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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">De un total de 879 tumores intracraneales diagnosticados y tratados en el Hospital Universitario de Canarias entre los a&#241;os 83&#8211;91&#44; se presenta una serie de 95 pacientes consecutivos diagnosticados de meningioma intracraneal&#46; Otros ocho pacientes diagnosticados de meningioma no fueron intervenidos por diversos motivos&#44; incluyendo el mal estado general previo o la localizaci&#243;n de ciertos tumores que fueron considerados como inextirpables&#46; En 5 pacientes no fue posible realizar un seguimiento postoperatorio suficiente&#44; por lo que fueron excluidos del estudio&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un total de 90 pacientes fueron incluidos en el an&#225;lisis&#44; realiz&#225;ndose el estudio estad&#237;stico de una serie de variables cl&#237;nicas&#44; correlacion&#225;ndolas con los resultados quir&#250;rgicos&#46; La edad media de los pacientes fue de 57&#44;1 a&#241;os &#40;17&#8211;85&#41;&#46; La distribuci&#243;n por sexos fue de 32 hombres &#40;35&#44;6&#37;&#41; y 58 mujeres &#40;64&#46;4&#37;&#41;&#46; La forma de presentaci&#243;n m&#225;s frecuente fue el d&#233;ficit motor establecido&#44; asociado o no a crisis epil&#233;pticas&#46; La localizaci&#243;n del tumor&#44; la sintomatolog&#237;a de presentaci&#243;n&#44; el tiempo de evoluci&#243;n de los s&#237;ntomas antes de la intervenci&#243;n quir&#250;rgica&#44; el grado de ex&#233;resis del tumor y la histolog&#237;a fueron analizados&#44; discuti&#233;ndose su influencia en la evoluci&#243;n y pron&#243;stico de esta patolog&#237;a&#46; El estado actual de los pacientes fue valorado tras un contacto personal&#44; registrando entre otras coasa la existencia o no de crisis epil&#233;pticas&#44; la morbilidad a largo plazo y la calidad de vida seg&#250;n la escala Karnofsky&#46; El tiempo de seguimiento de los pacientes oscil&#243; entre 6 meses y 8 a&#241;os&#44; con una media de 4&#44;4 a&#241;os&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un an&#225;lisis de las recidivas y el recrecimiento tumoral&#46; Se consider&#243; como recidiva la aparici&#243;n del tumor tras la ex&#233;resis radical del proceso&#46; Aquellos casos de recurrencia en los que se hab&#237;a practicado ex&#233;resis subtotal o parcial se consideraron como recrecimientos&#46; En 6 pacientes se detect&#243; un recrecimiento &#40;6&#44;7&#37;&#41;&#44; Yen 3 pacientes una recidiva &#40;3&#44;3&#37;&#41;&#46; La recurrencia total considerando recidivas y recrecimientos fue del 10&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El &#237;ndice Karnofsky medio en los pacientes vivos fue del 93&#44;6&#37;&#44; hall&#225;ndose la mayor&#237;a de &#233;llos asintom&#225;ticos&#46; La hemiparesia fue la causa m&#225;s frecuente de p&#233;rdida de la calidad de vida&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A series of 95 cases of intracranial meningioma&#44; collected from 879 intracranial tumors and treated over a 9 years period&#44; has been reviewed&#46; The average age of the patients was 57&#44;1 years &#40;17&#8211;85&#41;&#46; There were 32 males &#40;35&#44;6&#37;&#41; and 58 females &#40;64&#44;4&#37;&#41;&#46; The most frequent clinical picture was a motor deficit&#44; associated or not with epilepsy&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Multiple factors including the location of tumor&#44; clinical symptoms&#44; the degree of tumor excision and the histological features were analyzed&#46; Ninety patients underwent surgery and were evaluated after a personal contact&#44; focusing on the presence of seizures&#44; morbidity&#44; and quality of life assessed and graded according to the Karnofsky rating scale&#46; The follow up was 4&#44;4 years &#40;between 6 months and 8 years&#41;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A distinction was made between recurrence and regrowth&#46; It was considered that the term regrowth should be reserved for enlargement of the tumor after subtotal removal&#46; We found 6 patients with regrowth &#40;6&#44;7&#37;&#41; and 3 patients with recurrence &#40;3&#44;3&#37;&#41;&#46; The total recurrence considering regrowth and recurrence was 10&#37;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The average Karnofsky rating scale of alive patients was 93&#44;6&#37;&#46; Hemiparesis was the most frequent reason for impaired quality of life&#46;</p>"
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Morbilidad, mortalidad, recurrencia y calidad de vida tras la cirugía del meningioma intracraneal. Estudio de 90 casos
L. García Pareras, L. González Feria, V. García Marín, J. Ravina
Servicio de Neurocirugía, Hospital Universitario de Canarias. La Laguna
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A series of 95 cases of intracranial meningioma&#44; collected from 879 intracranial tumors and treated over a 9 years period&#44; has been reviewed&#46; The average age of the patients was 57&#44;1 years &#40;17&#8211;85&#41;&#46; There were 32 males &#40;35&#44;6&#37;&#41; and 58 females &#40;64&#44;4&#37;&#41;&#46; The most frequent clinical picture was a motor deficit&#44; associated or not with epilepsy&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Multiple factors including the location of tumor&#44; clinical symptoms&#44; the degree of tumor excision and the histological features were analyzed&#46; Ninety patients underwent surgery and were evaluated after a personal contact&#44; focusing on the presence of seizures&#44; morbidity&#44; and quality of life assessed and graded according to the Karnofsky rating scale&#46; The follow up was 4&#44;4 years &#40;between 6 months and 8 years&#41;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A distinction was made between recurrence and regrowth&#46; It was considered that the term regrowth should be reserved for enlargement of the tumor after subtotal removal&#46; We found 6 patients with regrowth &#40;6&#44;7&#37;&#41; and 3 patients with recurrence &#40;3&#44;3&#37;&#41;&#46; The total recurrence considering regrowth and recurrence was 10&#37;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The average Karnofsky rating scale of alive patients was 93&#44;6&#37;&#46; Hemiparesis was the most frequent reason for impaired quality of life&#46;</p>"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Garc&#237;a Pareras&#44; L&#46;&#59; Gonz&#225;lez Feria&#44; L&#46;&#59; Garc&#237;a Mar&#237;n&#44; V&#46; y Ravina&#44; J&#46;&#58; Morbilidad&#44; mortalidad&#44; recurrencia y calidad de vida tras la cirug&#237;a del meningioma intracraneal&#46; Estudio de 90 casos&#46; Neurocirug&#237;a 1993&#59; 4&#58; 292&#8211;296&#46;</p>"
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Información del artículo
ISSN: 11301473
Idioma original: Español
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2013 Enero 14 16 30
2012 Diciembre 15 16 31
2012 Noviembre 2 9 11
2012 Octubre 0 1 1
2012 Septiembre 0 3 3
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?