Lipoma espinhal associado a seio dérmico congênito: relato de caso

Rios, Lívia Teresa Moreira; Oliveira, Ricardo Villar Barbosa de; Martins, Marília da Glória; Leitão, Olga Maria Ribeiro; Nascimento, Janilson Moucherek Soares do

doi:10.1590/s0100-39842011000400014

Cited by 2 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Los estigmas cutáneos se encuentran en el 2,2 al 7,2 % de todos los recién nacidos, de los cuales solo un pequeño porcentaje presenta disrafismo oculto (5); esto debido a que la piel y el tejido nervioso comparten origen embriológico. La separación incompleta entre el ectodermo cutáneo y el tubo neural puede originar medula anclada, así como su separación prematura puede desarrollar lipoma (6). El disrafismo espinal oculto suele acompañarse de lipomas lumbosacros y generalmente se diagnostica en lactantes por alguna manifestación cutánea o por presencia de signos y síntomas en adultos jóvenes, los cuales suelen ser de carácter progresivo (5).…”

Section: Discussionunclassified

Disrafismo Espinal Oculto: Reporte de Caso

Franco-Chávez¹,

González²,

Ucedo³

2021

Medicina Clínica Y Social

View full text Add to dashboard Cite

El disrafismo espinal oculto incluye alteraciones en la fusión del tubo neural, en el que la lesión está cubierta por la epidermis, su incidencia estimada es de 0,5 a 5 casos por cada 1000 nacidos vivos. Los estigmas cutáneos pueden ser el único signo de la patología, los cuales pueden no ser muy evidentes. Reporte de caso de mujer de 36 años que acudió a consulta por cuadro de dolor lumbar de inicio insidioso, de 3 semanas de duración, que con el paso de los días se fue intensificando, irradia a miembros inferiores, cede parcialmente con analgésicos comunes y se acompaña de parestesias en ambos miembros. Se solicitó TAC y RMN que reveló anomalía anatómica sacrococcígea caracterizada por abertura de canal raquídeo, ausencia de cóccix, situación baja del cono medular, siringomielia e hiperintensidad a nivel del filum terminal sugestivo de lipoma. Se confirmó el diagnóstico de espina bífida oculta a nivel sacro, con lipoma del filum terminal, médula anclada con situación baja del cono medular y siringomielia asociada. Actualmente es controversial el beneficio cirugía profiláctica en pacientes asintomáticos, siendo preferible una conducta conservadora con estrecho seguimiento urológico y neurológico, entre las medidas de prevención se recomienda evitar el ejercicio físico extenuante, disminuir carga de columna lumbar y reeducación postural.

show abstract

Section: Discussionunclassified

Disrafismo Espinal Oculto: Reporte de Caso

Franco-Chávez¹,

González²,

Ucedo³

2021

Medicina Clínica Y Social

View full text Add to dashboard Cite

show abstract

“…One is very gratified and happy to see that very interesting studies on those imaging methods are being developed and published. Here are some of them: Abdominal gossypiboma (1) , four beautiful case reports (2)(3)(4)(5) , gallbladder wall thickening (6) , correlation between PSA and prostate cancer (7) , study of cerebral ventricles (8) , BI-RADS US (9) , abnormal uterine bleeding (10) , intima-media complex in atherosclerosis (11) , comparison between US and MRI in the portal flow assessment (12) , endoleaks in the endovascular management of aortic aneurysms (13) , abnormalities in the first trimester of pregnancy (14) , radiographic findings in the treatment of pulmonary paracoccidioidomycosis (15) , neurofibromatosis (16) , study of the spine after cervical traction (17) , and finally, three articles about medical physics (18)(19)(20) .…”

mentioning

confidence: 99%

Por que parte da especialidade está sendo relegada a segundo plano dentro do diagnóstico por imagem?

Carvalho

2012

Radiol Bras

View full text Add to dashboard Cite

Radiologists graduated until the mid-eighties had almost only the opportunity of learning the old, centennial, and nowadays relegated to the backstage, conventional radiology, since most of our teaching hospitals with residency programs simply were not equipped with ultrasonography (US), another method that is about to be relegated to the limbo by newly graduates. Some of the "veterans" have taken the same path, managing to learn about US, which they used for many years in their daily activity. Others were attracted by computed tomography (CT) and magnetic resonance imaging (MRI), following their own personal preferences and willingness to be technologically updated. And some decided to remain technologically stagnant. Among trainees, residents, master and PhD fellows, one observes almost a certain "neglect" regarding conventional radiology and US. On the other hand, CT and MRI attract attention and interest from the younger generation. Curiously, the very basis of imaging diagnosis is the old, conventional radiology. It is from conventional radiology that one learns to interpret, think, vary and suggest other things. One tries to find out a reason for this, beyond the obvious financial reward, as the days when MRI professional made as much money as they wanted, are gone. I firmly believe that the roles are changing. With so many new professionals willing to learn MRI and CT, will those who know how to perform, interpret and report with quality "in the old imaging methods" soon enjoy appreciation in the "marketplace"? With a view on this trend, especially on the almost manifested disdain that some residents demonstrate for allegedly loosing time learning conventional radiology and US, we have carried out a survey in the Radiologia Brasileira (RB) journal, to check into what is still being published about such almost abandoned "subspecialties". Such survey covered the past ten years-a good reference to begin with. With the Brazilian word "ultra-sonografia" (ultrasonography), still written in the former orthography with a hyphen, we have found 77 articles. With the word "ultrassonografia", the current spelling without the hyphen, 63 articles have been published by RB since 2009. In order to compare, let us take an international look. Who knows, maybe "below the Equator" we are obsolete, and in

show abstract

Lipoma espinhal associado a seio dérmico congênito: relato de caso

Cited by 2 publications

References 7 publications

Disrafismo Espinal Oculto: Reporte de Caso

Disrafismo Espinal Oculto: Reporte de Caso

Por que parte da especialidade está sendo relegada a segundo plano dentro do diagnóstico por imagem?

Contact Info

Product

Resources

About