Neuroparacoccidioidomycosis is the central nervous system involvement by Paracoccidioides brasiliensis, a condition that may be underdiagnosed and has been scarcely reported. We describe a case of neuroparacoccidioidomycosis in a diabetic male with antecedent of heavy cigarette smoking and alcohol abuse. Thirty years before, he lived in the Amazon area and exerted rural activities in more recent years. The patient's main complaints were headache, visual deficit, hemiparesis, and weight loss. Imaging studies detected changes in the lungs and right adrenal gland, in addition to brain lesions. Paracoccidioides brasiliensis was found in tissue samples collected by the lung and brain biopsies. The patient is under ambulatory surveillance and in use of trimethoprim-sulfamethoxazole.

Percutaneous transluminal septal alcoholization is effective and safe in the treatment of HOC.

Prader-Willi syndrome is an uncommon multisystem genetic disorder caused by defects of chromosome 15 (15q11-q13)

OBJETIVO: Foram revisados os exames de seriografia do esôfago, estômago e duodeno (SEED), a fim de demonstrar os principais diagnósticos e achados radiológicos, o atual benefício para o paciente e a viabilidade financeira para os serviços de radiologia. MATERIAIS E MÉTODOS: Estudo retrospectivo e descritivo realizado a partir do levantamento dos exames realizados no período de 6/3/2001 a 12/4/2002 no Serviço de Radiologia do Hospital Santa Cruz da Beneficência Portuguesa de Niterói. RESULTADOS: Do total de 270 exames, 115 (42,5%) apresentavam alterações radiológicas (anatômicas, congênitas, adquiridas, funcionais, pépticas ou relacionadas a cirurgias) e 155 (57,5%) exames foram normais. Em relação à faixa etária, 197 (72,9%) eram pacientes de zero a 12 anos incompletos e 73 (27,1%) tinham mais de 12 anos. CONCLUSÃO: A SEED não deve cair em desuso e sim se manter como um importante método complementar para o estudo das doenças do trato gastrintestinal superior, principalmente em crianças e nos casos cirúrgicos, pelo seu indubitável benefício aos pacientes. Assim, devemos ter em mente que o exame contrastado e o exame endoscópico do trato gastrintestinal superior são complementares e não excludentes, quando consideramos as vantagens e as desvantagens de cada método. A SEED é um exame simples, rápido, relativamente barato e com poucos riscos para os pacientes.

Background: Percutaneous coronary intervention (PCI) in ostial lesions is one of the major challenges in contemporary interventional cardiology. Despite the technological advances, ostial lesions still present a higher rate of immediate and late adverse events compared with non-ostial lesions. The objective of this study was to evaluate coronary ostial lesions treated with the Szabo technique. Methods: Ten patients treated by PCI using the Szabo technique to treat ostial lesions in main coronary arteries between October and November, 2011, were included. Aorto-ostial lesions were excluded. Results: Of the ten treated patients, seven were males, with ages ranging from 42 to 75 years, and 60% had acute coronary syndromes without ST-segment elevation. The circumflex artery was treated in six patients, and a 7 F catheter was used in eight patients. In three patients, both guidewires twisted during the advancement of the stent to the lesion, which was solved by partially retrieving and repositioning the standard target-vessel wire. Procedural success was observed in 90% of the cases. There were no in-hospital deaths, (re) infarctions or emergency revascularisations. Conclusions: In this study, the Szabo technique successfully treated ostial lesions in main coronary arteries and provided adequate positioning of the stent in most cases.

(Rev Méd Chile 2008; 136: 221-4 (Rev Méd Chile 2008; 136: 221-4

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