Non tumoral intracranial expansive processes: clinical-tomographic correlation

Campos, Patricia; Herrera, Genaro; Valencia, F.; Cabrera, A. Fuentes-Dávila Juan; Gotuzzo, E.; Chaparro, E.; Vizcarra, D.; Arbaiza, D.; Sánchez, J.

doi:10.1590/S0004-282X1991000300010

Abstracts

Presentation of clinical-tomographic correlation in 111 cases of non tumoral intracranial expansive processes seen between 1984-1988 in the Hospital Cayetano Heredia (Lima, Peru). Emphasis is given fundamentally to: (1) the importance of stablishing the or-ganicity of partial and late epilepsy; (2) the high incidence rate of inflammatory infectious processes with CNS compromise in underdeveloping countries; (3) the necessity of making public the importance of two parisitic diseases in the differential diagnosis of non tumoral intracranial expansive processes: free living amebiasis, and toxoplasmosis (especially in association with AIDS).

Se presentan 159 casos de procesos expansivos de los cuales se revisan 111 catalogados como no neoplásicos vistos durante los años 1984-1988 en el HGBCH, llamando la atención fundamentalmente sobre 3 aspectos: (1) la importancia de establecer organicidad en la epilepsia parcial y la epilepsia tardía; (2) la incidencia aada vez mayor de procesos infecciosos e inflamatorios intracraneanos en países en desarrollo; (3) la existencia de dos procesos parasitarios que deben encontrarse en el diagnóstico diferencial de procesos expansivos no tumorales: amebiasis de vida libre, y toxoplasmosis (especialmente en pacientes con SIDA).

CONTENTS CONTEÚDO

Patricia Campos; Genaro Herrera; F. Valencia; A. Fuentes-Dávila Juan Cabrera; E. Gotuzzo; E. Chaparro; D. Vizcarra D. Arbaiza; J. Sánchez

Servicios de Neurología, Neurocirugía, Radiología, Pediatría y Enfermedades Tropicales: Hospital General Base «Cayetano Heredia» (HGBCH), UPCH, Lima, Peru

RESÚMEN

Se presentan 159 casos de procesos expansivos de los cuales se revisan 111 catalogados como no neoplásicos vistos durante los años 1984-1988 en el HGBCH, llamando la atención fundamentalmente sobre 3 aspectos: (1) la importancia de establecer organicidad en la epilepsia parcial y la epilepsia tardía; (2) la incidencia aada vez mayor de procesos infecciosos e inflamatorios intracraneanos en países en desarrollo; (3) la existencia de dos procesos parasitarios que deben encontrarse en el diagnóstico diferencial de procesos expansivos no tumorales: amebiasis de vida libre, y toxoplasmosis (especialmente en pacientes con SIDA).

SUMMARY

Presentation of clinical-tomographic correlation in 111 cases of non tumoral intracranial expansive processes seen between 1984-1988 in the Hospital Cayetano Heredia (Lima, Peru). Emphasis is given fundamentally to: (1) the importance of stablishing the or-ganicity of partial and late epilepsy; (2) the high incidence rate of inflammatory infectious processes with CNS compromise in underdeveloping countries; (3) the necessity of making public the importance of two parisitic diseases in the differential diagnosis of non tumoral intracranial expansive processes: free living amebiasis, and toxoplasmosis (especially in association with AIDS).

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Dra. Patricia Campos - Hospital Cayetano Heredia - Casilla 5045 - Lima - Peru.

