Infarto agudo do cerebelo simulando tumor da fossa posterior

Silva, José Alberto Gonçalves da; Silva, Erasmo Barros da; Branco, Carlos Agripino

doi:10.1590/S0004-282X1992000100020

Resumos

Um homem de 58 anos foi acometido subitamente de cefaléia, vômitos, vertigens e incoordenação das extremidades esquerdas. A tomografia computadorizada do crânio evidenciou área hipodensa no hemisfério cerebelar esquerdo, cujo exame anátomo-patológica mostrou tratar-se de infarto cerebelar.

cerebelo; infarto agudo; tratamento cirúrgico

We report a case of space-occupying infarction of the left cerebellar hemisphere with occlusive hydrocephalus and left to right shift of the fourth ventricle. The patient, a 58 years old man, underwent shunting and decompressive craniectomy of the posterior fossa and survived without neurological deficits.

cerebellum; acute infarction; surgical treatment

José Alberto Gonçalves da Silva^I; Erasmo Barros da Silva^II; Carlos Agripino Branco^III

^IChefe do Serviço de Neurologia e Neurocirurgia do Hospital Santa Isabel

^IIProfessor Adjunto de Neurologia da Universidade Estadual da Paraíba (UFPB)

^IIIMédico Oftalmologista, Chefe da Clínica São Camilo

RESUMO

Um homem de 58 anos foi acometido subitamente de cefaléia, vômitos, vertigens e incoordenação das extremidades esquerdas. A tomografia computadorizada do crânio evidenciou área hipodensa no hemisfério cerebelar esquerdo, cujo exame anátomo-patológica mostrou tratar-se de infarto cerebelar.

Palavras chave: cerebelo, infarto agudo, tratamento cirúrgico.

SUMMARY

We report a case of space-occupying infarction of the left cerebellar hemisphere with occlusive hydrocephalus and left to right shift of the fourth ventricle. The patient, a 58 years old man, underwent shunting and decompressive craniectomy of the posterior fossa and survived without neurological deficits.

Key words: cerebellum, acute infarction, surgical treatment.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Agradecimento  Agradecemos ao Dr. Clemente Augusto Pereira a aquisição da bibliografia.

Dr. J.. A. Gonçalves da Silva Av. Minas Gerais 1150 - 58030 - João Pessoa PB - Brasil.

1. Auer LM, Auer T, Sayama I. Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta Neurochir 1986, 79:74-79.
2. Cioffi FA, Bernini FT, Punzo A, D'Avanzo R. Surgical management of acute cerebellar infarction. Acta Neurochir 1986, 74:105-112.
3. Ebeling U, Strieker K, Reulen HJ, Hase U. Akute Raumforderungen der hinteren Schaedelgrube: Klinik, Therapie und Ergebnisse. In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter, 1988, p 137-152.
4. Greenberg J, Skubick D, Shenkin H. Acute hydrocephalus in cerebellar infart and hemorrhage. Neurology 1979, 29:409-413.
5. Hase U, Reulen HJ. Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter Wissenschaft, 1988.
6. Heros RC. Cerebellar hemorrhage and infarction. Stroke 1982, 13:106-109.
7. Hinshaw DB Jr, Thompson JR, Hasso AN, Casselman ES. Infarctions of the brainstem and cerebellum: a correlation of computed tomography and angiography. Radiology 1980. 137:106-112.
8. Kazner E, Sprung C. Kutschenreuther R, Grumme T, Lanksch W. Differenzierte Behandlung des Kleinhirninfarktes. In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter 1988, p 105-113.
9. Lindgren SO. Infarctions simulating brain tumours in the posterior fossa. J Neurosurg 1956, 13:575-581.
10. Mokry M, Auer LM. Blutungen und Infarkte des Klainhirns: konservative oder operative Behandlung?' In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter, 1988, p 125-131.
11. Momose KJ, Lehrich JR. Acute cerebellar infarction presenting as a posterior fossa mass. Radiology 1973, 109:343-352.
12. Norris JW, Eisen AA, Branch CL. Problems in cerebellar hemorrhage and infarction. Neurology 1969, 19:1043-1050.
13. Perneczky A, Ungersboeck K. Blutungen und Malazien in der hinteren Schaedelgrube: chirurgische oder konservative Therapie? In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter, 1988, p 114-124.
14. Sypert GW, Alvord EC Jr. Cerebellar infarction: a clinico-pathological study. Arch Neurol 1975, 32:357-363.
15. Wood MW, Murphey F. Obstructive hydrocephalus due to infarction of a cerebellar hemisphere. J Neurosurg 1969, 30:260-263.

Infarto agudo do cerebelo simulando tumor da fossa posterior

Acute cerebellar infarction presenting as a posterior fossa tumor

Datas de Publicação

Publicação nesta coleção
22 Fev 2011
Data do Fascículo
Mar 1992

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

[1] 1. Auer LM, Auer T, Sayama I. Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta Neurochir 1986, 79:74-79.

[2] 2. Cioffi FA, Bernini FT, Punzo A, D'Avanzo R. Surgical management of acute cerebellar infarction. Acta Neurochir 1986, 74:105-112.

[3] 3. Ebeling U, Strieker K, Reulen HJ, Hase U. Akute Raumforderungen der hinteren Schaedelgrube: Klinik, Therapie und Ergebnisse. In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter, 1988, p 137-152.

[4] 4. Greenberg J, Skubick D, Shenkin H. Acute hydrocephalus in cerebellar infart and hemorrhage. Neurology 1979, 29:409-413.

[5] 5. Hase U, Reulen HJ. Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter Wissenschaft, 1988.

[6] 6. Heros RC. Cerebellar hemorrhage and infarction. Stroke 1982, 13:106-109.

[7] 7. Hinshaw DB Jr, Thompson JR, Hasso AN, Casselman ES. Infarctions of the brainstem and cerebellum: a correlation of computed tomography and angiography. Radiology 1980. 137:106-112.

[8] 8. Kazner E, Sprung C. Kutschenreuther R, Grumme T, Lanksch W. Differenzierte Behandlung des Kleinhirninfarktes. In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter 1988, p 105-113.

[9] 9. Lindgren SO. Infarctions simulating brain tumours in the posterior fossa. J Neurosurg 1956, 13:575-581.

[10] 10. Mokry M, Auer LM. Blutungen und Infarkte des Klainhirns: konservative oder operative Behandlung?' In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter, 1988, p 125-131.

[11] 11. Momose KJ, Lehrich JR. Acute cerebellar infarction presenting as a posterior fossa mass. Radiology 1973, 109:343-352.

[12] 12. Norris JW, Eisen AA, Branch CL. Problems in cerebellar hemorrhage and infarction. Neurology 1969, 19:1043-1050.

[13] 13. Perneczky A, Ungersboeck K. Blutungen und Malazien in der hinteren Schaedelgrube: chirurgische oder konservative Therapie? In Hase U, Reulen HJ (eds): Die akute Raumforderung in der hinteren Schaedelgrube. Wien: Ueberreuter, 1988, p 114-124.

[14] 14. Sypert GW, Alvord EC Jr. Cerebellar infarction: a clinico-pathological study. Arch Neurol 1975, 32:357-363.

[15] 15. Wood MW, Murphey F. Obstructive hydrocephalus due to infarction of a cerebellar hemisphere. J Neurosurg 1969, 30:260-263.