Prenatal detection and postnatal management of an intranasal glioma

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art_OKUMURA_Prenatal_detection_and_postnatal_management_of_an_intranasal_2012.PDF (735.66 KB)
Citações na Scopus
8
Tipo de produção
article
Data de publicação
2012
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
W B SAUNDERS CO-ELSEVIER INC
Autores
Citação
JOURNAL OF PEDIATRIC SURGERY, v.47, n.10, p.1951-1954, 2012
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Nasal gliomas are rare benign congenital midline tumors composed of heterotopic neuroglial tissue. They have potential for intracranial extension through a bony defect in the skull base. Neuroimaging is essential for identifying nasal lesions and for determining their exact location and any possible intracranial extension. Computed tomography is often the initial imaging study obtained because it provides good visualization of the bony landmarks of the skull base; it is not, however, well suited for soft tissue imaging. Magnetic resonance imaging has better soft tissue resolution and may be the best initial study in patients seen early in life because the anterior skull base consists of an unossified cartilage and may falsely appear as if there is a bony dehiscence on computed tomography. A frontal craniotomy approach is recommended if intracranial extension is identified, followed by a transnasal endoscopic approach for intranasal glioma. A case is presented of a huge fetal facial mass that was shown by ultrasound that protruded through the left nostril at 33 weeks of gestation. Computed tomography of the neonate suggested a transethmoidal encephalocele. Magnetic resonance imaging showed a huge mass occupying the nasopharynx and the nasal cavity and protruding externally to the face but ruled out bony discontinuity in the skull base and, therefore, any intracranial connection. The infant underwent an endoscopic resection of the mass via oral and nasal routes and pathologic examination revealed intranasal glioma.
Palavras-chave
Intranasal Glioma, Sonography, Computed tomography, Magnetic resonance imaging
URI
https://observatorio.fm.usp.br/handle/OPI/840
Referências
  1. Altissimi G, 2009, ACTA OTORHINOLARYNGO, V29, P218
  2. Chmait RH, 2002, ULTRASOUND OBST GYN, V20, P417, DOI 10.1046/j.1469-0705.2002.00811.x
  3. De Biasio P, 2006, ULTRASOUND OBST GYN, V27, P571, DOI 10.1002/uog.2754
  4. Grzegorczyk V, 2010, PEDIATR RADIOL, V40, P1706, DOI 10.1007/s00247-010-1642-6
  5. Hedlund G, 2006, PEDIATR RADIOL, V36, P647, DOI 10.1007/s00247-005-0100-3
  6. Hoving EW, 2000, CHILD NERV SYST, V16, P702, DOI 10.1007/s003810000339
  7. Huisman TAGM, 2004, EUR RADIOL, V14, P243, DOI 10.1007/s00330-003-2008-3
  8. Pasquini E, 1998, OTOLARYNG HEAD NECK, V118, P905, DOI 10.1016/S0194-5998(98)70297-9
  9. Penner Carla R, 2003, Ann Diagn Pathol, V7, P354, DOI 10.1016/j.anndiagpath.2003.09.010
  10. Rahbar Reza, 2003, Laryngoscope, V113, P2069, DOI 10.1097/00005537-200312000-00003
  11. Riffaud L, 2008, J PEDIATR SURG, V43, pE1, DOI 10.1016/j.jpedsurg.2008.08.009

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOG
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/14
Artigos e Materiais de Revistas Científicas - LIM/44
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