1. Albújar PF. Meningoencefalitis por Acanthamoeba. Rev Neuro-Psiquiat (Lima) 1979, 42:137.
2. Anderson JM, Macmillan JJ. Intracranial tuberculoma: an increasing problem in Britain. J Neurol Neurosurg Psichiat 1975, 38:194.
3. Araujo JA, Werneck L, Crave MA. South American blastomycosis presenting as a posterior fossa tumor. J Neurosurg 1978, 49:425.
4. Arce Vela R, Asato Higa C. Encefalitis amebiana por Acanthamoeba castellanii Diagnostico 1979, 3:25.
5. Asenjo A, Valladares H, Fierro J. Tuberculomas of the brain. Arch Neurol Psychiat 1951, 65:146.
6. Berlin L. Tuberculoma of the brain. Am J Roentgenol 1963, 90:1185.
7. Bhargava S, Tandon PN. Intracranial tuberculomas: a CT study. Br J Radiol 1980, 53:935.
8. Campos P, Herrera H. Epilepsia parcial en niños. Arq Neuro-Psiquiat (São Paulo) 1990. 48:177.
9. Dam A, Fuglsang, Frederiksen A, Svarre-Olsen O, Dam M. Late onset epilepsy: etiologies, types of seizures and value of clinical investigation. EEG and computerised tomography scan. Epilepsia 1985, 26:277.
10. Dastur HM. Desai AD. A comparative study of brain tuberculomas and gliomas based upon 107 cases recorded of each. Brain 1965, 88:375.
11. Dastur D, Lalitha VS, Prabhakar V. Pathological analysis of intracranial space-occupying lesions in 1000 cases including children: Part I. J Neurbl Sci 1968, 6:575.
12. Deonna T, Zieglelr AL, Despland PA, van Melle G. Partial epilepsy in neurologically normal children : clinical syndromes and prognosis. Epilepsia 1986, 27:241.
13. Dinner DS, Luders H, Rother AD, Erenberg G. Complex partial seizures of childhood onset: a clinical and encephalographic study. Clev Clin Q 1984, 51:287.
14. García TJ, Gonzales JM, Martínez J. Meningoencefalitis amebiana primaria y encefalitis granulomatosa amebiana. Acta Med Venezol 1980, 27:84.
16. Harbord MG, Manson JI. Temporal lobe epilepsy in childhood: reappraisal of etiology and outcome. Pediatr Neurol 1987, 3:263.
16. Hutzler RU, Brussi MLP, Capitani CM, Lima SS. Acometimento neurológico de para-coccidioidomicose avaliado pela tomografia computadorizada de crânio. Rev Paul Med 1985, 103:243.
17. Lana-Peixoto MA, Pitella H, Bambirra E, Gomes E. Tuberculomas intracranianos. Arq Neuro-Psiquiat (São Paulo) 1982, 40:117.
18. Lane S, Carter S, Morawetz R, Chandra-Sekar B. Brain tumors presenting as a seizure disorder in infants. J Child Neurol 1987, 2:214.
19. Lemmi O, Pimenta AM. Granuloma paracoccidioidico cerebral: a propósito de um caso operado. Arq Neuro-Psiquiat (São Paulo) 1960, 18:58.
20. Loizou LA, Anderson M. Intracranial tuberculoma: correlation of computerized tomography with clinico-pathological findings. Q J Med 1982, 201:104.
21. Luhdorf K, Jensen LK. Plesner AM. Etiology of seizures in the elderly. Epilepsia 1986, 27:458.
22. Martinez AJ, Garcia CA, Halks-Miller M, Arce-Vela R. Granulomatous amebic encephalitis presenting as a cerebral mass lession. Acta Neuropath (Berlin) 1980, 51:85.
23. Martinez AJ. Free Living Amebas. Miami: CRC Press, 1985.
24. Mathal RV, Chandy J. Tuberculous infections of the nervous system. Clin Neurosurg 1967, 14:145.
25. Pereira WC, Raphael A, Sallum J. Lesões neurológicas na blastomicose sul-americana: estudo anátomo-patolôgico de 14 casos. Arq Neuro-Psiquiat (São Paulo) 1965, 23:95.
26. Scarpa P, Carassini B. Partial epilepsy in childhood: clinical and EEG study of 261 cases. Epilepsia 1982, 23:333.
27. Shiga H, Yagishita A, Akiyama T. The neuroradiological findings in a case of cerebral tuberculoma. Neuroradiology 1979, 17:279.
28. Snider WD, Simpson DM, Nielsen S, Gold JWM, Metroka CE. Neurological complications of acquired inmune deficiency syndrome: analysis of 50 patients. Ann Neurol 1983, 14:403.
29. Spencer DD, Spencer SS, Matson RH, Williamson PD. Intracerebral mass in patients with intractable partial epilepsy. Neurology 1984, 34:432.
30. Trelles JO, Orquiaga-León J, Palomino L, Soto M. Abcesso cerebral amebiano. Rev Neuro-Psiquiat (Lama) 1969, 32:1.
31. Weisberg LA. Cerebral computerized tomography in intracranial inflammatory disorders. Arch Neurol 1980, 37:137.
32. Witham RR, Johnson RH, Roberts DL. Diagnosis of miliary tuberculosis by cerebral CT. Arch Intern Med 1979. 139:479.

Procesos expansivos intracraneanos no tumorales correlato clínico - tomográfico

Non tumoral intracranial expansive processes: clinical-tomographic correlation.

Publication Dates

Publication in this collection
22 Feb 2011
Date of issue
Sept 1991

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

[1] 1. Albújar PF. Meningoencefalitis por Acanthamoeba. Rev Neuro-Psiquiat (Lima) 1979, 42:137.

[2] 2. Anderson JM, Macmillan JJ. Intracranial tuberculoma: an increasing problem in Britain. J Neurol Neurosurg Psichiat 1975, 38:194.

[3] 3. Araujo JA, Werneck L, Crave MA. South American blastomycosis presenting as a posterior fossa tumor. J Neurosurg 1978, 49:425.

[4] 4. Arce Vela R, Asato Higa C. Encefalitis amebiana por Acanthamoeba castellanii Diagnostico 1979, 3:25.

[5] 5. Asenjo A, Valladares H, Fierro J. Tuberculomas of the brain. Arch Neurol Psychiat 1951, 65:146.

[6] 6. Berlin L. Tuberculoma of the brain. Am J Roentgenol 1963, 90:1185.

