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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Apesar da redu&#231;&#227;o da mortalidade nos doentes com abcessos cerebrais desde a introdu&#231;&#227;o axial computadorizada &#40;TAC&#41;&#44; persiste ainda controv&#233;rsia quanto ao melhor m&#233;todo para o tratamento desta patologia&#46; A prop&#243;sito dos 3 casos que apresentam&#44; os autores fazem tamb&#233;m urna revisao da literatura sobre a aplica&#227;o das t&#233;cnicas estereot&#225;xicas no tratamento dos abcessos cerebrais&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os tres doentes com abcessos foram submetidos a cirurgia estereot&#225;xica&#44; guiada por TAC&#44; para remo&#231;&#227;o total ou drenagem de p&#250;s e para orienta&#231;&#227;o do tratamento antibi&#243;tico apropriado&#46; Todos os abcessos tinham localiza&#231;&#227;o supratentorial e nos tres casos o agente patog&#233;nico foi identificado&#46; Um excelente resultado cl&#237;nico foi atingido nos tres doentes&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A cirurgia estereot&#225;xica&#44; urna t&#233;cnica segura&#44; com grande efic&#225;cia e baixo risco&#44; permite a exclusao de neoplasia ou de hematoma em reabsor&#231;&#227;o&#44; evitando o diagn&#243;stico err&#243;neo e o tratamento emp&#237;rico de lesoes cerebrais em anel com tradu&#231;&#227;o tomogr&#225;fica semelhante&#46; Consegue ainda um diagn&#243;stico bacteriol&#243;gico em 97&#37; dos casos&#46; Verifica-se tamb&#233;m a resolu&#231;&#227;o definitiva da doen&#231;&#227;&#44; ap&#243;s um &#250;nico procedimento estereot&#225;xico em pelo menos 72&#37; dos doentes&#44; taxa que sobe para os 93&#37;&#44; se fOr realizada mais do que urna interven&#231;&#227;o&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O uso da t&#233;cnica estereot&#225;xica tem sido descrito com enfase crescente no tratamento dos abcessos cerebrais&#44; dado que representa urna mais valia consider&#225;vel no objectivo de reduzir a morbilidade e a mortalidade desta doen&#231;&#227;&#44; sobretudo nos casos de abcessos m&#250;ltiplos&#44; historicamente compar&#225;vel ao produzido pela introdu&#231;&#227;o da tomografia axial computadorizada e da moderna antibioterapia&#46; Com a ilustra&#231;&#227;o de tres casos&#44; os autores real&#231;&#227;m e aconselham o recurso precoce a t&#233;cnica estereot&#225;xica para drenagem ou remo&#227;o em bloco de todos os abcessos cir&#250;rgicos&#44; desde que devidamente complementado com controlo tomogr&#225;fico apertado de 2 em 2 semanas e antibioterapia prolongada durante 8 semanas&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Despite a reduction in the mortality of patients with cerebral abscess since the introduction of computerized tomography &#40;CT&#41; and modern antibiotherapy&#44; controversy persists as to the preferred method of treatment for this condition&#46; The authors report three cases and review the Iiterature concerning the impact of stereotactic techniques on the treatment of this disease&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Three patients with cerebral abscess were treated by CT guided stereotactic surgery&#44; for total removal or drainage of pus&#44; and appropriate antibiotic therapy&#46; All abscesses were supratentorial and in the three cases a pathogen was identified&#46; A good outcome was achieved in all patients&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Being a safe and reliable technique&#44; stereotactic surgery easily permits the exclusion of neoplasm or reabsorbing hematoma&#44; thus avoiding the erroneous treatment of ring-enhancing lesions on the CT scan&#46; Moreover&#44; it aHows the bacteriological diagnosis in 97&#37; of cases and the cure of the disease in 72&#37; of patients with a single procedure&#44; that rises to 93&#37; if more than one intervention is performed&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The use of stereotactic techniques represents a most valuable tool in the reduction of morbidity and mortality of this disease&#44; namely in multiple abscess&#44; only comparable to the introduction of CT scan and modern antibiotics&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Through the illustration of three cases&#44; the authors strongly advise the early use of stereotactic technique for drainage or &#8220;en bloc&#8221; removal of surgical abscess&#44; complemented with a close radiological follow-up&#44; with a 2 weeks interval CT scan&#44; and long-term antibiotherapy&#46;</p>"
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Cirurgía estereotáxica no tratamento do abcesso cerebral
Stereotactic surgery for the treatment of cerebral abcess
O.L. Alves, O. Gomes, S. Paranhos
Serviço de Neurocirurgía, Hospital Geral de Santo António

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Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
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Atención al cliente
Teléfono
Llamadas desde España
932 415 960
Llamadas desde el extranjero
+34 932 415 960
Horario de 9 a 18h. excepto los meses de julio y agosto que será de 9 a 15h.
Idiomas
Neurocirugía
es en

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