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Subdural Hematoma as a Complication of Endoscopic Third Ventriculostomy in a Pe...

Fernandes, Rafael Tiza; Sobrinho, Rui; Azevedo, Miguel; Matos, Mário; Sagarribay, Amets; Forte, Dalila

Background: Subdural hematoma (SDH) typically occurs due to traumatic brain injury but can arise as a rare complication of procedures like endoscopic third ventriculostomy (ETV). Case presentation: We report an unusual case in a 9-year-old male with previous resection of a fourth-ventricle ependymoma at 2 years of age. Seven years post-surgery, he presented with worsening hydrocephalus and underwent ETV. One mo...


Multidisciplinary team care in pituitary tumours

Marques, Pedro; Sagarribay, Amets; Tortosa, Francisco; Neto, Lia; Ferreira, Joana Tavares; Subtil, João; Palha, Ana; Dias, Daniela; Sapinho, Inês

The optimal care for patients with pituitary tumours is best provided in a multidisciplinary and collaborative environment, which requires the contribution of multiple medical specialties working together. The benefits and advantages of the pituitary multidisciplinary team (MDT) are broad, and all relevant international consensus and guidelines in the field recommend that patients with pituitary tumours should ...


Pituitary metastasis as the first manifestation of lung carcinoma

Amaral, Sara; Matias, Alexandra; Bouça, Bruno; Manique, Inês; Palha, Ana; Cortez, Luísa; Cerqueira, Luís; Forte, Dalila; Sagarribay, Amets

Pituitary metastases are rare. Clinical presentation could range from asymptomatic to panhypopituitarism or local symptoms. We present a case report of a 43-year-old male patient with a new onset headache, visual disturbances, and panhypopituitarism. The investigation led to the diagnosis of pituitary metastasis as the first manifestation of underlying lung cancer.


Extenso lipoma do ouvido interno e canal do facial

Diogo, Mariana Cardoso; Sagarribay, Amets; Conceição, Carla

Inner ear lipomas are rare benign congenital lesions, most frequently presenting at the internal auditory canal and labirynth. Lipomas of the facial nerve are even less frequent. We present a case of a lipoma involving all internal ear structures and VII nerve canal and extending intracranially and extracranially, presenting with facial palsy and ipsilateral hearing loss. To our knowledge this is the most exten...

Date: 2017   |   Origin: Acta Radiológica Portuguesa

Clival chordomas: The endoscopic transnasal transsphenoidal approach

Jerónimo, Alexandra; Sagarribay, Amets; de Sousa, Vítor; Gonçalves, Vítor; Barros, Ezequiel

Cranial base chordomas are rare, locally aggressive tumours. They represent a surgical challenge due to their proximity to vital neurovascular structures and hight potential to recur. The authors describe the case report of a 45 year-old woman, with history of headache, anisocoria and diplopia for five months. Complementary exams revealed an extensive lesion occupying the superior 2/3 of the clivus, with extens...


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