Paralisia supranuclear progressiva: aspectos pneumencefalograficos

Rizzo, Alfredo

doi:10.1590/S0004-282X1974000400007

Resumos

Um caso de paralisia supranuclear progressiva é relatado com ênfase no aspecto pneumencefalográfico. As alterações descritas radiológicamente são mais intensas ao nível do IV ventrículo, o que é infreqüente na literatura. É discutido o diagnóstico diferencial das dilatações localizadas no IV ventrículo.

A case of progressive supranuclear palsy is reported, stressing the pneumoencephalographic picture. The X-Ray changes are most marked at the 4th. ventricle which is seldom seen in the previously published cases. The differential diagnosis of local dilatations ot the 4th ventricle is discussed.

Paralisia supranuclear progressiva: aspectos pneumencefalograficos

Progressive supranuclear palsy: pneumoencephalographic aspects. A case report

Alfredo Rizzo

Professor Assistente de Neurologia do Hospital Professor Edgar Santos, da U. F. Bahia, anteriormente Residente em Neuro-Radiologia, Philadelphia General Hospital, Philadelphia, PA, USA

RESUMO

Um caso de paralisia supranuclear progressiva é relatado com ênfase no aspecto pneumencefalográfico. As alterações descritas radiológicamente são mais intensas ao nível do IV ventrículo, o que é infreqüente na literatura. É discutido o diagnóstico diferencial das dilatações localizadas no IV ventrículo.

SUMMARY

A case of progressive supranuclear palsy is reported, stressing the pneumoencephalographic picture. The X-Ray changes are most marked at the 4th. ventricle which is seldom seen in the previously published cases. The differential diagnosis of local dilatations ot the 4th ventricle is discussed.

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Agradecimentos: a Herbert Goldberg, M.D., pela orientação; a Lucy Rorke, M.D., pelo laudo anatomopatológico; a Celeste S. Mello, que datilografou o manuscrito.

1. ANASTASAPOULOS, G.; ROUTSONIS, C. & CONSTAS, C. G. Dystonie oculofacio-cervicale. Rev. Neurol. (Paris) 116:85, 1967.
2. BEHRMANN, S.; CARROLL, J. D.; JANOTA, I. & MATTHEWS, W. B. Progressive supranuclear palsy: clinico-pathological study of four cases. Brain 92:663, 1969.
3. CHAVANY, J. A.; BOGAERT, L. VAN & GODLEWSKI, S. Sur un syndrome de rigidité a prédominance axiale avec perturbation des automatismes oculo-palpebraux d'origine encéphalitique. Prèsse Méd. 59:958, 1951.
4. CORRALES, M. & GREITZ, T. Fourth ventricle: a morphologic and radiologic investigation of the normal anatomy. Acta Radiol. 12:113, 1972.
5. DAVID, N. J.; MACHEY, E. A. & SMITH, J. L. Further observations in progressive supranuclear palsy. Neurology (Minneapolis) 18:349, 1968.
6. DIX, M. R.; HARRISON, M. J. G. & LEWIS, P. D. Progressive supranuclear palsy (The Steele-Richardson-Olszewsky syndrome): a report of 9 cases with particular reference to the mechanism of the oculomotor disorder. J. Neurol. Sciences 13:237, 1971.
7. JANISCHEWSKY, A. Un cas de maladie de Parkinson avec syndrome pseudobulbaire et pseudo-ophthalmoplégique: quelques considerations sur la pathogenie de cette maladie. Rev. Neurol. (Paris) 2:823, 1909.
8. KISSEL, P.; SCHIMITT, J.; BARRUCAND, D, & PICARD, L. Un syndrome neurologique méconu: la dystonie óculo-facio-cervicale (synlrome de SteeleRichardson-Olszewsky). Ann. Méd. (Nancy) 6:556, 1967.
9. MESSERT, B. & VAN NUIS, C. A syndrome of paralysis of downward gaze, dysarthria, pseudobulbar palsy, axial rigidity of neck and trunk and dementia. J. Nerv. & Ment. Dis. 143:47, 1966.
10. POSEY, W. G. Paralysis of the upward movements of the eyes. Ann. Ophthal. 13:523, 1904.
11. SPILLER, W. G. The importance in clinical diagnósis of associated movements of the eyeballs. J. Nerv. & Mental Dis. 32:417, 1905.
12. STEELE, J. C.; RICHARDSON, J. C. & OLSZEWSKY, J. Supranuclear ophtalmoplegia, pseudo-bulbar palsy, nuchal dystonia and dementia: a clinical report of eight cases of heterogeneous system degeneration. Trans. Amer. Neurol. Ass. 88:25, 1963.
13. STEELE, J. C. Progressive supranuclear palsy: report of a thai patient. J. Med. Ass. Thailand 53:364, 1970.
14. TAVERAS, J. & WOOD, E. Diagnostic Neuroradiology. Willian & Wilkins, Baltimore, 1964, pag. 1285.

