{"id":343271,"date":"2015-05-30T02:00:00","date_gmt":"2015-05-30T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/sinais-neurorradiologicos-e-tratamento-neurocirurgico\/"},"modified":"2015-05-30T02:00:00","modified_gmt":"2015-05-30T00:00:00","slug":"sinais-neurorradiologicos-e-tratamento-neurocirurgico","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/pt-pt\/sinais-neurorradiologicos-e-tratamento-neurocirurgico\/","title":{"rendered":"Sinais neurorradiol\u00f3gicos e tratamento neurocir\u00fargico"},"content":{"rendered":"<p><strong><em>Descri\u00e7\u00e3o do caso: <\/em>Relatamos um paciente de 43 anos de idade que tinha sofrido uma convuls\u00e3o pela primeira vez no Ver\u00e3o passado. O trabalho abrangente sobre epilepsia n\u00e3o revelou quaisquer potenciais t\u00edpicos da epilepsia. No entanto, no decurso de mais esclarecimentos, foi revelado um claro ocluso hidrocef\u00e1lico com estenose proximal do aqueduto como um achado incidental na resson\u00e2ncia magn\u00e9tica.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p><strong>Diagn\u00f3stico por RM: <\/strong>O diagn\u00f3stico por RM mostrou ventr\u00edculos supratentoriais claramente dilatados com um quarto ventr\u00edculo estreito em imagens axiais T2-w <strong>(Fig.&nbsp;1)<\/strong>.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-5695\" alt=\"\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0.jpg\" style=\"height:353px; width:600px\" width=\"1100\" height=\"648\" srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0.jpg 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-800x471.jpg 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-120x71.jpg 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-90x53.jpg 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-320x189.jpg 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-560x330.jpg 560w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/p>\n<p>Imagens sagitais mostraram estenose proximal do aqueduto com grave ov\u00f3ide de fluxo no aqueduto. Outros sinais de hidrocefalia oclusal em estenose de aqueduto foram <strong>(Fig. 2)<\/strong>:<\/p>\n<p><strong>A) <\/strong>Eleva\u00e7\u00e3o e desbaste do corpus callosum<br \/>\n<strong>B) <\/strong>Eleva\u00e7\u00e3o do telhado do terceiro ventr\u00edculo<br \/>\n<strong>C) <\/strong>Extens\u00e3o do ressecus suprapineal<br \/>\n<strong>D) <\/strong>Compress\u00e3o do ch\u00e3o do terceiro ventr\u00edculo contra o dorso da sela<br \/>\n<strong>E) <\/strong>Dilata\u00e7\u00e3o do recesso infundibular<br \/>\n<strong>F) <\/strong>Aplanamento e deslocamento caudal do quiasma \u00f3ptico<br \/>\n<strong>G) <\/strong>Balonamento da l\u00e2mina terminalis.<\/p>\n<p><img decoding=\"async\" class=\"size-full wp-image-5696 lazyload\" alt=\"\" data-src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20.jpg\" style=\"--smush-placeholder-width: 1100px; --smush-placeholder-aspect-ratio: 1100\/845;height:461px; width:600px\" width=\"1100\" height=\"845\" data-srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20.jpg 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-800x615.jpg 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-120x92.jpg 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-90x68.jpg 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-320x246.jpg 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-560x430.jpg 560w\" data-sizes=\"(max-width: 1100px) 100vw, 1100px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/p>\n<p><strong>Conclus\u00e3o:<\/strong> Ap\u00f3s a convuls\u00e3o, o paciente foi diagnosticado com hidrocefalia oclusal maci\u00e7a com estenose aqueductal por resson\u00e2ncia magn\u00e9tica. Se esta hidrocefalia causou a apreens\u00e3o \u00e9 question\u00e1vel, mas n\u00e3o pode ser exclu\u00edda. Com base nas imagens e nos sintomas, houve uma clara recomenda\u00e7\u00e3o e indica\u00e7\u00e3o de terapia cir\u00fargica no sentido de uma ventriculocistostomia endosc\u00f3pica. O objectivo da opera\u00e7\u00e3o \u00e9 evitar o desenvolvimento posterior de dem\u00eancia e sintomas de hidrocefalia cr\u00f3nica.<\/p>\n<p>Leitura adicional:<\/p>\n<ul>\n<li>Spennato P, et al: Terceira ventriculostomia endosc\u00f3pica para estenose aqueducativa idiop\u00e1tica. World Neurosurg 2013 Fev; 79(2 Suppl): S21.e13-20.<\/li>\n<\/ul>\n<p>\n<em>InFo NEUROLOGIA &amp; PSYCHIATRY 2015; 13(3): 20-21<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Descri\u00e7\u00e3o do caso: Relatamos um paciente de 43 anos de idade que tinha sofrido uma convuls\u00e3o pela primeira vez no Ver\u00e3o passado. O trabalho abrangente sobre epilepsia n\u00e3o revelou quaisquer&hellip;<\/p>\n","protected":false},"author":7,"featured_media":50966,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Hydrocephalus oclusus em estenose de aqueduto proximal","footnotes":""},"category":[11536,11374,11486,11551],"tags":[46614,11785,46619,41616,27354],"powerkit_post_featured":[],"class_list":["post-343271","post","type-post","status-publish","format-standard","has-post-thumbnail","category-casos-pt-pt","category-neurologia-pt-pt","category-radiologia-pt-pt","category-rx-pt","tag-apreensao","tag-epilepsia","tag-estenose-do-aqueduto","tag-hydrocephalus-oclusus","tag-mri-pt-pt-2","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-12 13:54:38","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"pt_PT","wpml_translations":{"es_ES":{"locale":"es_ES","id":343103,"slug":"signos-neurorradiologicos-y-tratamiento-neuroquirurgico","post_title":"Signos neurorradiol\u00f3gicos y tratamiento neuroquir\u00fargico","href":"https:\/\/medizinonline.com\/es\/signos-neurorradiologicos-y-tratamiento-neuroquirurgico\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/posts\/343271","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=343271"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/posts\/343271\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/media\/50966"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=343271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/category?post=343271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=343271"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/powerkit_post_featured?post=343271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}