Los casos de Dr. Pepe – Caso de Diploma 9 (Resuelto)

ESP_diploma_case_9

Hola amigos, el caso de hoy corresponde a una mujer de 54 años con cefalea vespertina, sensación de inestabilidad y episodios de minutos de evolución de afasia motora, a lo largo de los últimos seis meses. Exploración física y neurológica sin alteraciones.

¿Cuál sería el diagnóstico?

1. Metástasis dural
2. Tumor fibroso solitario
3. Meningioma
4. Hemangiopericitoma

Podéis dar vuestra opinión hasta el viernes, día en el que se publicará la solución.

img1

Imágenes de TC craneal sin contraste (A) y con contraste endovenoso (B), y con ventana de hueso (C)

Haz click aquí para ver la respuesta

09
Mar 2015
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DISCUSSION 38 Comments

38 Responses to : Los casos de Dr. Pepe – Caso de Diploma 9 (Resuelto)

  1. Alfredo Hernández says:

    Meningioma convexidad

  2. Eliseo de la Fuente says:

    Meningioma

  3. Dr Chalo says:

    ….la presencia de un área hipo densa y ángulos agudos de contacto me hacen descartar meningioma, el realce con el contraste podría corresponder a hemangiopericitoma….creo, veremos que dirá el Dr. Pepe. Saludos

  4. Tamara says:

    Hemangiopericitoma

  5. marwin says:

    tumor fribroso solitario meningeo

  6. Lourdes Santos says:

    hemangiopericitoma

  7. Patricio Latorre says:

    Meningioma

  8. The presence of a hypodense area and sharp contact angles lead me to believe that hemangiopericytoma is more likely than meningioma. On the other hand, the contrast enhancement may be indicative of hemangiopericytoma. I believe that we should wait to hear what Dr. Pepe has to say. Greetings

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  13. build now gg says:

    Given the symptoms described, especially the evening headaches and episodes of motor aphasia, my guess would lean towards meningioma.

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    I’m also a doctor so I can confirm that the diagnoses you gave are correct.

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  16. Based on the presenting symptoms and the absence of abnormal findings on physical and neurological examination, along with the progressive nature of the symptoms over six months, the most likely diagnosis would be meningioma.

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  23. Los meningiomas son tumores generalmente benignos que se originan en las capas de tejido que cubren el cerebro y la médula espinal (las meninges). Pueden causar síntomas como cefalea, cambios en la función cerebral dependiendo de su ubicación, y pueden crecer lentamente a lo largo del tiempo.

  24. Quick Draw says:

    ¿Cuál es la conclusión final de este diagnóstico?

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    Es un verdadero misterio.

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  29. En este caso, la combinación de cefalea vespertina, sensación de inestabilidad y episodios de afasia motora en una mujer de 54 años es muy preocupante y sugiere la posibilidad de un proceso intracraneal significativo. Personalmente, creo que un meningioma podría ser una de las explicaciones más probables, ya que estos tumores pueden presentarse con síntomas neurológicos sutiles y progresivos. Estoy ansioso por conocer la respuesta final, ya que estos casos siempre brindan una gran oportunidad para aprender y reflexionar sobre el diagnóstico diferencial.

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