[7] 7. Bhargava S, Tandon PN. Intracranial tuberculomas: a CT study. Br J Radiol 1980, 53:935.

[8] 8. Campos P, Herrera H. Epilepsia parcial en niños. Arq Neuro-Psiquiat (São Paulo) 1990. 48:177.

[9] 9. Dam A, Fuglsang, Frederiksen A, Svarre-Olsen O, Dam M. Late onset epilepsy: etiologies, types of seizures and value of clinical investigation. EEG and computerised tomography scan. Epilepsia 1985, 26:277.

[10] 10. Dastur HM. Desai AD. A comparative study of brain tuberculomas and gliomas based upon 107 cases recorded of each. Brain 1965, 88:375.

[11] 11. Dastur D, Lalitha VS, Prabhakar V. Pathological analysis of intracranial space-occupying lesions in 1000 cases including children: Part I. J Neurbl Sci 1968, 6:575.

[12] 12. Deonna T, Zieglelr AL, Despland PA, van Melle G. Partial epilepsy in neurologically normal children : clinical syndromes and prognosis. Epilepsia 1986, 27:241.

[13] 13. Dinner DS, Luders H, Rother AD, Erenberg G. Complex partial seizures of childhood onset: a clinical and encephalographic study. Clev Clin Q 1984, 51:287.

[14] 14. García TJ, Gonzales JM, Martínez J. Meningoencefalitis amebiana primaria y encefalitis granulomatosa amebiana. Acta Med Venezol 1980, 27:84.

[15] 16. Harbord MG, Manson JI. Temporal lobe epilepsy in childhood: reappraisal of etiology and outcome. Pediatr Neurol 1987, 3:263.

[16] 16. Hutzler RU, Brussi MLP, Capitani CM, Lima SS. Acometimento neurológico de para-coccidioidomicose avaliado pela tomografia computadorizada de crânio. Rev Paul Med 1985, 103:243.

[17] 17. Lana-Peixoto MA, Pitella H, Bambirra E, Gomes E. Tuberculomas intracranianos. Arq Neuro-Psiquiat (São Paulo) 1982, 40:117.

[18] 18. Lane S, Carter S, Morawetz R, Chandra-Sekar B. Brain tumors presenting as a seizure disorder in infants. J Child Neurol 1987, 2:214.

[19] 19. Lemmi O, Pimenta AM. Granuloma paracoccidioidico cerebral: a propósito de um caso operado. Arq Neuro-Psiquiat (São Paulo) 1960, 18:58.

[20] 20. Loizou LA, Anderson M. Intracranial tuberculoma: correlation of computerized tomography with clinico-pathological findings. Q J Med 1982, 201:104.

[21] 21. Luhdorf K, Jensen LK. Plesner AM. Etiology of seizures in the elderly. Epilepsia 1986, 27:458.

[22] 22. Martinez AJ, Garcia CA, Halks-Miller M, Arce-Vela R. Granulomatous amebic encephalitis presenting as a cerebral mass lession. Acta Neuropath (Berlin) 1980, 51:85.

[23] 23. Martinez AJ. Free Living Amebas. Miami: CRC Press, 1985.

[24] 24. Mathal RV, Chandy J. Tuberculous infections of the nervous system. Clin Neurosurg 1967, 14:145.

[25] 25. Pereira WC, Raphael A, Sallum J. Lesões neurológicas na blastomicose sul-americana: estudo anátomo-patolôgico de 14 casos. Arq Neuro-Psiquiat (São Paulo) 1965, 23:95.

[26] 26. Scarpa P, Carassini B. Partial epilepsy in childhood: clinical and EEG study of 261 cases. Epilepsia 1982, 23:333.

[27] 27. Shiga H, Yagishita A, Akiyama T. The neuroradiological findings in a case of cerebral tuberculoma. Neuroradiology 1979, 17:279.

[28] 28. Snider WD, Simpson DM, Nielsen S, Gold JWM, Metroka CE. Neurological complications of acquired inmune deficiency syndrome: analysis of 50 patients. Ann Neurol 1983, 14:403.

[29] 29. Spencer DD, Spencer SS, Matson RH, Williamson PD. Intracerebral mass in patients with intractable partial epilepsy. Neurology 1984, 34:432.

[30] 30. Trelles JO, Orquiaga-León J, Palomino L, Soto M. Abcesso cerebral amebiano. Rev Neuro-Psiquiat (Lama) 1969, 32:1.

[31] 31. Weisberg LA. Cerebral computerized tomography in intracranial inflammatory disorders. Arch Neurol 1980, 37:137.

[32] 32. Witham RR, Johnson RH, Roberts DL. Diagnosis of miliary tuberculosis by cerebral CT. Arch Intern Med 1979. 139:479.

Brasil

Brasil

Non tumoral intracranial expansive processes: clinical-tomographic correlation

Procesos expansivos intracraneanos no tumorales correlato clínico - tomográfico

Abstracts

Procesos expansivos intracraneanos no tumorales correlato clínico - tomográfico

Publication Dates