Journal Information
Vol. 7. Issue 1.
Pages 49-54 (January 1996)
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Vol. 7. Issue 1.
Pages 49-54 (January 1996)
Evolución benigna de un glioblastoma multiforme hipotalámico. Caso clínico
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M. Clavel Escribano, B. López Ibor, P. Clavel Laria
Servicios de Neurocirugía y Oncología Pediátrica del Hospital General de Cataluña. Barcelona
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Resumen

Se presenta una niña de dos años de edad con inicio de un cuadro agudo de hipertensión craneal de pocas horas de evolución. En los estudios de neuroimagen se apreció una gran tumoración hipotalámica (glioblastoma multiforme) extendida al tercer ventrículo y suelo de ambos ventrículos laterales, provocando una hidrocefalia por obstrucción de ambos agujeros de Monro. La tumoración fue resecada de forma subtotal con un abordaje microquirúrgico subfrontal bilateral.

Posteriormente fue tratada con ciclos de quimioterapia, desapareciendo en la última RM la imagen del único resto tumoral que infiltraba el quiasma óptico. Casi tres años tras la intervención, la niña se encuentra asintomática y libre de tumor.

Palabras Clave:
Glioblastoma multiforme hipotalámico
Resección quirúrgica
Quimioterapia
Summary

We are reporting the case of a two years old girl with a clinical history of sudden onset of increased intracranial pressure. The neuroimaging studies disclosed a large hypothalamic mass (glioblastoma multiforme) extending to the third ventricle and the floor of the lateral ventricles, causing hydrocephalus by the obstruction of Monro foramina. The tumor was subtotalIy resected through a subfrontal bilateral microsurgical approach.

After surgery she was treated with several cycles of chemotherapy. The only rest of the tumor, left at the level of the optic chiasm, disappeared in the last MRI control. Three years after surgery the patient is asymptomatic and tumor-free.

Key Words:
Hypothalamic glioblastoma multiforme
Surgical resection
Chemotherapy

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