Craniotomy under local anaesthesia and sedation for the removal of brain tumours within or adjacent to eloquent areas
V. Vanaclocha, N. Sáiz-Sapena, P. Monedero
Servicio de Neurocirugía, Servicio de Anestesiología y Reanimación. Clínica Universitaria, Universidad de Navarra. Pamplona, Navarra
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Monedero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Vanaclocha" ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Sáiz-Sapena" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Monedero" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Servicio de Anestesiología y Reanimación. Clínica Universitaria, Universidad de Navarra. Pamplona, Navarra" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163111" "palabras" => array:3 [ 0 => "Craniotomía" 1 => "Anestesia local" 2 => "Sedación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163112" "palabras" => array:3 [ 0 => "Craniotomy" 1 => "Local anaesthesia" 2 => "Sedation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los gliomas supratentoriales de bajo grado deben ser sometidos a exéresis completa. Cuando estas lesiones asientan en áreas elocuentes su extirpación puede resultar problemática debido a la posibilidad de inducir secuelas neurológicas. Si el procedimiento se practica bajo anestesia general la resección es frecuentemente subtotal. Intentando aumentar la radicalidad de la exéresis nuestro grupo la ha practicado bajo anestesia local, controlando intraoperatoriamente las funciones neurológicas en peligro.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Diecisiete casos de gliomas de bajo grado fueron extirpados bajo anestesia local y sedación ligera. La exéresis quirúrgica fue completa en 15/17 y subtotal en 2/17. Postoperatoriamente sólo un pacienete presentó una hemiparesia ligera y dos más una disfasia motora transitoria.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Concluimos diciendo que la craniotomía bajo anestesia local permite la extirpación, la mayor parte de las veces completa, de lesiones en áreas elocuentes del cerebro.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Low grade supratentorial gliomas should be removed radically. When they lay in eloquent areas its removal can be problematic due to the possibility of inducing neurological sequelae. If the procedure is performed under general anaesthesia the resection is often subtotal. Attempting to increase the radicality these cases were performed under local anaesthesia, controlling intraoperatively the endangered neurological functions.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Seventeen cases of low grade gliomas were removed under local anaesthesia and light sedation. Surgical removal was complete in 15/17 cases and subtotal in 2/17. Postoperatively one patient had a slight hemiparesis and two more a transient motor duysphasia.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude saying that craniotomy under local anaesthesia allows the removal, most of the times complete, of lesions in eloquent brain areas.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vanaclocha, V.; Sáiz-Sapena, N.; Monedero, P.: Craniotomy under local anaesthesia and sedation for the removal of brain tumours within or adjacent to eloquent areas. Neurocirugía 1997; 8: 95–103</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:59 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Supratentorial recurrence of gliomas. Results of reoperation on astrocytomas and oligodendrogliomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Afra" 1 => "W. Mueller" 2 => "G. Benoist" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Neurochir (Wien)" "fecha" => "1987" "volumen" => "43" "paginaInicial" => "217" "paginaFinal" => "227" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 1 | 0 | 1 |
| 2018 February | 13 | 6 | 19 |
| 2018 January | 16 | 9 | 25 |
| 2017 December | 11 | 8 | 19 |
| 2017 November | 19 | 31 | 50 |
| 2017 October | 8 | 9 | 17 |
| 2017 September | 8 | 11 | 19 |
| 2017 August | 10 | 4 | 14 |
| 2017 July | 9 | 6 | 15 |
| 2017 June | 23 | 11 | 34 |
| 2017 May | 15 | 10 | 25 |
| 2017 April | 21 | 13 | 34 |
| 2017 March | 18 | 6 | 24 |
| 2017 February | 9 | 1 | 10 |
| 2017 January | 6 | 5 | 11 |
| 2016 December | 44 | 10 | 54 |
| 2016 November | 45 | 6 | 51 |
| 2016 October | 33 | 6 | 39 |
| 2016 September | 30 | 7 | 37 |
| 2016 August | 0 | 16 | 16 |
| 2016 July | 0 | 2 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 0 | 6 | 6 |
| 2015 June | 23 | 14 | 37 |
| 2015 May | 22 | 15 | 37 |
| 2015 April | 26 | 20 | 46 |
| 2015 March | 18 | 14 | 32 |
| 2015 February | 22 | 17 | 39 |
| 2015 January | 29 | 16 | 45 |
| 2014 December | 19 | 13 | 32 |
| 2014 November | 17 | 7 | 24 |
| 2014 October | 17 | 15 | 32 |
| 2014 September | 18 | 15 | 33 |
| 2014 August | 15 | 20 | 35 |
| 2014 July | 17 | 14 | 31 |
| 2014 June | 33 | 24 | 57 |
| 2014 May | 37 | 26 | 63 |
| 2014 April | 27 | 33 | 60 |
| 2014 March | 19 | 27 | 46 |
| 2014 February | 32 | 23 | 55 |
| 2014 January | 23 | 19 | 42 |
| 2013 December | 26 | 11 | 37 |
| 2013 November | 27 | 20 | 47 |
| 2013 October | 26 | 14 | 40 |
| 2013 September | 29 | 11 | 40 |
| 2013 August | 27 | 13 | 40 |
| 2013 July | 25 | 11 | 36 |
| 2013 June | 31 | 15 | 46 |
| 2013 May | 25 | 20 | 45 |
| 2013 April | 24 | 19 | 43 |
| 2013 March | 24 | 21 | 45 |
| 2013 February | 24 | 14 | 38 |
| 2013 January | 25 | 9 | 34 |
| 2012 December | 19 | 15 | 34 |
| 2012 November | 0 | 3 | 3 |
| 2012 October | 0 | 3 | 3 |
| 2012 September | 0 | 1 | 1 |
| 2012 January | 6 | 0 | 6 |
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