Hidrocefalo com pressão normal e hematoma cerebelar: registro de um caso com necropsia

Fortes-Rêgo, J.; Magalhães, A. V.; Raick, A. N.

doi:10.1590/S0004-282X1983000400012

Resumos

Os autores apresentam o caso de um paciente com hidrocefalia normotensa na vigência de doença hipertensiva, ambas confirmadas pela autopsia que, adicionalmente, revelou um hematoma cerebelar esquerdo. Uma discussão é empreendida em torno de vários aspectos da hidrocefalia com pressão normal e do hematoma cerebelar.

The authors report the case of a 64-year-old man who presented normal pressure hydrocephalus in the course of hypertensive and arteriosclerotic vas-culopathy confirmed by postmortem examination. A blood clot was found on the central area of the left cerebellar hemisphere. The clinical features and the pathogenesis of normal pressure hydrocephalus and cerebellar hemorrhage are reviewed and discussed.

Hidrocefalo com pressão normal e hematoma cerebelar: registro de um caso com necropsia

Normal pressure hydrocephalus and spontaneous cerebellar hemorrhage: report of an autopsied case

J. Fortes-Rêgo^I; A. V. Magalhães^II; A. N. Raick^II

^IProfessor de Neurologia. Departamentos de Medicina Especializada e Medicina Complementar da Faculdade de Ciências da Saúde da Universidade de Brasília

^IIProfessor de Patologia. Departamentos de Medicina Especializada e Medicina Complementar da Faculdade de Ciências da Saúde da Universidade de Brasília

RESUMO

Os autores apresentam o caso de um paciente com hidrocefalia normotensa na vigência de doença hipertensiva, ambas confirmadas pela autopsia que, adicionalmente, revelou um hematoma cerebelar esquerdo. Uma discussão é empreendida em torno de vários aspectos da hidrocefalia com pressão normal e do hematoma cerebelar.

SUMMARY

The authors report the case of a 64-year-old man who presented normal pressure hydrocephalus in the course of hypertensive and arteriosclerotic vas-culopathy confirmed by postmortem examination. A blood clot was found on the central area of the left cerebellar hemisphere. The clinical features and the pathogenesis of normal pressure hydrocephalus and cerebellar hemorrhage are reviewed and discussed.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Trabalho realizado nos Departamentos de Medicina Especializada e Medicina Complementar da Faculdade de Ciências da Saúde da Universidade de Brasília.

Universidade de Brasilia - Faculdade de Ciências da Saúde - Disciplina de Neurologia - Brasília, DF - Brasil.

