RESUMO
A case of a 44-year-old woman presenting pulmonary edema secondary to posterior fossa meningioma is reported. The authors have tried to demonstrate the relationship between a lesion occupying space in the posterior fossa and important pulmonary abnormality such as interstitial edema based on increasing A-aDO2 (oxygen alveolar arterial gradient) in this peculiar case. A-aDO2 is easily measured and represents a good guide for evaluating the efficiency of medical and neurosurgical management when it is done in the serial way, particularly in those cases of non cardiogenic pulmonary edema.
Assuntos
Neoplasias Encefálicas/complicações , Meningioma/complicações , Edema Pulmonar/etiologia , Doença Aguda , Adulto , Gasometria , Fossa Craniana Posterior , Feminino , Humanos , Pressão IntracranianaRESUMO
E relatada a observacao de uma paciente de 44 anos de idade com quadro clinico de edema de pulmao secundario a meningioma situado na fossa posterior. Sao feitos comentarios sobre a importancia da gasometria arterial realizada no periodo pre e pos-operatorio e especialmente sobre o gradiente alveolo-arterial de oxigenio que serve de guia na avaliacao clinica do paciente neurocirurgico, particularmente nos casos de edema pulmonar nao cardiogenico
Assuntos
Neoplasias Encefálicas , Edema Pulmonar , MeningiomaRESUMO
The case of a 52 years-old man, with typical findings of lumbar disc disease is reported. The radiological investigation was negative and albuminocytologic dissociation in cerebrospinal fluid was detected. The clinical course was similar to Guillain-Barré syndrome which was completely solved by treatment with steroids. Brief comments on clinical aspects of that syndrome are made.