Parasagittal cortical atrophy: a cause of "primary lateral sclerosis"

Lemmi, Helio; Daly, Richard; Ang, Robert

doi:10.1590/S0004-282X1963000200005

Abstracts

A case of severe spastic paraparesis of the lower extremities is presented as an example of the late sequelae of thrombosis of the superior longitudinal sinus. Evidence in support of this presumptive diagnosis is given by analysis of the clinical history and the remarkable pneumoencephalographic findings. This case affords the opportunity to stress the need for caution and restraint in the use of the diagnosis "primary lateral sclerosis".

Os autores apresentam um caso de paraparesia espástica instalada lentamente como seqüela tardia de trombose do seio longitudinal superior. O diagnóstico etiológico foi baseado na evidência oferecida pela história e em relação a vários trabalhos clínicos e experimentais publicados anteriormente e discutidos pelos autores. Os achados pneumencefalográficos corroboram perfeitamente o diagnóstico. Êste caso oferece a oportunidade para chamar a atenção sôbre a necessidade de cautela quando se faz o diagnóstico de "esclerose lateral primária" da medula em paciente que apresente paraplegia crural epástica.

REGISTRO DE CASOS

Helio Lemmi^I; Richard Daly^I; Robert Ang^II

^IAssistant Professors of Neurology. University of Tennessee Medical School, U.S.A

^IIResident in Neurology

SUMMARY

A case of severe spastic paraparesis of the lower extremities is presented as an example of the late sequelae of thrombosis of the superior longitudinal sinus. Evidence in support of this presumptive diagnosis is given by analysis of the clinical history and the remarkable pneumoencephalographic findings. This case affords the opportunity to stress the need for caution and restraint in the use of the diagnosis "primary lateral sclerosis".

RESUMO

Os autores apresentam um caso de paraparesia espástica instalada lentamente como seqüela tardia de trombose do seio longitudinal superior. O diagnóstico etiológico foi baseado na evidência oferecida pela história e em relação a vários trabalhos clínicos e experimentais publicados anteriormente e discutidos pelos autores. Os achados pneumencefalográficos corroboram perfeitamente o diagnóstico. Êste caso oferece a oportunidade para chamar a atenção sôbre a necessidade de cautela quando se faz o diagnóstico de "esclerose lateral primária" da medula em paciente que apresente paraplegia crural epástica.

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University of Tennessee Medical School, Division of Neurology - Memphis 3, Tenn. - U.S.A

1. WECHSLER, I. W.; BRODY, S. - The problem of primary lateral sclerosis. J.A.M.A., 130:1195, 1946.
2. STARK, F. M.; MOERSCH, F. P. - Primary lateral sclerosis; a distinct clinical entity. J. Nerv. & Ment. Dis., 102:332, 1945.
3. GREENFIELD, J. G. - Neuropathology, ed. 1. Edward Arnold Ltd., London, 1958.
4. BRAIN, R. - Diseases of the Nervous System, ed. Oxford University Press, London, 1955. 5.
5. WALSHE, F. M. R. - Diseases of the Nervous System, ed. 8. Williams and Wilkins Co., Baltimore, p. 240.
6. MERRITT, H. H. - A Textbook of Neurology, ed. 2. Lea & Febiger, Philadelphia, 1959, p. 484.
7. DAVIDOFF, L. M.; EPSTEIN, B. S. - The Abnormal Pneumoencephalogram, ed. 1. Lea & Febiger, Philadelphia, 1950, pp. 356-363.
8. BAILEY, O. T.; HASS, G. M. - Dural sinus thrombosis of the superior longitudinal sinus and its relation to certain acquired cerebral lesions in childhood. Brain 60:293, 1937.
9. OWENS, G.; STAHLMAN, G.; CAPPS, J.; MEIROWSKY, A. M. - Experimental occlusion of dural sinuses. J. Neurosurg., 14:640, 1957.
10. BECK, D. J. K; RUSSELL, D. S. - Experiments on thrombosis of longitudinal sinus. J. Neurosurg., 3:337, 1946.
11. DENNY-BROWN, D.; HORENSTEIN, S.; FANG, H. C. H. - Cerebral ' infarction produced by venous distention. J. Neuropath., 15:146, 1956.
12. CARRIE, A. W.; JAFFE, F. A. - Thrombosis of superior sagittal sinus (caused by trauma without penetrating injury). J. Neurosurg., 11:173, 1954.
13. COURVILLE, C. B. - The parasagittal syndrome. Bull. Los Angeles Neurol. Soc, 8:31, 1943.
14. RAY, B. S.; DUNBAR, H. S. - Thrombosis of the superior sagittal sinus as a cause of pseudotumor cerebri: methods of diagnosis and treatment. Trans. Amer. Neurol. Ass., 75:12, 1950.
15. SMITH, J. C. - Primary cerebral thrombophlebitis. J.A.M.A., 148:613, 1952.
16. PRICK, J. J. - The so-called spontaneous (sive primary) thrombosis of the sinus longitu-dinalis superior and its tributary pial veins. Folia Psychiat. et Neurol., 58:259, 1955.
17. MARTIN, J. P. - Lesions veineuses cerebrales sans infection. Rev. Neurol., 80:433, 1948.
18. STUART, E. A.; O'BRIEN, F. H.; McNALLY, W. J. - Cerebral venous thrombosis: its occurrence; its localization; its source and sequelae. Ann. Otol. (St. Louis) 60:406, 1951.
19. HOLMES, G.; SARGENT, P. - Injuries of the superior longitudinal sinus. Brit. Med. J., 2:493, 1915.
20. WHARTON, H. R. - Wounds of the venous sinuses of the brain. An analysis of seventy cases. Ann. Surg., 34:81, 1901.
21. CAIRNS, H.; CALVERT, C. A.; DANIEL, P.; NORTH-CROFT, G. B. - Complications of head wounds, with special reference to infection. Brit. J. Surg., War Surg. Suppl., 1:198, 1947.
22. FORD, F. R. - Diseases of the Nervous System in Infancy, Childhood and Adolescence, ed. 4. Charles C. Thomas, Springfield (Illinois), 1960, p. 888.

