Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura
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 neuro...
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ftdoajarticles:oai:doaj.org/article:1e4b2b73dd5a49ca98e59192fa78cf27 2023-05-15T15:18:28+02:00 Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura Marcelo E. Corti Claudio Yampolsky Humberto Metta Mario Valerga Gustavo Sevlever Andrés Capizzano 2004-08-01T00:00:00Z https://doi.org/10.1590/S0036-46652004000400004 https://doaj.org/article/1e4b2b73dd5a49ca98e59192fa78cf27 EN PT eng por Universidade de São Paulo http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652004000400004 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46652004000400004 0036-4665 1678-9946 https://doaj.org/article/1e4b2b73dd5a49ca98e59192fa78cf27 Revista do Instituto de Medicina Tropical de São Paulo, Vol 46, Iss 4, Pp 195-197 (2004) Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS Arctic medicine. Tropical medicine RC955-962 article 2004 ftdoajarticles https://doi.org/10.1590/S0036-46652004000400004 2023-01-08T01:29:40Z 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 ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Alta Sida ENVELOPE(101.683,101.683,67.800,67.800) Derecho ENVELOPE(-56.950,-56.950,-64.350,-64.350) Larga ENVELOPE(-60.767,-60.767,-62.467,-62.467) Colina ENVELOPE(-59.683,-59.683,-62.317,-62.317) Revista do Instituto de Medicina Tropical de São Paulo 46 4 195 197 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Portuguese |
topic |
Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS Arctic medicine. Tropical medicine RC955-962 Marcelo E. Corti Claudio Yampolsky Humberto Metta Mario Valerga Gustavo Sevlever Andrés Capizzano Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
topic_facet |
Focal brain mass Oligodendroglioma Acquired immunodeficiency syndrome AIDS Arctic medicine. Tropical medicine RC955-962 |
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. 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 ... |
format |
Article in Journal/Newspaper |
author |
Marcelo E. Corti Claudio Yampolsky Humberto Metta Mario Valerga Gustavo Sevlever Andrés Capizzano |
author_facet |
Marcelo E. Corti Claudio Yampolsky Humberto Metta Mario Valerga Gustavo Sevlever Andrés Capizzano |
author_sort |
Marcelo E. Corti |
title |
Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_short |
Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_full |
Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_fullStr |
Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_full_unstemmed |
Oligodendroglioma in a patient with AIDS: case report and review of the literature Oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
title_sort |
oligodendroglioma in a patient with aids: case report and review of the literature oligodendroglioma en un paciente con sida: reporte de caso y revisión de la literatura |
publisher |
Universidade de São Paulo |
publishDate |
2004 |
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https://doi.org/10.1590/S0036-46652004000400004 https://doaj.org/article/1e4b2b73dd5a49ca98e59192fa78cf27 |
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Arctic Alta Sida Derecho Larga Colina |
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Arctic Alta Sida Derecho Larga Colina |
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Arctic |
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Arctic |
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Revista do Instituto de Medicina Tropical de São Paulo, Vol 46, Iss 4, Pp 195-197 (2004) |
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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652004000400004 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46652004000400004 0036-4665 1678-9946 https://doaj.org/article/1e4b2b73dd5a49ca98e59192fa78cf27 |
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