Quistes epidermoides y dermoides intracraneales intradurales: tratamiento quirúrgico y seguimiento de 32 casos
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"apellidos" => "Ortega" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez" ] 4 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Castro" ] 6 => array:2 [ "nombre" => "H." "apellidos" => "Sandoval" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital «12 de Octubre». Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "A. Muñoz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Neurorradiología. Hospital «12 de Octubre». Madrid" "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" => "xpalclavsec162385" "palabras" => array:4 [ 0 => "Quiste epidermoide" 1 => "quiste dermoide" 2 => "ángulo pontocerebeloso" 3 => "resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162384" "palabras" => array:4 [ 0 => "Epidernoid cyst" 1 => "dermoid cyst" 2 => "cerebellopontine angle" 3 => "magnetic resonance" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 27 casos de quistes epidermoides y 5 casos de quistes dermoides intracraneales intradurales que fueron intervenidos quirúrgicamente en nuestro Servicio durante un período de 18 años. Los pacientes fueron estudiados radiológicamente mediante neumoencefalografía en 5 casos, angiografía cerebral en 16, tomografía computadorizada (T.C.) en 24 casos y resonancia magnética (R.M.) en 13 (9 preoperatoriamente y 4 postoperatoriamente). Se realizó un seguimiento posquirúrgico en 30 pacientes durante un período medio de 4 años.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En ambos tipos de quiste la localización predominante fue supratentorial (un 59,2 % de los epidermoides y 60 % de los dermoides). Como localizaciones poco frecuentes de quiste epidermoide se presentan 2 intraventriculares (IV ventrículo y región atrial), 2 intradiencefálicas, una paratrigeminal y otra interhemisférica supracallosa.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la mayoría de los quistes la exéresis se practicó mediante técnica microquirúrgica. Se consideró total en 16 pacientes (50 % de los casos), casi total en 7 (21,8 %) y parcial en 9 (28,1 %). Se consiguió mejoría clínica en 14 pacientes (46,6 %), estabilización sintomática en 11 (36,6 %) y empeoramiento en 5 (16,6 %). Cinco pacientes presentaron recidiva tras un intervalo posquirúrgico medio de 7 años. Cuatro de ellos empeoraron clínicamente y fueron reintervenidos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestra experiencia observamos que la R.M. ofrece mayor información diagnóstica que la T.C. en la recidiva, especialmente en la secuencia potenciada en densidad protónica. Asimismo hemos comprobado que varios pacientes con imagen radiológica posquirúrgica de restos quísticos o recidiva pueden permanecer largo tiempo asintomáticos y nuestra actitud terapéutica en estos casos ha sido expectante.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Thirty-two patients with intracranial intradural epidermoid (27 cases) and dermoid (5 cases) cysts were operated in our Service during the last eighteen years. The patients were studied with pneumoencephalography (5 cases), cerebral angiography (16 cases), computed tomography (24 cases) and magnetic resonance imaging (9 cases preoperatively and 4 postoperatively). Follow-up was available in 30 patients (average 4 years).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The most common location of the cyst was supratentorial (59,2 % epidermoids and 60 % dermoids), but six appeared in uncommon locations: 2 intraventricular (IV ventricle and atrial region), 2 intradiencephalic, one paratrigeminal and one supracallosal interhemispheric.