Introdução: Condromas são tumores benignos, que normalmente se apresentam como lesões metafisárias solitárias. Contudo, mais raramente, tais lesões podem se manifestar com localização intracraniana. A apresentação clínica depende da exata localização do tumor e inclui cefaleia, convulsões, déficits neurológicos focais e papiledema. Neste artigo, apresentamos um caso de condroma na região parieto-occipital esquerda, juntamente a uma revisão sistemática da literatura. Relato de caso: Paciente do sexo feminino, 45 anos, se apresentou ao hospital com queixa de cefaleia temporo-parieto-occipital à esquerda, de caráter pulsátil, que evoluiu com náuseas, vômitos e fraqueza em membros inferiores. As neuroimagens evidenciaram lesão expansiva de 8,4 x 7,0 x 8,0 cm em região parietooccipital esquerda, com realce periférico irregular pelo contraste e áreas sugestivas de hemorragias ou calcificações em T2. A suspeita inicial foi de meningioma. Foi submetida a craniotomia temporo-parieto-occipital à esquerda, seguida de ressecção total do tumor e envio para análise anatomopatológica, sendo diagnosticado como condroma. Conclusão: Condromas intracranianos são entidades infrequentes e de progressão lenta. Eles não possuem sinais patognomônicos na neuroimagem e são frequentemente confundidos com meningiomas. A ressecção completa é indicada como principal terapêutica curativa, mostrando-se de bom prognóstico a longo prazo.
Objectives: To compare microdiscectomy (MD) and endoscopic interlaminar discectomy (EID) as methods for the surgical treatment of lumbar disc herniation, describing their efficiency in reducing hospitalization time, pain, and neurological deficit, and comparing the findings and the quality of studies that used the microscopic and endoscopic techniques. Methods: A systematic literature review that used the PRISMA protocol as a methodology. The search was conducted in the PUBMED/MEDLINE and The Cochrane Library databases, using publications from the last 5 years in Portuguese and English. After applying the inclusion and exclusion criteria and validating the qualified studies via STROBE and CONSORT, there were a total of 16 studies for data compilation. Results: A sample of 1004 patients who underwent lumbar discectomy was obtained, 62% of whom were male, and 493 of whom underwent EID (49%) and 511 MD (51%). The mean patient age was 38.7 years and the predominant vertebral level operated was L5-S1 (64.8%). The EID had shorter surgical time (66.38 min) and hospitalization time (3.3 days), in addition to greater variation in the VAS LLLL score (5.38), while the MD presented greater variation in the VAS LUMBAR score (3.14). Conclusion: EID demonstrated efficacy like that of MD, given the similarity in the results obtained, in addition to non-inferiority in the reduction of pain and neurological deficit, and superiority in surgical and hospitalization times. Level of Evidence I; Systematic review .
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