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      "titulo" => "Lesiones isquémicas en la fase aguda de los traumatismos craneoencefálicos graves (lesiones difusas)"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos 11 pacientes con astrocitomas de ventr&#237;culo lateral de bajo grado de malignidad&#46; La manifestaci&#243;n cl&#237;nica fue principalmente por s&#237;ntomas de hipertensi&#243;n endocraneal&#44; seguido de crisis comiciales&#46; Cinco de los 6 pacientes con crisis comiciales presentaban Esclerosis Tuberosa &#40;ET&#41;&#46; La localizaci&#243;n de estos tumores en el ventr&#237;culo lateral fue de predominio en su porci&#243;n anterior con 7 casos de los cuales 6 se originaron a nivel del foramen de Monro y 5 de estos 6 tumores en el estudio histol&#243;gico fueron astrocitomas de tipo gigantocelular subependimario&#46; Las caracter&#237;sticas de la tomograf&#237;a axial computarizada &#40;TAC&#41; fueron en general hipo o hiperdensos con captaci&#243;n de contraste a nivel de foramen de Monro y de densidad heterog&#233;nea en el resto de los tumores&#46; La RM puso de manifiesto con m&#225;s precisi&#243;n la extensi&#243;n y localizaci&#243;n del tumor junto con tuberomas en los casos de ET que pasaban desapercibidos con la TAC&#46; Fueron intervenidos todos los casos y reintervenidos dos pacientes&#46; Dos casos fallecieron por sangrado masivo al intentar una extirpaci&#243;n total&#46; Se comentaran las caracter&#237;sticas histol&#243;gicas as&#237; como la evoluci&#243;n de estos procesos&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present 11 patients with low malignancy astrocytomas in the lateral ventricle&#46; Endocranial hypertension followed by epilepsy were the main clinical manifestation&#46; Five of the six epileptic patients had Tuberous Sclerosis &#40;TS&#41;&#46; Six of the seven tumors were located in the anterior portion of the lateral ventricle and originated at the level of Monro&#39;s foramen&#46; Histologic study showed that five of the six were subependymal giant-cell astrocytomas&#46; The CT sean showed hypo or hyperdense images with contrast enhanced in the tumors located in the Monro&#39;s foramen&#44; and heterogeneous enhancement of the other astrocytomas in other locations of the lateral ventricle&#46; MRI located these tumors more precisely as well as imaging tuberomas in cases were ST was not visible with CT scan&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">All cases were operated and two cases required a second operation&#46; Two patients died from bleeding during the attempt of removing all the tumor&#46; Histologic characteristic and evolution of these processes are discussed&#46;</p>"
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                      "titulo" => "Tumeur gliale intraventriculaire au cours de l&#8217;evolution d&#8217;une scl&#233;rose tub&#233;reuse de Bourneville&#59; Etude ultrastructurale"
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Astrocitomas de ventrículo lateral
A. Isla, F. Alvarez, C. Morales, J. Muñoz, R. Frutos, M.G. Blázquez
Servicios de Neurocirugía, Neurorradiología y Patología. Hospital “La Paz”. Madrid
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