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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los gliomas supratentoriales de bajo grado deben ser sometidos a ex&#233;resis completa&#46; Cuando estas lesiones asientan en &#225;reas elocuentes su extirpaci&#243;n puede resultar problem&#225;tica debido a la posibilidad de inducir secuelas neurol&#243;gicas&#46; Si el procedimiento se practica bajo anestesia general la resecci&#243;n es frecuentemente subtotal&#46; Intentando aumentar la radicalidad de la ex&#233;resis nuestro grupo la ha practicado bajo anestesia local&#44; controlando intraoperatoriamente las funciones neurol&#243;gicas en peligro&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Diecisiete casos de gliomas de bajo grado fueron extirpados bajo anestesia local y sedaci&#243;n ligera&#46; La ex&#233;resis quir&#250;rgica fue completa en 15&#47;17 y subtotal en 2&#47;17&#46; Postoperatoriamente s&#243;lo un pacienete present&#243; una hemiparesia ligera y dos m&#225;s una disfasia motora transitoria&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Concluimos diciendo que la craniotom&#237;a bajo anestesia local permite la extirpaci&#243;n&#44; la mayor parte de las veces completa&#44; de lesiones en &#225;reas elocuentes del cerebro&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Low grade supratentorial gliomas should be removed radically&#46; When they lay in eloquent areas its removal can be problematic due to the possibility of inducing neurological sequelae&#46; If the procedure is performed under general anaesthesia the resection is often subtotal&#46; Attempting to increase the radicality these cases were performed under local anaesthesia&#44; controlling intraoperatively the endangered neurological functions&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Seventeen cases of low grade gliomas were removed under local anaesthesia and light sedation&#46; Surgical removal was complete in 15&#47;17 cases and subtotal in 2&#47;17&#46; Postoperatively one patient had a slight hemiparesis and two more a transient motor duysphasia&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude saying that craniotomy under local anaesthesia allows the removal&#44; most of the times complete&#44; of lesions in eloquent brain areas&#46;</p>"
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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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