2 resultados para right-angle prism

em Biblioteca Digital da Produção Intelectual da Universidade de São Paulo


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Paraehlersia San Martin, 2003 is reported for the first time for the Atlantic coast off South America based on specimens collected off Brazil and Argentina. The specimens belong to two new species, which are herein described. Paraehlersia longichaetosa sp. nov., is characterized by having spiniger-like chaetae with long blades, up to 120 mu m in length, bidentate anterior falcigers, with relatively coarse subdistal tooth, bidentate dorsal simple chaetae, with teeth about same size, and subdistally irregularly inflated aciculae, apparently hollow, with acute tip. Paraehlersia martapolae sp. nov., has spiniger-like chaetae with shorter blades, up to 82 mu m in length, bidentate falcigers, with thin subdistal tooth, distally irregularly rounded dorsal simple chaetae, and aciculae subdistally bent at almost right angle, sometimes with apparently flattened top. These new species are compared to their most similar congeners. Additionally, a table summarizing relevant morphological traits of all currently known species of Paraehlersia is included.

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Objective Epidermoid cysts of the cerebellopontine angle (CPA) can be a surgical challenge for the pediatric neurosurgeon. Ideally, total removal must be achieved; however, occasional adhesions of these tumors to vital neurovascular structures and extension far beyond the midline may preclude their total removal. The aims of this article are to present an alternative surgical approach to these lesions and to provide the rationale for this technique. Material and methods A 16-year-old boy was admitted to our pediatric neurosurgery department with a 1-year history of nonspecific headaches. His neurological examination showed right-sided dysmetria and gait ataxia. Magnetic resonance scans showed a space-occupying lesion on the right CPA with low intensity on T-1-weighted images and high intensity on T-2-weighted images. Results Craniotomy for tumor excision via pre- and subtemporal transtentorial approach was performed disclosing a 3.5 x 3 x 2.8-cm(3) well-encapsulated tumor, which was confirmed to be an epidermoid cyst. The postoperative course was uneventful. Conclusions A combined pre- and subtemporal approach utilizes a wide opening of the tentorium and the option of supratentorial retraction of the cerebellum to provide an excellent angle of approach to CPA lesions involving the anterolateral aspect of the brain stem in children.