Recurrent painful ophthalmoplegic neuropathy (RPON) is a rare clinical entity, whose pathophysiology is not well understood. We present the case of a girl who, at 14 months of age, suddenly started right eyelid ptosis and incomplete paresis of the ipsilateral oculomotor nerve. Magnetic resonance imaging revealed a thickening of the emergence of that nerve. She was treated with corticosteroids and, over the year...
Acquired torticollis in children is a clinical manifestation with a wide etiological spectrum, which ranges from traumatic, infectious or inflammatory processes, to non-musculoskeletal entities of neurological, tumoral or even ophthalmological origin. It can constitute the form of presentation of benign and self-limiting processes, as well as progressive and potentially fatal conditions, so the identification o...
Multiple sclerosis (MS) is a chronic inflammatory demyelinating and degenerative disease of the central nervous system which, when it begins before the age of 18, is defined as paediatric MS. Most common clinical presentations include long tract involvement, brainstem/cerebellum syndromes, optic neuritis and acute disseminated encephalomyelitis. Paediatric-onset MS typically has a more inflammatory-active cours...
Os diagnósticos diferenciais da forma central de diabetes insípida são vários: traumatismo» infecção malformação, neoplasia, situações inflamatórias diversas. Progressivamente» o número de casos considerado como diabetes insípida idiopática tem vindo a diminuir com a melhoria dos meios imagiológicos, nomeadamente Ressonância Magnética Nuclear. Descreve-se o caso de uma adolescente com diabetes insípida central»...
Objectivos: As opções terapêuticas na abordagem do Glioma do Quiasma Óptico são várias, mas nenhuma isenta de complicações. Avaliou-se a resposta a diferentes terapêuticas e sequelas, nas crianças com Glioma do Quiasma Óptico, diagnosticadas no Hospital Pediátrico de Coimbra Material e Métodos: Analisaram-se 11 casos diagnosticados de 1984 até 1999 com idade 8 anos. Estabeleceram-se 2 grupos (Grupos A e B), de ...
Selective and bilateral involvement of the limbic system by gliomas is rarely reported. The authors report the case of a 58 years-male complaining of short-term memory loss in the preceding three weeks. The initial MRI revealed areas of hyperintensity on T2 and FLAIR sequences involving both hippocampus, amygdala, parahippocampus gyrus and the fornix, with contrast enhancement in the right mesial temporal regio...
Introduction: Central Nervous System (CNS) infection by Human Immunodeficiency Virus (HIV) occurs early in the course of the disease and is associated with changes that can reach any level of the neuroaxis. Neuroimaging plays an increasingly important role both in diagnosis and in longitudinal monitoring of these complications, which can be divided into three major categories: injuries directly associated with ...