Derivación de LCR y tumores de fosa posterior en la infancia
M.A. Arráez, V. Arjona, J.M. Martín
Servicio Regional de Neurocirugía. R.G.E. Virgen de las Nieves. Granada
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González-Ruiz, A. Isla Guerrero, A. Pérez-Higueras, M. Gutiérrez Molina" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C.A." "apellidos" => "González-Ruiz" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Isla Guerrero" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Pérez-Higueras" ] 3 => array:2 [ "nombre" => "M." 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González-Darder, J.M. Gómez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "González-Darder" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Gómez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390712092?idApp=UINPBA00004B" "url" => "/11301473/0000000100000002/v1_201305150954/S1130147390712092/v1_201305150954/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Derivación de LCR y tumores de fosa posterior en la infancia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "85" "paginaFinal" => "88" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M.A. Arráez, V. Arjona, J.M. Martín" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "Arráez" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Arjona" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Martín" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio Regional de Neurocirugía. R.G.E. Virgen de las Nieves. Granada" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec156527" "palabras" => array:3 [ 0 => "Hidrocefalia" 1 => "tumores infantiles de fosa posterior" 2 => "derivación de LCR" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec156526" "palabras" => array:3 [ 0 => "Childhood posterior fossa tumours" 1 => "hydrocephalus" 2 => "CSF shunt" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se estudian un total de 66 tumores infantiles de fosa posterior con hidrocefalia para considerar la necesidad real de insertar de forma sistemática derivación de LCR. Se correlacionan situación anatómica y tipo histológico con la intervención derivativa por HIC u otras complicaciones. Sólo el 34,8 % de los pacientes fue sometido a derivación de LCR en relación con HIC. De los tumores situados en la línea media (malignos en su mayoría) un 35 % requirió derivación perioperatoriaj de los situados en hemisferios cerebelosos (habitualmente benignos), un 22,7 %. Globalmente necesitaron dicha derivación el 42 % de los tumores malignos y sólo el 17 % de los benignos (astrocitomas 20,8 %, meduloblastomas 45,4 %, ependimomas 57,1 %). La necesidad de shunt postoperatorio debido a HIC (en pacientes sometidos a craniectomía sin shunt previo) fue escasa: 4,3 %de los astrocitomas operados sin shunt, 25 % de ependimomas, 23,5 % de meduloblastomas. Se analizan los referidos datos y se discute la conveniencia de insertar derivación de LCR en relación con HIC, localización anatómica y presunción histológica.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Sixty-six children with posterior fossa tumours and hydrocephalus are reviewed in order to ascertain whether a CSF-shunt was necessary. The anatomical situation and pathology of tumours were related to the need for a shunt due to IICP or other complications. 34,8 % of patients were shunted to control hydrocephalus. 35 % of midline tumours (most of them malignant) needed a per-operative valve while of those situated in the cerebellar hemispheres (usually benings) only 22 % need to be shunted. On the whole, a shunt was insert in 42 % of malignant tumours and in 17 % of benign neoplasm (astrocytomas 20,8 oTo; medulloblastomas 45,4 %, ependymomas 57,1 %). The need for a postoperative shunt due to IICP (in patients with craniectomy without a previous shunt) was scanty: 4,3 % of astrocytomas, 23,5 % of medulloblastomas and 25 % of ependymomas. It is concluded that a CSF shunt is not necessary in all cases of posterior fossa tumours, and it depends on tumour situation and pathology.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hydrocephalus and infratentorial tumors. Incidente, clinical picture, and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.J. Raimondi" 1 => "T. Tomita" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1981.55.2.0174" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." 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| 2014 Octubre | 13 | 22 | 35 |
| 2014 Septiembre | 19 | 19 | 38 |
| 2014 Agosto | 12 | 23 | 35 |
| 2014 Julio | 9 | 23 | 32 |
| 2014 Junio | 19 | 27 | 46 |
| 2014 Mayo | 20 | 27 | 47 |
| 2014 Abril | 15 | 18 | 33 |
| 2014 Marzo | 18 | 25 | 43 |
| 2014 Febrero | 18 | 25 | 43 |
| 2014 Enero | 17 | 15 | 32 |
| 2013 Diciembre | 10 | 18 | 28 |
| 2013 Noviembre | 14 | 20 | 34 |
| 2013 Octubre | 17 | 29 | 46 |
| 2013 Septiembre | 13 | 18 | 31 |
| 2013 Agosto | 20 | 23 | 43 |
| 2013 Julio | 23 | 38 | 61 |
| 2013 Junio | 8 | 28 | 36 |
| 2013 Mayo | 13 | 20 | 33 |
| 2013 Abril | 9 | 19 | 28 |
| 2013 Marzo | 8 | 17 | 25 |
| 2013 Febrero | 10 | 10 | 20 |
| 2013 Enero | 8 | 7 | 15 |
| 2012 Diciembre | 11 | 12 | 23 |
| 2012 Noviembre | 2 | 9 | 11 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 1 | 1 |
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