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Microsurgical resection was performed in most cases. Cyst removal was considered total in 16 patients (50 % of cases), near total in 7 (21,8 %) and partial in 9 (28,1 %). Fourteen patients (46,6 %) improved, 11 remained unchanged (36,6 %) and 5 got worse (16,6 %). Five patients showed cyst's recurrence after an average time of 7 years. Four of them presented neurological deterioration and they underwent reoperation.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In our opinion M.R. is more useful than C.T. for determining the presence of recurrence, especially by using proton density weighted sequences. We have observed that some patients with postsurgical radiographic imaging of remaining cyst or recurrence may stay asymptomatic for a long time.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Ayerbe, J.; Díez, R.; Muñoz, A.; Ortega, J.M.; Domínguez, J.; Rivas, J.J.; Castro, S. y Sandoval, H.: Quistes epidermoides y dermoides intracraneales intradurales: tratamiento quirúrgico y seguimiento de 32 casos. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 1 | 4 |
| 2021 March | 1 | 0 | 1 |
| 2021 January | 1 | 0 | 1 |
| 2020 November | 1 | 0 | 1 |
| 2020 October | 1 | 0 | 1 |
| 2020 September | 1 | 0 | 1 |
| 2020 August | 1 | 0 | 1 |
| 2020 May | 2 | 0 | 2 |
| 2020 March | 2 | 0 | 2 |
| 2020 February | 2 | 0 | 2 |
| 2019 September | 1 | 0 | 1 |
| 2019 July | 0 | 2 | 2 |
| 2019 May | 1 | 0 | 1 |
| 2019 April | 1 | 0 | 1 |
| 2019 February | 2 | 0 | 2 |
| 2018 November | 4 | 2 | 6 |
| 2018 October | 1 | 0 | 1 |
| 2018 September | 7 | 0 | 7 |
| 2018 April | 2 | 0 | 2 |
| 2018 March | 6 | 1 | 7 |
| 2018 February | 41 | 14 | 55 |
| 2018 January | 40 | 94 | 134 |
| 2017 December | 25 | 101 | 126 |
| 2017 November | 81 | 137 | 218 |
| 2017 October | 40 | 111 | 151 |
| 2017 September | 38 | 118 | 156 |
| 2017 August | 52 | 169 | 221 |
| 2017 July | 58 | 201 | 259 |
| 2017 June | 50 | 168 | 218 |
| 2017 May | 55 | 118 | 173 |
| 2017 April | 61 | 154 | 215 |
| 2017 March | 57 | 179 | 236 |
| 2017 February | 74 | 218 | 292 |
| 2017 January | 44 | 196 | 240 |
| 2016 December | 61 | 86 | 147 |
| 2016 November | 69 | 179 | 248 |
| 2016 October | 76 | 153 | 229 |
| 2016 September | 209 | 364 | 573 |
| 2016 August | 446 | 552 | 998 |
| 2016 July | 221 | 468 | 689 |
| 2016 June | 1 | 0 | 1 |
| 2016 February | 2 | 0 | 2 |
| 2015 December | 2 | 295 | 297 |
| 2015 November | 0 | 218 | 218 |
| 2015 October | 0 | 23 | 23 |
| 2015 August | 0 | 16 | 16 |
| 2015 July | 7 | 10 | 17 |
| 2015 June | 43 | 207 | 250 |
| 2015 May | 37 | 284 | 321 |
| 2015 April | 43 | 263 | 306 |
| 2015 March | 47 | 285 | 332 |
| 2015 February | 41 | 271 | 312 |
| 2015 January | 32 | 188 | 220 |
| 2014 December | 30 | 171 | 201 |
| 2014 November | 28 | 224 | 252 |
| 2014 October | 39 | 245 | 284 |
| 2014 September | 37 | 324 | 361 |
| 2014 August | 33 | 317 | 350 |
| 2014 July | 37 | 297 | 334 |
| 2014 June | 50 | 237 | 287 |
| 2014 May | 60 | 350 | 410 |
| 2014 April | 40 | 295 | 335 |
| 2014 March | 51 | 273 | 324 |
| 2014 February | 56 | 280 | 336 |
| 2014 January | 40 | 274 | 314 |
| 2013 December | 53 | 194 | 247 |
| 2013 November | 36 | 233 | 269 |
| 2013 October | 32 | 287 | 319 |
| 2013 September | 34 | 282 | 316 |
| 2013 August | 34 | 304 | 338 |
| 2013 July | 43 | 262 | 305 |
| 2013 June | 24 | 367 | 391 |
| 2013 May | 32 | 499 | 531 |
| 2013 April | 27 | 385 | 412 |
| 2013 March | 25 | 299 | 324 |
| 2013 February | 20 | 129 | 149 |
| 2013 January | 17 | 91 | 108 |
| 2012 December | 13 | 45 | 58 |
| 2012 November | 0 | 51 | 51 |
| 2012 October | 0 | 19 | 19 |
| 2012 September | 0 | 3 | 3 |
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