Page 84 - Revista Portuguesa - SPORL - Vol 39. Nº2

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Caso Clínico Nu 'l‘(Z~Sl’N (lh |U I000). uhscrvznu-w
m'nl'urmnçuu cxpnnsh'u cmnlu'ndn .l
_|_(1.R.. .scxn m;:sculinu. l8 anus. ruca
nummringc c ;! [msn nasal (lircim um] cxtcmnu
cuucusnidc. natural dc Lisbon. rcsidcnlc nu
Izm'rul para a fossa ptcrigu-nmxilur dirciln
Burrcim. snllcim. estudante.
(Figura l) c suprrinrmcnu' an win (".r'cnnidul
Apurcmcmcnlc szuuluvcl ;uc zu) inicin dc
hnmnlau'rulv A Iman cru hum dclimiludn ('
I008 altura cm quc referiu () '.lpnrccimcnm dc
cnmlicinnum «mmm du purulc rxu'rnu (kl I'm»!
nhslrumu dz: l'nssu nasal direita (inicíulmcmc
nasal dircilu. (Irwin dc cnnwxidudc ;mu'rinr du
intermitente passandu depuis a pcrmuncnlc) ('
parulc pusu'rinr (In scin muxilur dircim ( l‘iguru
rinurrciu hilzucrul scru-mucosu. pur vc/cs.
l). nslculisc (Ll haw du ;lpnl'isc plcrignitk'id
munrpurulcnlzl. lim Julhn dc I000 surgiu
direita (' parede infcrinr dn curly > dn cxt'cnnidc
nhslruçun nasal bilateral. rinnlulin fechada.
(Iºiguru _’).
hipnsmiu (' ;lssilnctriu dn fau- pnr :Iumcnlu dc
vnlumc da rcgiuu gcniunu dircilu. () apuro— .IIHAY VH :“
' '.'lr 11H
cimcnm dc rinurrciu scm-lwmulim dn t'msu
nasal dircilzl cm ()uluhrn dc I000 mulinm ;l
sun vinda a (Iumullu lixlcrnu dc ()lurrinulu-

ringulngiu dn Hospital Fcrnnndn du Iªunscul.
()s unu'ccdcmcs pcssuuis (' familiares cram
irrclcvnnlcs.
() cxumc nhjccliu) rcvclzu'u ;lsximclriu du
mu- cum uumcnu) indulnr du x'nlumc dn rcgiun
gcniunu dircilu. dc umsislénciu clusticn.
'.ulcrcnlc um planus prnfundm. nun ;ldcrcnu'
um planus .supcrlíciuis c rcwslimcntu culimcn
scm ;lllcruçncs.
Figura ! — .l/m'ymm'nlu (lu [ms” ["viª/gc»nuu'l/ur
Nu rinuscnpin ;lmcriur c pnslcriur uhwrm-
(!in'ilu. urnsdu du [mrwlv ('A'/crm: (lu [mxm mm:!
«c massa mm ulccrgldzl. Inhuludgl. dc cur
dl'n'l'lu (' dvx! 'in da' (unrm'idmlv (llllt'l'lur (lu ['(ll'W/U
]msh'l'l'ur' dn spin nmxilm' (lm-I'Iu mim:! (lu llr :llmm
crilcmnlma ncupandu ;! purçnn pusu'rinr du
Miller)
nm.. nasal direita c nnsnt'uringc cum dcwin
pnslcrinr dn scplu nasal .sinislrncnm'vxu .\ RMN-SI’N c (Çlí (ll) II 1000). rcu‘lnu
() n'smnlc cxnmc uhju‘liu) cm nnrnml vulummgl lcsun cxpnnsim da town nilNJl dirnu

Iºnrum pedidos cxumcx lnhurumriuix «k- u'nlradu '.l rcgiuu csll—nn—pgllulinu imndindu .l
runnn quo nun apresentavam ;ullcruçm-s c uma plcrign—mnxilnr dircilu. a mmLIringc. .|
cxumcs dc imagem: 'l'mnngrufin unnpulnri/uda rcgigu) dns nlusculnx lnzlsliggldurcx .| dircilgl (' .!
dns wins pcri‘nzlszlis (T(Z-SI’N) C Rossunílm'igl hu.“- du crimin (Figuras 5 c .) (undk'mmu
Magnclicu Nuclear dns scins pcrilnnsçlis &' destruiu“) ()sscgl du scplu mun! (do“ indu p.lr.l
Chinkrcnccllllicu (RMN-SI’N c (Ilí), u csqucrdu ). dns pglrcdt's mu-rna c pmlcriur du

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