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Vol. 55. Issue 7.
Pages 346-350 (September 2004)
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Vol. 55. Issue 7.
Pages 346-350 (September 2004)
Glioma nasal: a propósito de un caso
Nasal glioma
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F. Aguilar Mandreta, M.T. Oliva Izquierdo, J. Vallès Fontanet
Servicio de otorrinolaringología.hospital general de manresa. barcelona
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Resumen

Las masas congénitas en la línea media nasofrontal son infrecuentes y, por ello, fácilmente mal diagnosticadas. No obstante, debido a sus posibles complicaciones requieren un rápido diagnóstico y tratamiento. En este artículo se revisan las tres más frecuentes: quiste dermoide, glioma nasal y encefalocele. Su propensión a presentarse de manera similar entre ellas requiere una hábil historia clínica y exploración física, además de un adecuado diagnóstico radiológico que incluye TC, RMN o ambos. Muy importante es el hecho de pensar en ellas para evitar la realización de una biopsia

Palabras clave:
Quiste dermoide
Encefalocele
Glioma
Diagnóstico diferencial
Fístula de líquido cefalorraquídeo
Tomografía computerizada
Resonancia magnética nuclear
Abstract

Congenital midline nasal masses are rare and therefore easily misdiagnosed, but due to their possible complications, they require prompt diagnosis and management. In this article we review the three most common: dermoid cyst, glioma and encephalocele. Their tendency to have a similar presentation requires very good skills in taking the history and performing the physical exam as well as an adequate radiologic diagnosis including CT, MRI or both. It is very important that we always consider them to avoid taking a biopsy

Key words:
Dermoid cyst
Encephalocele
Glioma
Differential diagnosis
Derebrospinal rhinorrhea
Tomography
Magnetic resonance imaging

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