Hallazgos clínicos en paciente pediátrico post craneotomía de quiste subaracnoideo en región parietotemporal izquierdo

Clinical findings in a pediatric patient after craniotomy of subarachnoid cyst in the left parietotemporal region

Abstract

Subarachnoid intracranial cysts are rare and benign. Few cases have been reported in the literature and most diagnoses are in adult patients. Symptoms can range from high- intensity headache to difficult control, progressive neurological deficit, and altered consciousness. Treatment of surgical cases. Through neurological physical examination, it is possible to observe manifestations that affect the nervous system, such as cognition, breathing, movement, and gait. Then, it becomes essential to help with the diagnosis of neurological diseases. The objective of this study is to present the clinical corridors, through physical examination, of the pediatric patient, after 10 years of subtotal craniotomy of the subarachnoid cyst in the parietotemporal region of the disease, diagnosed by computed tomography of the brain. Complementary diagnostic tests, magnetic resonance imaging with intravenous condominium and immunohistochemical examination, confirmed an ependymal cyst of glial naturalness of congenital cause. Through physical examination, cranial nerves were taken and the motor system was explored, motility, trophism, muscle tone and voluntary active mobility were assessed. In this case, the patient presented clinical changes corresponding to the tumor, alterations in the lower hemibody, leading to an asymmetrical gait at the expense of hemiplegia, hypotonia in the upper limb, sensitivity in the scar due to craniotomy and altered extrinsic mobility of the right.