Journal Information
Vol. 10. Issue 5.
Pages 394-396 (January 1999)
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Vol. 10. Issue 5.
Pages 394-396 (January 1999)
V. Peculiaridades clínicas de los oligodendrogliomas
V. Clinical peculiarities of the oligodendrogliomas
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J.L. Gil Salú
Sección de Neurocirugía, Hospital General de Castellón
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Resumen

Los oligodendrogliomas representan aproximadamente el 4–7% de todos los gliomas intracraneales primarios y acontecen más frecuentemente en pacientes en la 4ª–5ª década de la vida. Clásicamente se presentan en la mayor parte de los pacientes en forma de una larga historia clínica de epilepsia. Sin embargo, la mitad de ellos debutan con una variedad de síntomas, que incluyen déficits neurológicos focales y cefalea. La epilepsia como primer síntoma es una forma de identificar a los pacientes con buen pronóstico vital, mientras que el resto de los pacientes con las otras formas de presentación clínica, tienen un pronóstico y curso clínico más sombrío.

Palabras clave:
Oligodendroglioma
Presentación clínica
Epilepsia
Pronóstico
Summary

Oligodendroglioma represent approximately 4–7% of all primary intracranial gliomas and they most frequently occur in the fourth and fifth decades of life. Clasically it has been reported that most patients present with a long history of epilepsy. However one half of patients with oligodendrogliomas present with a variety of symptoms, usually including focal neurologic deficit and headache. Epilepsy as ą first symptom appears to be one of the most important ways of identifying patients with good quality survival. The remainder of patients with alternate presentations are more likely to exhibit a more aggresive clinical course.

Key words:
Oligodendroglioma
Clinical presentation
Epilepsy
Prognosis

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