Neurinomas del acústico tratados con radiocirugía estereotáxica. A propósito de cinco casos
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Bosch Blancafort" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Rubio García" ] 1 => array:2 [ "nombre" => "C.H." "apellidos" => "Castaño Duque" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Vilalta Castán" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Bosch Blancafort" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital Vall d’Hebrón. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "P. Quesada Marin, A. García Arumi, B. Guix Melcior" "autores" => array:3 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Quesada Marin" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "García Arumi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "B." "apellidos" => "Guix Melcior" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de ORL, Hospital Vall d’Hebrón. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Radioterapia, Clínica Dexeus. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162217" "palabras" => array:6 [ 0 => "Radiocirugía" 1 => "Radioterapia" 2 => "Radiocirugía Estereotáxica" 3 => "Neurinoma del acústico" 4 => "Radionecrasis" 5 => "Hidrocefalia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162216" "palabras" => array:6 [ 0 => "Radiosurgery" 1 => "Radiotherapy" 2 => "Stereotactic Radiosurgery" 3 => "Acoustic Neurinoma" 4 => "Radionecrosis" 5 => "Hydrocephalus" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Exponemos nuestra experiencia en el tratamiento de los neurinomas del acústico con radiocirugía, mediante un aparato de telecobaltoterapia (Theraton 80), acoplado a un sistema de esterotáxia, en cinco pacientes ancianos, cuya edad promedio fue de 70 años. Todos ellos presentaban patologías graves asociadas que impedían el tratamiento quirúrgico. El diámetro promedio del tumor era de 21<span class="elsevierStyleHsp" style=""></span>mm. Se administró radioterapia (Radiocirugía), con una dosis promedio de 2.770 cGy (rango 2500 a 3750 cGy) en una sola sesión, mediante un promedio de 17,8 campos isocéntricos con un colimador de 20<span class="elsevierStyleHsp" style=""></span>mm. de diámetro. La repartición de la isodosis se hizo de la siguiente manera: en los casos 2 y 4 el 90% de la isodosis alcanzó la periferia del tumor, en el caso 5 el 80%, en el caso 3 el 40%, mientras que en el caso 1, sólo el 20% de la isodosis alcanzó la periferia del tumor. La radiación fue bien tolerada por todos los pacientes. La TAC de control puso de manifiesto la disminución del tamaño de la lesión en 3 pacientes y la aparición de una zona hipodensa central en 2. Un paciente desarrollo hidrocefalia y radionecrosis de cerebelo que precisó derivación del LCR y tratamiento con corticoides. Dos pacientes tuvieron una buena recuperación, otro tenía una moderada incapacidad y 2 se han estabilizado, pero son incapaces de valerse por si mismos, dependencia que ya la tenían.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Consideramos que la radiocirugía estereotáxica empleando cobalto 60 (Co 60), es una alternativa a la extirpación quirúrgica o a la simple observación clínica y tomodensitométrica, en pacientes ancianos o con patologías graves asociadas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We present our initial experience with 5 patients treated for acoustic neurinoma by stereotactic radiosurgery using a Theratron 80 fitted to a stereotactic system, during the last four years. The average age of the patients was 70 years and alI of them suffered from associated serious pathology which prevented conventional surgery. The tumours averaged 21<span class="elsevierStyleHsp" style=""></span>mm in diameter and the radiation doses delivered ranged from 2.500 to 3.750 cGy (mean 2.770 cGy) and were administered in a single session. The fields was 17,8 and the diameter of the collimators averaged 20<span class="elsevierStyleHsp" style=""></span>m. In cases 2 and 4 the 90% isodose overtook the periphery of the tumour, the 80% isodose in case 5, the 40% isodose in case 3, and in case 1 onIy the 20% isodose overtook the perifery of the tumour. Radiosurgery was well tolerated by all the patients. The control CT scan showed centralloss of contrast enhancement in 2 patients, and shrinkage of the tumor in 3. One patient developed hydrocephalus and radionecrosis who required CSF shunting and corticoteroids. The final outcome was as follows: two patients presented a good evolution, one patient developed a moderate disability and two more patients are unchanged but dependent.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Stereotactic radiosurgery is a good alternative to conventional surgery on nonsurgical management for patient with acoustic neurinoma who are elderly or medically ill.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Rubio García, E.; Castaño Duque, C.H.; Vilalta Castán, J.; Quesada Marin, P.; García Arumi, A.; Guix Melcior, B.; Bosch Blancafort, J.: Neurinomas del acústico tratados con radiocirugía estereotáxica. A propósito de cinco casos. Neurocirugía 1992; 3: 141–148.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:60 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgery for posterior fossa tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.B.T. Adams" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Operative Surgery (Neurosurgery)" "paginaInicial" => "334" "paginaFinal" => "354" "edicion" => "Forth Edition" "serieFecha" => "1989" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 3 | 3 | 6 |
| 2018 Diciembre | 2 | 2 | 4 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 13 | 18 | 31 |
| 2018 Enero | 17 | 23 | 40 |
| 2017 Diciembre | 8 | 23 | 31 |
| 2017 Noviembre | 51 | 76 | 127 |
| 2017 Octubre | 11 | 37 | 48 |
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| 2017 Agosto | 10 | 48 | 58 |
| 2017 Julio | 14 | 68 | 82 |
| 2017 Junio | 18 | 65 | 83 |
| 2017 Mayo | 21 | 66 | 87 |
| 2017 Abril | 11 | 49 | 60 |
| 2017 Marzo | 17 | 107 | 124 |
| 2017 Febrero | 5 | 115 | 120 |
| 2017 Enero | 7 | 85 | 92 |
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| 2016 Octubre | 26 | 94 | 120 |
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| 2016 Julio | 48 | 97 | 145 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
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| 2015 Mayo | 18 | 56 | 74 |
| 2015 Abril | 20 | 55 | 75 |
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| 2015 Febrero | 15 | 77 | 92 |
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| 2014 Octubre | 13 | 82 | 95 |
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| 2014 Marzo | 21 | 70 | 91 |
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| 2013 Octubre | 18 | 56 | 74 |
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