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2021, Number 1

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Rev Cubana Neurol Neurocir 2021; 11 (1)

Medulla oblongata hemangioblastoma associated with syringomyelia

Pérez ÁCM, Dornes RR, Álvarez LR, Martínez CY

Language: Spanish
References: 20
Page: 1-12
PDF size: 316.40 Kb.


ABSTRACT

Objective: To describe the imaging findings that facilitate the diagnosis of medulla oblongata hemangioblastoma associated with syringomyelia in a patient.
Clinical case report: We report the clinical-imaging case of a 57-year-old white female patient, who was admitted with vertigo and difficulty walking, weakness of the right upper limb that extended to all four extremities, dysphagia, nasal voice tone, diplopia, pain in the neck and arms. She underwent a computerized axial tomography of the skull and magnetic resonance imaging, which revealed the space-occupying lesion at the level of the medulla oblongata and multi-sited at the level of the spinal cord, compatible with hemangioblastoma and syringomyelia. She went through a suboccipital craniotomy surgery with a favorable outcome.
Conclusions: The evaluation of clinical manifestations, neuroimaging findings, laboratory tests, pathological results allowed the etiological diagnosis of medulla oblongata hemangioblastoma associated with syringomyelia.


REFERENCES

  1. Bertalanffy H; Mahmoodi R. Ventricular Tumors. En: Winn HR. Youmans and Winn Neurological Surgery. Barselona: Elsevier; 2016. p. 1192-221 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9780323287821001532?scrollTo=%23hl0001074

  2. Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Neurocirugía. En: Townsend Jr, Beauchamp RD, Evers BM, Mattox KL. Sabiston. Tratado de cirugía. Barcelona: Elsevier; 2018. p. 1900-37 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9788491131328000676?scrollTo=%23hl0001223

  3. Huse JT. Pathology and Molecular Genetics. En: Bradley WG. Bradley's Neurology in Clinical Practice. Barcelona: Elsevier; 2016. p. 1026-44 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9780323287838000727?scrollTo=%23hl0000840

  4. Tissues S. Lymphangioma and Lymphangiomyoma. En: Goldblum JR. Rosai and Ackerman's Surgical Pathology. Barcelona: Elsevier; 2018. p. 1810-1914 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B978032326339900041X?scrollTo=%23hl0004139

  5. Grant LA, Griffin N. Tumores Intracraneales En: Grant LA, Griffin N. Grainger y Allison. Fundamentos del diagnóstico en radiología. Barcelona: Elsevier; 2019. p. 716-745 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9788491136323000499?scrollTo=%23hl0000958

  6. Wolfgang D. Radiodiagnóstico: Manual de Repaso. 3ra ed. Texas: Editorial PASO; 2014 [citado: 04/03/2014]. Disponible en: https://idoc.pub/documents/dahnert-radiodiagnostico-manual-de-repaso-3ed-6nge72qgvklv

  7. Noujaim DL, Therrien JA. Hemangioblastoma. En: Small JE, Noujaim DL, Ginat DT, Kelly HR, Schaefer PW. Neuroradiology: Spectrum and Evolution of Disease. Barcelona: Elsevier; 2019. p. 153-7 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B978032344549800016X?scrollTo=%23hl0000134

  8. Thurtell Matthew MJ, Wall M. Brainstem Syndromes. En: Daroff R. Bradley's Neurology in Clinical Practice. Barcelona: Elsevier; 2016. p. 2015-16 [citado: 14/07/2020]. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9780323287838000211?scrollTo=%23hl0001108

  9. Ami S, Emanuela C, Ina D. Cerebellar Hemangioblastoma. Am J Med. 2018 [citado: 14/07/2020];131(1):E15-E16. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0002934317308136.pdf?locale=es_ES&searchIndex=

  10. Marin K, Dragan J, Bruno S, Frederick A, Kenan I. Hemangioblastoma of the posterior cranial fossa in adults. World Neurosurg. 2018 [citado: 14/07/2020];110:e1049-e1062. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S187887501732106X.pdf?locale=es_ES&searchIndex=

