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Vol. 9. Núm. 1.
Páginas 11-20 (enero 1998)
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Vol. 9. Núm. 1.
Páginas 11-20 (enero 1998)
Ependimomas del filum terminal
Ependymomas of the filum terminale
Visitas
3280
M. López-Escobar Fernández, E. Gómez Cárdenas, A. Contreras Jiménez, C. Ramos Guillén
Sevício de Neurocirugía, Servicio de Anatomía Patológica. Hospital Puerta del Mar. Cádiz
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Resumen

Presentamos nuestra serie de 13 pacientes con ependimomas del filum terminal, operados en el servicio de Neurocirugía del Hospital Puerta del Mar entre 1973 y la actualidad. Se exponen los datos estadisticos (edad, sexo, duración de los sintomas, etc.), así como la sintomatología, los resultados de la exploración, los métodos auxiliares de diagnóstico empleados y el tipo de cirugia.

Se analizan Ios resultados y el tiempo de seguimiento de los enfermos.

Creemos que estos procesos se presentan con un cuadro clínico muy sugestivo, que puede hacer pensar en su existencia.

Según nuestra experiencia, dadas las características histológicas y anatómicas de estos tumores en esta localizatión, pueden conseguirse un gran número de extirpaciones en bloque, con unos resultados muy favorables.

Se discuten las posibilidades de tratamientos alternativos, como la radioterapia y la quimioterapia.

Palabras clave:
Ependimomas
Filum terminal
Cauda equina
Summary

We are presenting a personal series of 13 patients operated for ependymoma of the filum terminale from 1973 to 1995.

The clinical symptoms and signs, the neuroradiological diagnosis and the surgical treatment are analyzed as well as the results and follow-up.

According to our experience these tumors which present with a fairly typical clinical picture, show a favourable surgical anatomy allowing their radical excision in most cases with a good outcome.

The possibilities for adjuvant therapies as chemotherapy and radiotherapy are discused.

Key words:
Ependymoma
Filum Terminale
Cauda equina tumor

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