Lesões intracranianas ocupadoras de espaço: estudo clínico, imagiológico e novas opções terapêuticas: acupunctura
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2016-01-26
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As lesões intracranianas ocupadoras de espaço, são comuns em cães e gatos, e cada vez mais são diagnosticadas nestes animais, devido aos meios de diagnóstico avançados, por imagem, como são a tomografia computorizada (TC) e a ressonância magnética (RM).
Dentro destas lesões, surgem as neoplasias, em que a mais comum é o meningioma, como se suspeitou no caso clínico nº1, as inflamações e as infecções, as alterações vasculares, como os enfartes, relatados nos casos números 3 e 4, e a hidrocefalia, como no caso clínico nº2, secundária a um traumatismo craniano, podendo ser secundária ou primária.
Dos sinais neurológicos os mais comuns são as convulsões, as alterações de comportamento, as parésias e as paralisias.
O tratamento de eleição para as neoplasias é a cirurgia, por vezes nos traumatismos é também necessário fazer cirurgia, para diminuir a pressão intracraniana ou remoção de coágulos ou hemorragias, mas muitas vezes o tratamento médico é suficiente, assim como no caso de doenças inflamatórias e alterações vasculares.
Neste trabalho são apresentados dois casos de alterações vasculares, que foram tratados medicamente, um deles, o caso nº4, acabou por falecer. No caso da neoplasia, o animal foi eutanasiado, e o episódio de traumatismo craniano foi um caso de sucesso, tratado apenas com acupunctura. A acupunctura faz parte da medicina tradicional chinesa, uma das mais antigas medicinas, e funciona não só, através de caminhos físicos, neuroanatómicos do nosso corpo, como também pela circulação de Qi, energia vital, que circula por esses mesmos caminhos.
Intracranial space occupying lesions, are common in dogs and cats, and are increasingly diagnosed in these animals due to advanced diagnostics, imaging, are as computerized tomography scan (CT) and magnetic resonance imaging (MRI). Within these lesions arise neoplasms, in which the most common is meningioma, as suspected in the clinical case 1, inflammations and infections, vascular disorders, such as stroke, reported cases 3 and 4, and hydrocephalus, as in our case no. 2 secondary to head injury, and those cases may be primary or secondary. Among the most common neurological signs are seizures, behavior changes, the paresis and paralysis. The treatment of choice for cancer is surgery on trauma is sometimes also necessary surgery to reduce intracranial pressure or removing clots or bleeding, but often medical treatment is sufficient, as in the case of inflammatory and vascular changes. This paper presents two cases of vascular lesions, which were treated medically, one of them the case no. 4, died. In the case of cancer, the animal was euthanized, and the episode of head trauma was a success, treated only with acupuncture. Acupuncture is a part of traditional chinese medicine, one of the oldest medicines, and works not only through physical paths, neuroanatomical of our body, but also by the circulation of Qi, the vital energy that circulates through these same pathways.
Intracranial space occupying lesions, are common in dogs and cats, and are increasingly diagnosed in these animals due to advanced diagnostics, imaging, are as computerized tomography scan (CT) and magnetic resonance imaging (MRI). Within these lesions arise neoplasms, in which the most common is meningioma, as suspected in the clinical case 1, inflammations and infections, vascular disorders, such as stroke, reported cases 3 and 4, and hydrocephalus, as in our case no. 2 secondary to head injury, and those cases may be primary or secondary. Among the most common neurological signs are seizures, behavior changes, the paresis and paralysis. The treatment of choice for cancer is surgery on trauma is sometimes also necessary surgery to reduce intracranial pressure or removing clots or bleeding, but often medical treatment is sufficient, as in the case of inflammatory and vascular changes. This paper presents two cases of vascular lesions, which were treated medically, one of them the case no. 4, died. In the case of cancer, the animal was euthanized, and the episode of head trauma was a success, treated only with acupuncture. Acupuncture is a part of traditional chinese medicine, one of the oldest medicines, and works not only through physical paths, neuroanatomical of our body, but also by the circulation of Qi, the vital energy that circulates through these same pathways.
Descrição
Dissertação de Mestrado Integrado em Medicina Veterinária, Ciências Veterinárias
Palavras-chave
Sistema nervoso central , Neoplasias cerebrais , Diagnóstico por imagem , Animais de estimação