  11. Lan Z, Richard SA, Zhang Y. Cystic-solid hemangioblastoma at the cerebellopontine angle: A case report. Medicine. 2020 [citado: 14/07/2020];99(3):[aprox. 6 p.]. Disponible en: https://journals.lww.com/md-journal/Fulltext/2020/01170/Cystic_solid_hemangioblastoma_at_the.82.aspx

  12. Joseph J, Behari S, Gupta S, Bhaisora KS, Gandhi A, Srivastava A, et al. Brain-stem hemangioblastomas: The seemingly innocuous lesion in a perilous location (2018). Neurol India. 2018 [citado: 14/07/2020];66(3):779-96. Disponible en: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2018;volume=66;issue=3;spage=779;epage=796;aulast=Joseph

  13. Wang Q, Cheng J, Zhang S, Ju Y, Liu W, Hui X. Central nervous system hemangioblastomas in the elderly (over 65 years): Clinical characteristics and outcome analysis. Clin. Neurol. Neurosurg. 2020;189:105622. Doi: 10.1016/j.clineuro.2019.105622

  14. Campero A, Ajler P, Fernandez J, Isolan G, Paiz M, Rivadeneira C. Hemangioblastomas de fosa posterior: Reporte de 16 casos y revisión de la literatura. Surg Neurol Int. 2016 [citado: 14/07/2020];7:S855-60. Disponible en: http://alvarocampero.com.ar/img/pdf/8/Hemangioblastomas%20de%20Fosa%20Posterior.pdf

  15. Valencia-Calderón CJ, Calderón-Valdiviezo AI, Quispe-Alcocer J, Bernal-Carrillo R, Castro-Viteri J, Vásquez-Hahn C. Neuronavegación en Tumores de Fosa Posterior en Pediatría. Rev Eciat Neurol. 2015 [citado: 14/07/2020];24(1):32-8. Disponible en: http://revecuatneurol.com/wp-content/uploads/2016/11/Revista-Vol-24-Neuronavegacio%CC%81n-en-Tumores.pdf

  16. Cala-Irén M, Pons Porrata LM, Domínguez-Piorno R, Salomón López J. Caracterización clinicohistopatológica, tomográfica y por resonancia magnética de pacientes menores de 15 años con tumores cerebrales. MEDISAN. 2017 [citado: 14/07/2020];21(7):797-804. Disponible en: http://scielo.sld.cu/pdf/san/v21n7/san04217.pdf

  17. De La Serna-Soto HJ, Osorio-Santiago MA, Manrique-Carmona LP. Cirugía de fosa posterior y extubación fallida. Anest Méx. 2017 [citado: 14/07/2020];29(2):3-8. Disponible en: http://www.scielo.org.mx/pdf/am/v29n2/2448-8771-am-29-02-00003.pdf

  18. Hodelin Maynard EH, Cardona Castillo M, Maynard Bermúdez GI, Maynard Bermúdez RE. Aspectos epidemiológicos, clínicos y quirúrgicos de los tumores cerebrales metastásicos. Rev Inf Cient. 2019 [citado: 14/07/2020];98(4):524-39. Disponible en: http://scielo.sld.cu/pdf/ric/v98n4/1028-9933-ric-98-04-524.pdf

  19. American Brain Tumor Association. Sobre tumores cerebrales. Manual para pacientes y cuidadores. Chicago: ABTA; 2012 [citado: 14/07/2020]. Disponible en: https://www.abta.org/wp-content/uploads/2018/03/sobre-tumores-cerebrales.pdf

  20. Uclés-Villalobos V, Segura Corrales P, Espinoza Reyes RL. Rehabilitación del paciente con tumor cerebral. Rev Clin Esc Med. 2018 [citado: 14/07/2020];8(5):1-18. Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2018/ucr185g.pdf




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