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Neurolymphomatosis as primary presentation of extra-nodal NK/T-cell lymphoma, n...

Silva, MI; Santos, P; Viegas, D; Miranda, M; Montes, V; Pita, F; Carmona, C

Neurolymphomatosis (NL) describes an infiltration of cranial and peripheral nerves by lymphoma cells, most frequently in non-Hodgkin B-cell lymphoma. This clinical entity is rare and poses a challenging diagnosis. We describe a case of a 64-year-old female patient with NL associated with extra-nodal NK/T-cell lymphoma (ENKTL), nasal type, presenting as a painful progressive mononeuropathy multiplex with an oral...

Date: 2024   |   Origin: Hospital de Cascais

No reason to smile: giant internal carotid artery aneurysm

Miranda, M; Marques, D; Montes, V; Pita, F

Giant cerebral aneurysms account for approximately 5% of all intracranial aneurysms, affecting morecommonly women in the 5th to 7th decade. When untreated, giant intracranial aneurysms face a poor prognosis withan estimated 2-year mortality of 68%. We present the case of an 82-year-old woman admitted at the emergencydepartment due to two focal to bilateral tonic-clonic seizures with a giant aneurysm of the supr...

Date: 2022   |   Origin: Hospital de Cascais


Recurrent Stroke in a Young Woman with a Single Pulmonary Arteriovenous Fistula...

Sousa, S; Vasco Costa, N; Carmona, C; Coimbra, E; Pita, F

INTRODUCTION: Cryptogenic stroke is present in about 40% of ischemic stroke patients. Extracardiac shunt related to pulmonary arteriovenous fistula (PAVF) could be a rare potential risk factor for embolic stroke. Most PAVFs are multiple, congenital, and associated with hereditary conditions. On the other hand, isolated PAVFs are rare conditions and an uncommon cause of cryptogenic stoke. CASE REPORT: We describ...


Neuropathy in Waldenstrom's macroglobulinemia.

Coimbra, J; Costa, A P; Pita, F; Rosado, P; de Almeida, L B

The association of a neuropathy and a paraproteinaemia such as Waldenström's macroglobulinaemia is frequent and not fortuitous. This paper reports a slowly progressive, predominantly sensory neuropathy, occurring in a 69-year-old man, as the first sign of a Waldenström's macroglobulinaemia. A saphenous [correction of sural] nerve biopsy revealed a mixed process of primary demyelination and axonal degeneration. ...

Date: 1995   |   Origin: Acta Médica Portuguesa

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