RESUMO
ABSTRACT Direct carotid-cavernous fistula is a high-flow communication between the internal carotid artery and the cavernous sinus that requires early transarterial embolization for its resolution. We report a case of a patient with a direct carotid-cavernous fistula who subsequently developed a central retinal vein thrombosis due to a delay in treatment related to the health collapse experienced in the first months of the Covid-19 pandemic in Spain.
RESUMO A fístula carótido-cavernosa direta é uma comunicação de alto fluxo entre a artéria carótida interna e o seio cavernoso que requer embolização trans-arterial precoce para sua resolução. É relatado aqui o caso de um paciente com fístula carótido-cavernosa direta que posteriormente desenvolveu uma trombose da veia central da retina devido a um atraso no tratamento relacionado ao colapso de saúde experimentado nos primeiros meses da pandemia de Covid-19 na Espanha.
RESUMO
Direct carotid-cavernous fistula is a high-flow communication between the internal carotid artery and the cavernous sinus that requires early transarterial embolization for its resolution. We report a case of a patient with a direct carotid-cavernous fistula who subsequently developed a central retinal vein thrombosis due to a delay in treatment related to the health collapse experienced in the first months of the Covid-19 pandemic in Spain.
Assuntos
COVID-19 , Fístula Carótido-Cavernosa , Seio Cavernoso , Embolização Terapêutica , COVID-19/complicações , Fístula Carótido-Cavernosa/diagnóstico por imagem , Fístula Carótido-Cavernosa/etiologia , Fístula Carótido-Cavernosa/terapia , Humanos , PandemiasRESUMO
The genus Panochthus represents the last lineage of "Panochthini" recorded in the Pleistocene. This genus has a wide latitudinal distribution in South America, and in Brazil it occurs in the southern and northeastern regions. In this paper we describe new material (isolated osteoderms and caudal tube fragments) assigned to Panochthus from the state of Rio Grande do Sul (southern Brazil) and discuss some taxonomic issues related to Panochthus tuberculatus and Panochthus greslebini based on this material . The occurrence of P. greslebini is the first for outside the Brazilian Intertropical Region. In addition, we describe new diagnostic features to differentiate the osteoderms of P. greslebini and P. tuberculatus. Unfortunately, it was not possible to identify some osteoderms at the species level. Interestingly, they showed four distinct morphotypes characterized by their external morphology, and thus were attributed to Panochthus sp. Lastly, we conclude that in addition to P.tuberculatus registered to southern Brazil, there is another species of the genus, assignable to P. cf. P. greslebini. Our analysis reinforce the reliability of caudal tube characters for the classification of species of Panochthus.
Assuntos
Fósseis , Xenarthra/classificação , Animais , Brasil , Paleontologia , Xenarthra/anatomia & histologiaRESUMO
Among South American Quaternary Glyptodontidae (Mammalia, Cingulata), Neosclerocalyptus Paula Couto represents one of the best known genera. Prior to this contribution, four species were recognized. N. pseudornatus (Ameghino) and N. ornatus (Owen) (Ensenadan Age/Stage, early-middle Pleistocene); N. gouldi Zurita (Bonaerian Age/Stage, middle Pleistocene-late Pleistocene), and N. paskoensis (Zurita) (Lujanian Age/Stage, late Pleistocene-early Holocene). One of the most notable characters of the species of the genus is a modified area located in the distal part of the nasals, recently interpreted as a neomorphic structure derived from the ossification of the nasal cartilages. In this contribution, a new species of Neosclerocalyptus (N. castellanosi sp. nov.), which in turn represents the oldest record of the genus, is presented and described. In addition, a cladistic analysis is carried out to test the monophyly of Neosclerocalyptus and the phylogenetic position of this new species. The material comes from Vorohuean (late Pliocene) levels in the surroundings of Mar del Plata, Buenos Aires Province, Argentina. Among other morphological characters, this new species has ossified nasal cartilages restricted to the latero-dorsal area of the nasals, whereas in the remaining species these structures are more expanded and both sides contact in the midline of the skull. In turn, the phylogenetic analysis confirmed the monophyly of Neosclerocalyptus, whereas N. castellanosi sp. nov. appears closely related to N. pseudornatus, being N. ornatus the sister taxa of this clade. On the other hand, N. gouldi + N. paskoensis constitute the other clade. The clade constituted by Hoplophorus euphractus Lund + Panochthus intermedius Lydekker constitutes the sister taxa of Neosclerocalyptus.