1. ADAMS, R. D.; FISHER, C. M.; HAKIM, S.; OJEMANN, R. F. & SWEET, W. H. - Symptomatic occult hydrocephalus with normal cerebrospinal fluid pressure: a treatable syndrome. N. Engl. J. Med. 273:117, 1965.
2. BANNISTER, R.; GILFORD, E. & KOCEN, R. - Isotope encephalograph in the diagnosis of dementia due communicating hydrocephalus. Lancet 2:1014, 1967.
3. BENSON, D. F.; Le MAY, M.; PATTEN, D. H. & RUBEN, A. B. - Diagnosis of normal-pressure hydrocephalus. N. Engl. J. Med. 283:609, 1970.
4. BRILLMAN, J. - Acute hydrocephalus and death one month after non-surgical treatment for acute cerebellar hemorrhage. J. Neurosurg. 50:374, 1979.
5. BROWN, D. G. & GOLDENSOHN, E. S. - The electroencephalogram in normal pressure hydrocephalus. Arch. Neurol. (Chicago) 29:70, 1973.
6. COBLENTZ, J. M.; MATTIS, S.; ZINGESSER, L. H.; KASOFF, S. S.; WISMIRWSK, H. M.; KATZMAN, E. - Presenile dementia. Arch. Neurol. (Chicago) 29:299, 1973.
7. EARNEST, M. P.; FAHN, S.; KARP, J. H. & ROWLAND, L. P. - Normal pressure hydrocephalus and hypertensive cerebrovascular disease. Arch. Neurol. (Chicago) 31:262, 1974.
8. FISHER, C. M.; PICARD, E. H.; POLAK, H.; DALAI, P. & OJEMANN, R. G. - Acute hypertensive cerebellar hemorrhage: diagnosis and surgical treatment. J. nerv. ment. Dis. 140:38, 1967.
9. FREEMAN, P. E.; ONOFRIO, B. M.; OKAZAKI, H. & DINAPOLI, R. P. - Spontaneous intracerebellar hemorrhage, Neurology (Minneapolis) 23:84, 1973.
10. GOLDHAMMER, Y., BRAHAM, J. & KOSARY, I. Z. - Hydrocephalic dementia in Paget disease of the skul: treatment by ventriculoatrial shunt. Neurology (Minneapolis), 29:513, 1979.
11. GREENBERG, J.; SKUBICK, D. & SHENKIN, H. - Acute hydrocephalus in cerebellar infarct and hemorrhage. Neurology (Minneapolis) 29:409, 1979.
12. HECK, A. F.; HAMEROFF, S. B. & HOBNICK, R. B. - Chronic Listeria monocytogenes meningitis and normotensive hydrocephalus. Neurology (Minneapolis) 21:263, 1971.
13. HEINZ, E. R.; DAVIS, D. O. & KARP, H. R. - Abnormal isotope cisternography in symptomatic occult hydrocephalus. Radiology 95:109, 1970.
14. HOFF, J. & BARBER, R. - Transcerebral mantle pressure in normal pressure hydrocephalus. Arch. Neurol. (Chicago) 31:101, 1974.
15. HOGAN, P. A. & WOOLSEY, R. M. - Hydrocephalus in the adult. J. amer. Med. Assoc. 198:524, 1966.
16. HUSSEY, F.; SCHANZER, B. & KATZMAN, R. - A simple constant - infusion monometric test for measurement of CSF absorption: II Clinical studies. Neurology (Minneapolis) 20-665, 1970.
17. KATZMAN, R. & HUSSEY, F. - A simple constant-infusion manometric test for measurement of CSF absorption: I - Rationale and method. Neurology (Minneapolis) 20:534, 1970.
18. KATO, A.; ROSENBERG, G.; ZINGESSER, L. H.; HOROUPIAN, D. & KATZMAN, R. - Syndrome of normal pressure hydrocephalus: possible relation to hypertensive and arteriosclerotic vasculopathy. J. Neurol. Neurosurg. Psychiat. 40:73, 1977.
19. Le MAY, N. & NEW, P. F. J. - Radiological diagnosis of occult normal-pressure hydrocephalus. Radiology 96:347, 1970.
20. McCULLOUGH, D. C.; HARBERT, J. C.; DICHIRO, G. & OMMAYA, A. K. - Prognostic criteria for cerebrospinal fluid shunting from isotope cysternography in communicating hydrocephalus. Neurology (Minneapolis) 20:594, 1970.
21. McHUGH, P. R. - Occult hydrocephalus. Quart. J. Med. 33:297, 1964.
22. MESSERT, B.; LEPIK, E. SATO, J. - Diplopia and involuntary eye closure in spontaneous cerebellar hemorrhage. Stroke 7:305, 1976.
23. MOORE, M. T. - Progressive akinetic mutism in cerebellar hemangioblastoma with «normal-pressure hydrocephalus>>. Neurology (Minneapolis) 19:32, 1969.
24. MORARIU, M. A. - Progressive supranuclear palsy and normal-pressure hydrocephalus. Neurology (Minneapolis) 29:1544, 1979.
25. NELSON, J. R. & GOODMAN, S. J. - An evaluation of cerebrospinal fluid infusion test for hydrocephalus. Neurology (Minneapolis) 21:1037, 1971.
26. OJEMANN, R. G.; FISHER, C. M.; ADAMS, R. D.; SWEET, W. H. & NEW, P. F. J. - Further experience with the syndrome of «normal» pressure hydrocephalus. J. Neurosurg. 31:279, 1969.
27. OTT, K. H.; KASE, L. S.; OJEMANN, R. G. & MOHR, J. P. - Cerebellar hemorrhage diagnosis and treatment. Arch. Neurol. (Chicago) 31:160, 1974.
28. ROSENBERG, G. A. & KAUFMAN, D. M. - Cerebellar hemorrhage: reliability of clinical evaluation. Stroke 7:332, 1976.
29. ROVIT, P. L..; SCHECHTER, M. M.; OATEGA, B. & BRINKER, R. A. - Progressive ventricular dilatation following pneumoencephalography. A radiologic sign of occult hydrocephalus. J. Neurosurg. 36:50, 1972.
30. SCAFF, M.; TSANACLIS, A. M. C. & SPINA-FRANÇA, A. - Hidrocéfalo com pressão normal e neurocisticercose. Arq. Neuro-Psiquiat. (São Paulo) 32:223, 1974.
31. SOHN, R. J.; SIEGEL, B. A.; GADO, M. & TORACK, R. M. - Alzheimer's disease with abnormal cerebrospinal fluid flow. Neurology (Minneapolis) 23:1058, 1973.
32. WOLINSKY, J. S.; BARNES, B. D. & MARGOLIS, M. T. - Diagnostic tests in normal pressure hydrocephalus. Neurology (Minneapolis) 23:706, 1973.

