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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta nuestra experiencia con la biopsia manual dirigida con TAC en una serie consecutiva de 78 pacientes con procesos expansivos intracraneales&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los pacientes biopsiados reun&#237;an 3 criterios&#58; 1&#41; Presencia de un proceso expansivo intracraneal visible en la TAC y no susceptible de craneotom&#237;a de entrada&#59; 2&#41; localizaci&#243;n lobar de la lesi&#243;n&#59; y&#44; 3&#41; tama&#241;o de la lesi&#243;n superior a 2<span class="elsevierStyleHsp" style=""></span>cm&#46; Previo a la biopsia&#44; se obten&#237;a una TAC y se planificaba la v&#237;a de acceso y la localizaci&#243;n de la trepanaci&#243;n&#44; que se realizaba posteriormente en quir&#243;fano con anestesia local&#46; En la unidad de la TAC se realizaba la biopsia cerebral con una aguja especial de biopsia siguiendo &#233;sta el trayecto cerebral pre-establecido&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En todos los pacientes se consigui&#243; muestra de tejido&#46; En 74 de los 78 pacientes &#40;94&#44;9&#37;&#41; se obtuvo el diagn&#243;stico histol&#243;gico&#46; Las histolog&#237;as obtenidas fueron muy variadas con 58 pacientes con procesos tumorales y 16 con procesos no tumorales&#46; Las complicaciones fueron&#58; Infecci&#243;n de la herida en 1 caso y crisis comicial en otro&#46; La mortalidad del procedimiento fue nula&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se concluye que&#44; con el protocolo de selecci&#243;n descrito&#44; la biopsia manual guiada con TAC es una t&#233;cnica efectiva y segura&#44; adem&#225;s de sencilla&#44; r&#225;pida y econ&#243;mica&#44; para obtener muestras de tejido para el diagn&#243;stico histol&#243;gico de los procesos intracraneales&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Our experience with the freehand CT-guided biopsy on a serie of 78 consecutive patients with intracranial mass lesions are presented&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Selected patients met three criteria&#58; 1&#41; Presence of an intracranial mass lesion visualized by CT but in which the craniotomy is not the first therapeutic option&#59; 2&#41; lobar localization of the lesion&#59; and 3&#41; size of lesion more than 2<span class="elsevierStyleHsp" style=""></span>cm&#46; Before the biopsy a CT scan is obtained and the cerebral route and the site of trepanation are planned&#46; A burr-hole is performed in the operating room under local anesthesia&#46; Biopsy is performed with a special needle through the planned route in the CT suite&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Tissue samples were obtained in all cases&#46; Histological diagnosis was established in 74 of the 78 patients &#40;94&#44;9&#37;&#41;&#46; Tumoral process were identified in 58 patients and nontumoral abnormalities in 16 patients&#46; Complications were a scalp infection in 1 patient and seizures in another patient&#46; Postoperative mortality was nil&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The conclusion is that&#44; with the protocol described&#44; freehand CT-guided biopsy is an effective&#44; safe easy&#44; quick and low cost technique&#44; to obtain tissue samples for the histological diagnosis of intracranial processes&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Joanes&#44; V&#46;&#59; Mart&#237;nez-Sanju&#225;n&#44; V&#46;&#59; Barber&#225;&#44; J&#46;&#58; Biopsia manual con TAC&#58; un m&#233;todo sencillo&#44; eficaz y seguro de diagn&#243;stico de los procesos expansivos intracraneales&#46; Neurocirug&#237;a 1999&#59; 10&#58; 67&#8211;74&#46;</p>"
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Servicio de Neurocirugía. Hospital General Universitario de Valencia. Valencia

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