Datas de Publicação

Publicação nesta coleção
09 Abr 2013
Data do Fascículo
Dez 1974

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ANASTASAPOULOS, G.; ROUTSONIS, C. & CONSTAS, C. G. Dystonie oculofacio-cervicale. Rev. Neurol. (Paris) 116:85, 1967.

[2] 2. BEHRMANN, S.; CARROLL, J. D.; JANOTA, I. & MATTHEWS, W. B. Progressive supranuclear palsy: clinico-pathological study of four cases. Brain 92:663, 1969.

[3] 3. CHAVANY, J. A.; BOGAERT, L. VAN & GODLEWSKI, S. Sur un syndrome de rigidité a prédominance axiale avec perturbation des automatismes oculo-palpebraux d'origine encéphalitique. Prèsse Méd. 59:958, 1951.

[4] 4. CORRALES, M. & GREITZ, T. Fourth ventricle: a morphologic and radiologic investigation of the normal anatomy. Acta Radiol. 12:113, 1972.

[5] 5. DAVID, N. J.; MACHEY, E. A. & SMITH, J. L. Further observations in progressive supranuclear palsy. Neurology (Minneapolis) 18:349, 1968.

[6] 6. DIX, M. R.; HARRISON, M. J. G. & LEWIS, P. D. Progressive supranuclear palsy (The Steele-Richardson-Olszewsky syndrome): a report of 9 cases with particular reference to the mechanism of the oculomotor disorder. J. Neurol. Sciences 13:237, 1971.

[7] 7. JANISCHEWSKY, A. Un cas de maladie de Parkinson avec syndrome pseudobulbaire et pseudo-ophthalmoplégique: quelques considerations sur la pathogenie de cette maladie. Rev. Neurol. (Paris) 2:823, 1909.

[8] 8. KISSEL, P.; SCHIMITT, J.; BARRUCAND, D, & PICARD, L. Un syndrome neurologique méconu: la dystonie óculo-facio-cervicale (synlrome de SteeleRichardson-Olszewsky). Ann. Méd. (Nancy) 6:556, 1967.

[9] 9. MESSERT, B. & VAN NUIS, C. A syndrome of paralysis of downward gaze, dysarthria, pseudobulbar palsy, axial rigidity of neck and trunk and dementia. J. Nerv. & Ment. Dis. 143:47, 1966.

[10] 10. POSEY, W. G. Paralysis of the upward movements of the eyes. Ann. Ophthal. 13:523, 1904.

[11] 11. SPILLER, W. G. The importance in clinical diagnósis of associated movements of the eyeballs. J. Nerv. & Mental Dis. 32:417, 1905.

[12] 12. STEELE, J. C.; RICHARDSON, J. C. & OLSZEWSKY, J. Supranuclear ophtalmoplegia, pseudo-bulbar palsy, nuchal dystonia and dementia: a clinical report of eight cases of heterogeneous system degeneration. Trans. Amer. Neurol. Ass. 88:25, 1963.

[13] 13. STEELE, J. C. Progressive supranuclear palsy: report of a thai patient. J. Med. Ass. Thailand 53:364, 1970.

[14] 14. TAVERAS, J. & WOOD, E. Diagnostic Neuroradiology. Willian & Wilkins, Baltimore, 1964, pag. 1285.