Hidrocefalia en los tumores de fosa posterior en la infancia. ¿Necesidad de derivación permanente de líquido cefalorraquídeo?
J.M. Poch Puig, J. Bosch Blancafort, P. Nogués Bara, E. Rubio García
Unidad de Neurocirugía Pediátrica. Hospital Materno-Infantil. Universidad Autónoma. Ciudad Sanitaria Vall d’Hebrón. Barcelona
J. Sánchez de Toledo*
* Oncología Pediátrica. Hospital Materno-Infantil. Universidad Autónoma. Ciudad Sanitaria Vall d’Hebrón. Barcelona
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"tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "229" "paginaFinal" => "232" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J.M. Poch Puig, J. Bosch Blancafort, P. Nogués Bara, E. Rubio García" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Poch Puig" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Bosch Blancafort" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Nogués Bara" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Rubio García" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Neurocirugía Pediátrica. Hospital Materno-Infantil. Universidad Autónoma. Ciudad Sanitaria Vall d’Hebrón. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "J. Sánchez de Toledo" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Sánchez de Toledo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Oncología Pediátrica. Hospital Materno-Infantil. Universidad Autónoma. Ciudad Sanitaria Vall d’Hebrón. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162278" "palabras" => array:3 [ 0 => "Tumor fosa posterior" 1 => "Hidrocefalia" 2 => "Derivación de líquido cefalorraquídeo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162279" "palabras" => array:3 [ 0 => "Posterior fossa tumor" 1 => "Hydrocephalus" 2 => "CSF shunting" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Por su frecuencia los tumores cerebrales, especialmente los localizados en la fosa posterior, ocupan un lugar importante dentro de la oncología pediátrica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisan 67 casos de tumores infratentoriales. El diagnóstico anatomopatológico fue de meduloblastoma en 31 casos (46,2%), astrocitoma en 25 casos (37,3%), ependimoma en 6 casos (8,9%) y papiloma de plexos coroideos en 2 casos. En el resto de los pacientes se encontraron otro tipo de tumores infrecuentes en esta localización.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El 89,5% de los pacientes tenían hidrocefalia en el momento de efectuar el diagnóstico, pero sólo el 40,2% requirieron una derivación de LCR permanente.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados indican que la implantación de un sistema derivativo de L.C.R. puede ser evitada cuando es posible extirpar la tumoración de modo precoz y radical.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authours analyze the clinicopathological findings in 67 patients with posterior fossa neoplasms treated during the last seven years.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Histological diagnoses were: Meduloblastoma (31 cases), astrocytoma (25 cases), ependymoma (6 cases), papilloma of the fourth ventricle (2 cases) and miscelIaneous lesions in the remaining cases.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The majority of the patients (89,5%) presented with hydrocephalus but only 40,2% required permanent CSF shunting. The correlation between the type of tumor, the timing of surgery and the need for permanent shunting is analyzed. Our experience indicates that when the tumor is removed early in the course and radically, CSF shunting can be usually avoided.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Poch, J.M.; Bosch, J.; Sánchez de Toledo, J.; Nogués, P.; Rubio, E.:Hidrocefalia en los tumores de fosa posterior en la infancia ¿Necesidad de derivación permanente de líquido cefalorraquídeo? Neurocirugía 1992; 3: 229–232.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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