Neurinomas del acústico tratados con radiocirugía estereotáxica. A propósito de cinco casos
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Bosch Blancafort" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Rubio García" ] 1 => array:2 [ "nombre" => "C.H." "apellidos" => "Castaño Duque" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Vilalta Castán" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Bosch Blancafort" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital Vall d’Hebrón. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "P. Quesada Marin, A. García Arumi, B. Guix Melcior" "autores" => array:3 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Quesada Marin" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "García Arumi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "B." "apellidos" => "Guix Melcior" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de ORL, Hospital Vall d’Hebrón. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Radioterapia, Clínica Dexeus. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162217" "palabras" => array:6 [ 0 => "Radiocirugía" 1 => "Radioterapia" 2 => "Radiocirugía Estereotáxica" 3 => "Neurinoma del acústico" 4 => "Radionecrasis" 5 => "Hidrocefalia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162216" "palabras" => array:6 [ 0 => "Radiosurgery" 1 => "Radiotherapy" 2 => "Stereotactic Radiosurgery" 3 => "Acoustic Neurinoma" 4 => "Radionecrosis" 5 => "Hydrocephalus" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Exponemos nuestra experiencia en el tratamiento de los neurinomas del acústico con radiocirugía, mediante un aparato de telecobaltoterapia (Theraton 80), acoplado a un sistema de esterotáxia, en cinco pacientes ancianos, cuya edad promedio fue de 70 años. Todos ellos presentaban patologías graves asociadas que impedían el tratamiento quirúrgico. El diámetro promedio del tumor era de 21<span class="elsevierStyleHsp" style=""></span>mm. Se administró radioterapia (Radiocirugía), con una dosis promedio de 2.770 cGy (rango 2500 a 3750 cGy) en una sola sesión, mediante un promedio de 17,8 campos isocéntricos con un colimador de 20<span class="elsevierStyleHsp" style=""></span>mm. de diámetro. La repartición de la isodosis se hizo de la siguiente manera: en los casos 2 y 4 el 90% de la isodosis alcanzó la periferia del tumor, en el caso 5 el 80%, en el caso 3 el 40%, mientras que en el caso 1, sólo el 20% de la isodosis alcanzó la periferia del tumor. La radiación fue bien tolerada por todos los pacientes. La TAC de control puso de manifiesto la disminución del tamaño de la lesión en 3 pacientes y la aparición de una zona hipodensa central en 2. Un paciente desarrollo hidrocefalia y radionecrosis de cerebelo que precisó derivación del LCR y tratamiento con corticoides. Dos pacientes tuvieron una buena recuperación, otro tenía una moderada incapacidad y 2 se han estabilizado, pero son incapaces de valerse por si mismos, dependencia que ya la tenían.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Consideramos que la radiocirugía estereotáxica empleando cobalto 60 (Co 60), es una alternativa a la extirpación quirúrgica o a la simple observación clínica y tomodensitométrica, en pacientes ancianos o con patologías graves asociadas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We present our initial experience with 5 patients treated for acoustic neurinoma by stereotactic radiosurgery using a Theratron 80 fitted to a stereotactic system, during the last four years. The average age of the patients was 70 years and alI of them suffered from associated serious pathology which prevented conventional surgery. The tumours averaged 21<span class="elsevierStyleHsp" style=""></span>mm in diameter