Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/30823 |
Resumo: | In the last years, new techniques of neuroimages and histopathological methods have been added to the management of cerebral mass lesions in patients with AIDS. Stereotactic biopsy is necessary when after 14 days of empirical treatment for Toxoplasma gondii encephalitis there is no clinical or neuroradiologic improvement. We report a woman with AIDS who developed a single focal brain lesion on the right frontal lobe. She presented a long history of headache and seizures. After two weeks of empirical treatment for toxoplasma encephalitis without response, a magnetic resonance image with spectroscopy was performed and showed a tumoral pattern with a choline peak, diminished of N-acetyl-aspartate and presence of lactate. A stereotactic biopsy was performed. Histopathological diagnosis was a diffuse oligodendroglioma type A. A microsurgical resection of the tumor was carried out and antiretroviral treatment was started. To date she is in good clinical condition, with undetectable plasma viral load and CD4 T cell count >; 200 cell/uL. |
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Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura Oligodendroglioma in a patient with AIDS: case report and review of the literature Focal brain massOligodendrogliomaAcquired immunodeficiency syndromeAIDS In the last years, new techniques of neuroimages and histopathological methods have been added to the management of cerebral mass lesions in patients with AIDS. Stereotactic biopsy is necessary when after 14 days of empirical treatment for Toxoplasma gondii encephalitis there is no clinical or neuroradiologic improvement. We report a woman with AIDS who developed a single focal brain lesion on the right frontal lobe. She presented a long history of headache and seizures. After two weeks of empirical treatment for toxoplasma encephalitis without response, a magnetic resonance image with spectroscopy was performed and showed a tumoral pattern with a choline peak, diminished of N-acetyl-aspartate and presence of lactate. A stereotactic biopsy was performed. Histopathological diagnosis was a diffuse oligodendroglioma type A. A microsurgical resection of the tumor was carried out and antiretroviral treatment was started. To date she is in good clinical condition, with undetectable plasma viral load and CD4 T cell count >; 200 cell/uL. En los últimos años, las nuevas técnicas de neuroimágenes y diversos métodos de diagnóstico histopatológico se han agregado al manejo clínico de las lesiones de masa cerebral ocupante en los pacientes con sida. La biopsia estereotáxica es necesaria cuando, luego de dos semanas de tratamiento empírico para toxoplasmosis cerebral, no se comprueba mejoría clínica ni neurorradiológica. Presentamos una paciente con sida que desarrolló una lesión cerebral a nivel del lóbulo frontal derecho. Como antecedente refirió una larga historia de cefalea y convulsiones. La resonancia nuclear magnética con espectroscopia de voxel único ubicado a nivel de la lesión mostró un patrón de lesión tumoral con pico de colina, déficit de N-acetil-aspartato y presencia de ácido láctico. La biopsia estereotáxica y el estudio histopatológico permitieron arribar al diagnóstico de oligodendroglioma difuso de tipo A. Se le efectuó resección por microcirugía y tratamiento antirretroviral de alta eficacia. Actualmente la paciente se encuentra en buen estado clínico, con carga viral indetectable y recuento de linfocitos T CD4 + >; de 200 cél/uL. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2004-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/30823Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 No. 4 (2004); 195-197 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 Núm. 4 (2004); 195-197 Revista do Instituto de Medicina Tropical de São Paulo; v. 46 n. 4 (2004); 195-197 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/30823/32707Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessCorti, Marcelo E.Yampolsky, ClaudioMetta, HumbertoValerga, MarioSevlever, GustavoCapizzano, Andrés2012-07-07T18:28:59Zoai:revistas.usp.br:article/30823Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:51:34.190881Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura Oligodendroglioma in a patient with AIDS: case report and review of the literature |
title |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
spellingShingle |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura Corti, Marcelo E. Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS |
title_short |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_full |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_fullStr |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_full_unstemmed |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_sort |
Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
author |
Corti, Marcelo E. |
author_facet |
Corti, Marcelo E. Yampolsky, Claudio Metta, Humberto Valerga, Mario Sevlever, Gustavo Capizzano, Andrés |
author_role |
author |
author2 |
Yampolsky, Claudio Metta, Humberto Valerga, Mario Sevlever, Gustavo Capizzano, Andrés |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Corti, Marcelo E. Yampolsky, Claudio Metta, Humberto Valerga, Mario Sevlever, Gustavo Capizzano, Andrés |
dc.subject.por.fl_str_mv |
Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS |
topic |
Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS |
description |
In the last years, new techniques of neuroimages and histopathological methods have been added to the management of cerebral mass lesions in patients with AIDS. Stereotactic biopsy is necessary when after 14 days of empirical treatment for Toxoplasma gondii encephalitis there is no clinical or neuroradiologic improvement. We report a woman with AIDS who developed a single focal brain lesion on the right frontal lobe. She presented a long history of headache and seizures. After two weeks of empirical treatment for toxoplasma encephalitis without response, a magnetic resonance image with spectroscopy was performed and showed a tumoral pattern with a choline peak, diminished of N-acetyl-aspartate and presence of lactate. A stereotactic biopsy was performed. Histopathological diagnosis was a diffuse oligodendroglioma type A. A microsurgical resection of the tumor was carried out and antiretroviral treatment was started. To date she is in good clinical condition, with undetectable plasma viral load and CD4 T cell count >; 200 cell/uL. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30823 |
url |
https://www.revistas.usp.br/rimtsp/article/view/30823 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30823/32707 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 No. 4 (2004); 195-197 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 Núm. 4 (2004); 195-197 Revista do Instituto de Medicina Tropical de São Paulo; v. 46 n. 4 (2004); 195-197 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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