Datas de Publicação

Publicação nesta coleção
14 Ago 2012
Data do Fascículo
Dez 1983

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

[1] 1. ADAMS, R. D.; FISHER, C. M.; HAKIM, S.; OJEMANN, R. F. & SWEET, W. H. - Symptomatic occult hydrocephalus with normal cerebrospinal fluid pressure: a treatable syndrome. N. Engl. J. Med. 273:117, 1965.

[2] 2. BANNISTER, R.; GILFORD, E. & KOCEN, R. - Isotope encephalograph in the diagnosis of dementia due communicating hydrocephalus. Lancet 2:1014, 1967.

[3] 3. BENSON, D. F.; Le MAY, M.; PATTEN, D. H. & RUBEN, A. B. - Diagnosis of normal-pressure hydrocephalus. N. Engl. J. Med. 283:609, 1970.

[4] 4. BRILLMAN, J. - Acute hydrocephalus and death one month after non-surgical treatment for acute cerebellar hemorrhage. J. Neurosurg. 50:374, 1979.

[5] 5. BROWN, D. G. & GOLDENSOHN, E. S. - The electroencephalogram in normal pressure hydrocephalus. Arch. Neurol. (Chicago) 29:70, 1973.

[6] 6. COBLENTZ, J. M.; MATTIS, S.; ZINGESSER, L. H.; KASOFF, S. S.; WISMIRWSK, H. M.; KATZMAN, E. - Presenile dementia. Arch. Neurol. (Chicago) 29:299, 1973.

[7] 7. EARNEST, M. P.; FAHN, S.; KARP, J. H. & ROWLAND, L. P. - Normal pressure hydrocephalus and hypertensive cerebrovascular disease. Arch. Neurol. (Chicago) 31:262, 1974.

[8] 8. FISHER, C. M.; PICARD, E. H.; POLAK, H.; DALAI, P. & OJEMANN, R. G. - Acute hypertensive cerebellar hemorrhage: diagnosis and surgical treatment. J. nerv. ment. Dis. 140:38, 1967.

[9] 9. FREEMAN, P. E.; ONOFRIO, B. M.; OKAZAKI, H. & DINAPOLI, R. P. - Spontaneous intracerebellar hemorrhage, Neurology (Minneapolis) 23:84, 1973.

[10] 10. GOLDHAMMER, Y., BRAHAM, J. & KOSARY, I. Z. - Hydrocephalic dementia in Paget disease of the skul: treatment by ventriculoatrial shunt. Neurology (Minneapolis), 29:513, 1979.

[11] 11. GREENBERG, J.; SKUBICK, D. & SHENKIN, H. - Acute hydrocephalus in cerebellar infarct and hemorrhage. Neurology (Minneapolis) 29:409, 1979.

[12] 12. HECK, A. F.; HAMEROFF, S. B. & HOBNICK, R. B. - Chronic Listeria monocytogenes meningitis and normotensive hydrocephalus. Neurology (Minneapolis) 21:263, 1971.

[13] 13. HEINZ, E. R.; DAVIS, D. O. & KARP, H. R. - Abnormal isotope cisternography in symptomatic occult hydrocephalus. Radiology 95:109, 1970.