Parasagittal cortical atrophy: a cause of "primary

lateral sclerosis"

Publication Dates

Publication in this collection
21 Aug 2013
Date of issue
June 1963

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[1] 1. WECHSLER, I. W.; BRODY, S. - The problem of primary lateral sclerosis. J.A.M.A., 130:1195, 1946.

[2] 2. STARK, F. M.; MOERSCH, F. P. - Primary lateral sclerosis; a distinct clinical entity. J. Nerv. & Ment. Dis., 102:332, 1945.

[3] 3. GREENFIELD, J. G. - Neuropathology, ed. 1. Edward Arnold Ltd., London, 1958.

[4] 4. BRAIN, R. - Diseases of the Nervous System, ed. Oxford University Press, London, 1955. 5.

[5] 5. WALSHE, F. M. R. - Diseases of the Nervous System, ed. 8. Williams and Wilkins Co., Baltimore, p. 240.

[6] 6. MERRITT, H. H. - A Textbook of Neurology, ed. 2. Lea & Febiger, Philadelphia, 1959, p. 484.

[7] 7. DAVIDOFF, L. M.; EPSTEIN, B. S. - The Abnormal Pneumoencephalogram, ed. 1. Lea & Febiger, Philadelphia, 1950, pp. 356-363.

[8] 8. BAILEY, O. T.; HASS, G. M. - Dural sinus thrombosis of the superior longitudinal sinus and its relation to certain acquired cerebral lesions in childhood. Brain 60:293, 1937.

[9] 9. OWENS, G.; STAHLMAN, G.; CAPPS, J.; MEIROWSKY, A. M. - Experimental occlusion of dural sinuses. J. Neurosurg., 14:640, 1957.

[10] 10. BECK, D. J. K; RUSSELL, D. S. - Experiments on thrombosis of longitudinal sinus. J. Neurosurg., 3:337, 1946.

[11] 11. DENNY-BROWN, D.; HORENSTEIN, S.; FANG, H. C. H. - Cerebral ' infarction produced by venous distention. J. Neuropath., 15:146, 1956.

[12] 12. CARRIE, A. W.; JAFFE, F. A. - Thrombosis of superior sagittal sinus (caused by trauma without penetrating injury). J. Neurosurg., 11:173, 1954.

[13] 13. COURVILLE, C. B. - The parasagittal syndrome. Bull. Los Angeles Neurol. Soc, 8:31, 1943.

[14] 14. RAY, B. S.; DUNBAR, H. S. - Thrombosis of the superior sagittal sinus as a cause of pseudotumor cerebri: methods of diagnosis and treatment. Trans. Amer. Neurol. Ass., 75:12, 1950.

[15] 15. SMITH, J. C. - Primary cerebral thrombophlebitis. J.A.M.A., 148:613, 1952.

[16] 16. PRICK, J. J. - The so-called spontaneous (sive primary) thrombosis of the sinus longitu-dinalis superior and its tributary pial veins. Folia Psychiat. et Neurol., 58:259, 1955.

[17] 17. MARTIN, J. P. - Lesions veineuses cerebrales sans infection. Rev. Neurol., 80:433, 1948.

[18] 18. STUART, E. A.; O'BRIEN, F. H.; McNALLY, W. J. - Cerebral venous thrombosis: its occurrence; its localization; its source and sequelae. Ann. Otol. (St. Louis) 60:406, 1951.

[19] 19. HOLMES, G.; SARGENT, P. - Injuries of the superior longitudinal sinus. Brit. Med. J., 2:493, 1915.

[20] 20. WHARTON, H. R. - Wounds of the venous sinuses of the brain. An analysis of seventy cases. Ann. Surg., 34:81, 1901.

[21] 21. CAIRNS, H.; CALVERT, C. A.; DANIEL, P.; NORTH-CROFT, G. B. - Complications of head wounds, with special reference to infection. Brit. J. Surg., War Surg. Suppl., 1:198, 1947.

[22] 22. FORD, F. R. - Diseases of the Nervous System in Infancy, Childhood and Adolescence, ed. 4. Charles C. Thomas, Springfield (Illinois), 1960, p. 888.

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Parasagittal cortical atrophy: a cause of "primary lateral sclerosis"

Abstracts

Parasagittal cortical atrophy: a cause of "primary

Publication Dates