RESUMO
The neurological manifestations of eight patients with osseous fibrous dysplasia of skull were retrospectively studied. In this series, the frontal bone was involved in 75% of the patients, the sphenoid or temporal bones in 37.5%, and the parietal in 25%. It was observed that cranial deformities occurred in all but one case, headache was present in 87.5% of the patients, visual disturbances in 50%, proptosis in 25%, and auditive symptoms in 12.5%. Six out of the eight patients were operated on: three of the four who presented progressive visual loss had postoperative improvement. In their follow up, none presented, until now, evidence of recurrence or worsening of symptoms, confirming the benign nature of fibrous dysplasia.
Assuntos
Displasia Fibrosa Óssea/complicações , Displasia Fibrosa Poliostótica/complicações , Doenças do Sistema Nervoso/etiologia , Neoplasias Cranianas/etiologia , Crânio , Adolescente , Adulto , Criança , Feminino , Displasia Fibrosa Monostótica/complicações , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Report of the case of a 28-years-old black woman who developed changes in behavior followed by neurological alterations. The CT scans of the brain revealed multiple calcified granulomas. The patient died and the autopsy showed granulomatous lesions with central caseation in the brain. Microscopical examination disclosed numerous Histoplasma capsulatum. This is the first case of histoplasmoma of the brain described in Brazil.
Assuntos
Neoplasias Encefálicas/patologia , Histoplasmose/patologia , Adulto , Neoplasias Encefálicas/diagnóstico , Diagnóstico Diferencial , Feminino , Histoplasmose/diagnóstico , Humanos , Tomografia Computadorizada por Raios XRESUMO
E relatado um caso de paciente feminina, 28 anos, preta, que iniciou sintomatologia por disturbios de comportamento e, alguns meses apos apresentou alteracoes neurologicas. A tomografia computadorizada do encefalo revelou lesoes granulomatosas multiplas, com calcificacao. A paciente faleceu e a autopsia revelou lesoes encefalicas granulomatosas, com necrose central do tipo caseosa, que demonstrou, ao exame microscopico, serem produzidas pelo Histoplasma capsulatum. Os autores ressaltam ser o primeiro caso de histoplasma encefalico publicado no Brasil. Assinalam tambem a importancia da tomografia computadorizada no diagnostico das lesoes, bem como as alteracoes do liquido cefalorraquidiano encontradas nesses casos