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


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.


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

Mar 2015
DISCUSSION 19 Comments

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

  1. Alfredo Hernández says:

    Meningioma convexidad

  2. Eliseo de la Fuente says:


  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:


  5. marwin says:

    tumor fribroso solitario meningeo

  6. Lourdes Santos says:


  7. Patricio Latorre says:


  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

  9. fnf says:

    Great article! It’s well-written, informative, and provides valuable insights on the topic.

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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.

  14. suika game says:

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

  15. games says:

    Additionally, as a medical professional, I can verify the accuracy of the diagnoses provided.

  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.

  17. What a wonderful piece! The article is not only well-written but also offers light on the subject at hand.

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