[14] 14. HOFF, J. & BARBER, R. - Transcerebral mantle pressure in normal pressure hydrocephalus. Arch. Neurol. (Chicago) 31:101, 1974.

[15] 15. HOGAN, P. A. & WOOLSEY, R. M. - Hydrocephalus in the adult. J. amer. Med. Assoc. 198:524, 1966.

[16] 16. HUSSEY, F.; SCHANZER, B. & KATZMAN, R. - A simple constant - infusion monometric test for measurement of CSF absorption: II Clinical studies. Neurology (Minneapolis) 20-665, 1970.

[17] 17. KATZMAN, R. & HUSSEY, F. - A simple constant-infusion manometric test for measurement of CSF absorption: I - Rationale and method. Neurology (Minneapolis) 20:534, 1970.

[18] 18. KATO, A.; ROSENBERG, G.; ZINGESSER, L. H.; HOROUPIAN, D. & KATZMAN, R. - Syndrome of normal pressure hydrocephalus: possible relation to hypertensive and arteriosclerotic vasculopathy. J. Neurol. Neurosurg. Psychiat. 40:73, 1977.

[19] 19. Le MAY, N. & NEW, P. F. J. - Radiological diagnosis of occult normal-pressure hydrocephalus. Radiology 96:347, 1970.

[20] 20. McCULLOUGH, D. C.; HARBERT, J. C.; DICHIRO, G. & OMMAYA, A. K. - Prognostic criteria for cerebrospinal fluid shunting from isotope cysternography in communicating hydrocephalus. Neurology (Minneapolis) 20:594, 1970.

[21] 21. McHUGH, P. R. - Occult hydrocephalus. Quart. J. Med. 33:297, 1964.

[22] 22. MESSERT, B.; LEPIK, E. SATO, J. - Diplopia and involuntary eye closure in spontaneous cerebellar hemorrhage. Stroke 7:305, 1976.

[23] 23. MOORE, M. T. - Progressive akinetic mutism in cerebellar hemangioblastoma with «normal-pressure hydrocephalus>>. Neurology (Minneapolis) 19:32, 1969.

[24] 24. MORARIU, M. A. - Progressive supranuclear palsy and normal-pressure hydrocephalus. Neurology (Minneapolis) 29:1544, 1979.

[25] 25. NELSON, J. R. & GOODMAN, S. J. - An evaluation of cerebrospinal fluid infusion test for hydrocephalus. Neurology (Minneapolis) 21:1037, 1971.

[26] 26. OJEMANN, R. G.; FISHER, C. M.; ADAMS, R. D.; SWEET, W. H. & NEW, P. F. J. - Further experience with the syndrome of «normal» pressure hydrocephalus. J. Neurosurg. 31:279, 1969.

[27] 27. OTT, K. H.; KASE, L. S.; OJEMANN, R. G. & MOHR, J. P. - Cerebellar hemorrhage diagnosis and treatment. Arch. Neurol. (Chicago) 31:160, 1974.

[28] 28. ROSENBERG, G. A. & KAUFMAN, D. M. - Cerebellar hemorrhage: reliability of clinical evaluation. Stroke 7:332, 1976.

[29] 29. ROVIT, P. L..; SCHECHTER, M. M.; OATEGA, B. & BRINKER, R. A. - Progressive ventricular dilatation following pneumoencephalography. A radiologic sign of occult hydrocephalus. J. Neurosurg. 36:50, 1972.

[30] 30. SCAFF, M.; TSANACLIS, A. M. C. & SPINA-FRANÇA, A. - Hidrocéfalo com pressão normal e neurocisticercose. Arq. Neuro-Psiquiat. (São Paulo) 32:223, 1974.

[31] 31. SOHN, R. J.; SIEGEL, B. A.; GADO, M. & TORACK, R. M. - Alzheimer's disease with abnormal cerebrospinal fluid flow. Neurology (Minneapolis) 23:1058, 1973.

[32] 32. WOLINSKY, J. S.; BARNES, B. D. & MARGOLIS, M. T. - Diagnostic tests in normal pressure hydrocephalus. Neurology (Minneapolis) 23:706, 1973.