case with cerebral site and with the aspect of an extensive intracranial process. The diagnosis was made by a careful microscopic examination of the intraoperative specimens.
Asunto(s)
Absceso Encefálico/etiología , Histoplasmosis/complicaciones , Adulto , Absceso Encefálico/diagnóstico , Absceso Encefálico/cirugía , Urgencias Médicas , Histoplasma/aislamiento & purificación , Histoplasmosis/diagnóstico , Histoplasmosis/cirugía , Humanos , MasculinoAsunto(s)
Arteriopatías Oclusivas/etiología , Trombosis de las Arterias Carótidas , Arteria Carótida Interna , Traumatismos Craneocerebrales/complicaciones , Traumatismos del Cuello , Adulto , Anciano , Trombosis de las Arterias Carótidas/etiología , Trombosis de las Arterias Carótidas/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Vasodilatadores/uso terapéuticoAsunto(s)
Hemorragia Cerebral/diagnóstico , Hematoma/diagnóstico , Adolescente , Adulto , Anciano , Hemorragia Cerebral/cirugía , Niño , Preescolar , Femenino , Hematoma/cirugía , Humanos , Lactante , Masculino , Persona de Mediana EdadRESUMEN
As part of the localized encephalic contusions, the cerebellar contusion, by its etiopathogenic, clinic, paraclinic, therapeutic and prognostic aspects represents a distinct individuality. Studying a series of 30 cases of cerebellar contusions the authors notice the increased incidence in children (28 cases), the cerebellar vulnerability in children being explained by the high site and increased elasticity of the occipital bone as well as by the nape muscles thinness. The clinical syndrome, more common of archicerebellar type, can occur alone or associated with a minor or mild diffuse mental shock. The paraclinic investigation is reduced to lombar puncture, cranial radiography and EEG. The evolution, especially in children, is towards healing in 2-3 weeks of conservative treatment.
Asunto(s)
Cerebelo/lesiones , Contusiones/diagnóstico , Contusiones/etiología , Examen Neurológico , Adolescente , Adulto , Distribución por Edad , Niño , Preescolar , Contusiones/epidemiología , Contusiones/terapia , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Examen Neurológico/métodos , Estudios Retrospectivos , Factores de Riesgo , Rumanía/epidemiología , Punción Espinal , Síndrome , Resultado del TratamientoRESUMEN
After a survey of data in the literature the authors have used four criteria for the identification of the supraacute extradural hematoma:--an interval of maximum two hours between the occurence of the trauma and the performance of the intervention or exitus;--a severe cerebral syndrome with primary brutal coma, or coma that has developed in the above-mentioned interval;--the discovery during intervention of a "developing" hematoma, mostly as fluid, and the identification of the source of haemorrhage;--persistent cerebro-ventricular collapse after evacuation of the hematoma, that makes necessary the application of operative procedures for achieving recovery. Two of the 5 observations of the authors are presented, both in males, aged 22 and 73 years respectively, in whom surgery was performed in an interval of less than two hours. All the patients were comatose when the intervention was carried out, and 3 of them had a temporal fracture. The diagnosis was made by angiography. During surgery a fluid extradural hematoma was found, and the source of the haemorrhage was identified in three of them as a major branch of the median meningeal artery. One death was recorded due to recidive of extra-dural hematoma, associated with cerebral contusion and cerebral edema. In all the five patients the authors found cerebro-ventricular collapse that was recovered by introduction of physiologic saline and air through the lumbar route during the intervention.