and the radiation doses delivered ranged from 2.500 to 3.750 cGy (mean 2.770 cGy) and were administered in a single session. The fields was 17,8 and the diameter of the collimators averaged 20<span class="elsevierStyleHsp" style=""></span>m. In cases 2 and 4 the 90% isodose overtook the periphery of the tumour, the 80% isodose in case 5, the 40% isodose in case 3, and in case 1 onIy the 20% isodose overtook the perifery of the tumour. Radiosurgery was well tolerated by all the patients. The control CT scan showed centralloss of contrast enhancement in 2 patients, and shrinkage of the tumor in 3. One patient developed hydrocephalus and radionecrosis who required CSF shunting and corticoteroids. The final outcome was as follows: two patients presented a good evolution, one patient developed a moderate disability and two more patients are unchanged but dependent.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Stereotactic radiosurgery is a good alternative to conventional surgery on nonsurgical management for patient with acoustic neurinoma who are elderly or medically ill.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Rubio García, E.; Castaño Duque, C.H.; Vilalta Castán, J.; Quesada Marin, P.; García Arumi, A.; Guix Melcior, B.; Bosch Blancafort, J.: Neurinomas del acústico tratados con radiocirugía estereotáxica. A propósito de cinco casos. Neurocirugía 1992; 3: 141–148.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:60 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgery for posterior fossa tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.B.T. Adams" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Operative Surgery (Neurosurgery)" "paginaInicial" => "334" "paginaFinal" => "354" "edicion" => "Forth Edition" "serieFecha" => "1989" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 3 | 6 |
| 2018 December | 2 | 2 | 4 |
| 2018 March | 0 | 1 | 1 |
| 2018 February | 13 | 18 | 31 |
| 2018 January | 17 | 23 | 40 |
| 2017 December | 8 | 23 | 31 |
| 2017 November | 51 | 76 | 127 |
| 2017 October | 11 | 37 | 48 |
| 2017 September | 13 | 34 | 47 |
| 2017 August | 10 | 48 | 58 |
| 2017 July | 14 | 68 | 82 |
| 2017 June | 18 | 65 | 83 |
| 2017 May | 21 | 66 | 87 |
| 2017 April | 11 | 49 | 60 |
| 2017 March | 17 | 107 | 124 |
| 2017 February | 5 | 115 | 120 |
| 2017 January | 7 | 85 | 92 |
| 2016 December | 37 | 55 | 92 |
| 2016 November | 17 | 86 | 103 |
| 2016 October | 26 | 94 | 120 |
| 2016 September | 68 | 155 | 223 |
| 2016 August | 132 | 157 | 289 |
| 2016 July | 48 | 97 | 145 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 1 | 0 | 1 |
| 2015 July | 3 | 5 | 8 |
| 2015 June | 15 | 42 | 57 |
| 2015 May | 18 | 56 | 74 |
| 2015 April | 20 | 55 | 75 |
| 2015 March | 15 | 61 | 76 |
| 2015 February | 15 | 77 | 92 |
| 2015 January | 9 | 66 | 75 |
| 2014 December | 18 | 54 | 72 |
| 2014 November | 12 | 55 | 67 |
| 2014 October | 13 | 82 | 95 |
| 2014 September | 17 | 76 | 93 |
| 2014 August | 17 | 53 | 70 |
| 2014 July | 12 | 68 | 80 |
| 2014 June | 33 | 61 | 94 |
| 2014 May | 18 | 77 | 95 |
| 2014 April | 17 | 77 | 94 |
| 2014 March | 21 | 70 | 91 |
| 2014 February | 21 | 56 | 77 |
| 2014 January | 18 | 61 | 79 |
| 2013 December | 16 | 43 | 59 |
| 2013 November | 16 | 43 | 59 |
| 2013 October | 18 | 56 | 74 |
| 2013 September | 16 | 62 | 78 |
| 2013 August | 11 | 75 | 86 |
| 2013 July | 18 | 80 | 98 |
| 2013 June | 15 | 64 | 79 |
| 2013 May | 5 | 94 | 99 |
| 2013 April | 11 | 69 | 80 |
| 2013 March | 13 | 48 | 61 |
| 2013 February | 6 | 58 | 64 |
| 2013 January | 12 | 50 | 62 |
| 2012 December | 12 | 30 | 42 |
| 2012 November | 0 | 37 | 37 |
| 2012 October | 0 | 4 | 4 |
| 2012 September | 0 | 4 | 4 |
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