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Esparza, F. Cordobés, R. Salván, M. Ochotorena, M. Muñoz, J. Ayerbe" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Esparza" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Cordobés" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Salván" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Ochotorena" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Muñoz" ] 5 => array:2 [ "nombre" => "J." 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Vaquero" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393711288?idApp=UINPBA00004B" "url" => "/11301473/0000000400000001/v1_201305151424/S1130147393711288/v1_201305151424/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Quistes epidermoides y dermoides intracraneales intradurales: tratamiento quirúrgico y seguimiento de 32 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "19" "paginaFinal" => "32" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J. Ayerbe, R. Díez Lobato, J.M. Ortega, J. Domínguez, J.J. Rivas, S. Castro, H. Sandoval" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Díez Lobato" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Ortega" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez" ] 4 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Castro" ] 6 => array:2 [ "nombre" => "H." "apellidos" => "Sandoval" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital «12 de Octubre». Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "A. Muñoz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Neurorradiología. Hospital «12 de Octubre». Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162385" "palabras" => array:4 [ 0 => "Quiste epidermoide" 1 => "quiste dermoide" 2 => "ángulo pontocerebeloso" 3 => "resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162384" "palabras" => array:4 [ 0 => "Epidernoid cyst" 1 => "dermoid cyst" 2 => "cerebellopontine angle" 3 => "magnetic resonance" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 27 casos de quistes epidermoides y 5 casos de quistes dermoides intracraneales intradurales que fueron intervenidos quirúrgicamente en nuestro Servicio durante un período de 18 años. Los pacientes fueron estudiados radiológicamente mediante neumoencefalografía en 5 casos, angiografía cerebral en 16, tomografía computadorizada (T.C.) en 24 casos y resonancia magnética (R.M.) en 13 (9 preoperatoriamente y 4 postoperatoriamente). Se realizó un seguimiento posquirúrgico en 30 pacientes durante un período medio de 4 años.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En ambos tipos de quiste la localización predominante fue supratentorial (un 59,2 % de los epidermoides y 60 % de los dermoides). Como localizaciones poco frecuentes de quiste epidermoide se presentan 2 intraventriculares (IV ventrículo y región atrial), 2 intradiencefálicas, una paratrigeminal y otra interhemisférica supracallosa.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la mayoría de los quistes la exéresis se practicó mediante técnica microquirúrgica. Se consideró total en 16 pacientes (50 % de los casos), casi total en 7 (21,8 %) y parcial en 9 (28,1 %). Se consiguió mejoría clínica en 14 pacientes (46,6 %), estabilización sintomática en 11 (36,6 %) y empeoramiento en 5 (16,6 %). Cinco pacientes presentaron recidiva tras un intervalo posquirúrgico medio de 7 años. Cuatro de ellos empeoraron clínicamente y fueron reintervenidos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestra experiencia observamos que la R.M. ofrece mayor información diagnóstica que la T.C. en la recidiva, especialmente en la secuencia potenciada en densidad protónica. Asimismo hemos comprobado que varios pacientes con imagen radiológica posquirúrgica de restos quísticos o recidiva pueden permanecer largo tiempo asintomáticos y nuestra actitud terapéutica en estos casos ha sido expectante.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Thirty-two patients with intracranial intradural epidermoid (27 cases) and dermoid (5 cases) cysts were operated in our Service during the last eighteen years. The patients were studied with pneumoencephalography (5 cases), cerebral angiography (16 cases), computed tomography (24 cases) and magnetic resonance imaging (9 cases preoperatively and 4 postoperatively). Follow-up was available in 30 patients (average 4 years).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The most common location of the cyst was supratentorial (59,2 % epidermoids and 60 % dermoids), but six appeared in uncommon locations: 2 intraventricular (IV ventricle and atrial region), 2 intradiencephalic, one paratrigeminal and one supracallosal interhemispheric.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Microsurgical resection was performed in most cases. Cyst removal was considered total in 16 patients (50 % of cases), near total in 7 (21,8 %) and partial in 9 (28,1 %). Fourteen patients (46,6 %) improved, 11 remained unchanged (36,6 %) and 5 got worse (16,6 %). Five patients showed cyst's recurrence after an average time of 7 years. Four of them presented neurological deterioration and they underwent reoperation.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In our opinion M.R. is more useful than C.T. for determining the presence of recurrence, especially by using proton density weighted sequences. We have observed that some patients with postsurgical radiographic imaging of remaining cyst or recurrence may stay asymptomatic for a long time.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Ayerbe, J.; Díez, R.; Muñoz, A.; Ortega, J.M.; Domínguez, J.; Rivas, J.J.; Castro, S. y Sandoval, H.: Quistes epidermoides y dermoides intracraneales intradurales: tratamiento quirúrgico y seguimiento de 32 casos. 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año/Mes | Html | Total | |
---|---|---|---|
2023 Marzo | 3 | 1 | 4 |
2021 Marzo | 1 | 0 | 1 |
2021 Enero | 1 | 0 | 1 |
2020 Noviembre | 1 | 0 | 1 |
2020 Octubre | 1 | 0 | 1 |
2020 Septiembre | 1 | 0 | 1 |
2020 Agosto | 1 | 0 | 1 |
2020 Mayo | 2 | 0 | 2 |
2020 Marzo | 2 | 0 | 2 |
2020 Febrero | 2 | 0 | 2 |
2019 Septiembre | 1 | 0 | 1 |
2019 Julio | 0 | 2 | 2 |
2019 Mayo | 1 | 0 | 1 |
2019 Abril | 1 | 0 | 1 |
2019 Febrero | 2 | 0 | 2 |
2018 Noviembre | 4 | 2 | 6 |
2018 Octubre | 1 | 0 | 1 |
2018 Septiembre | 7 | 0 | 7 |
2018 Abril | 2 | 0 | 2 |
2018 Marzo | 6 | 1 | 7 |
2018 Febrero | 41 | 14 | 55 |
2018 Enero | 40 | 94 | 134 |
2017 Diciembre | 25 | 101 | 126 |
2017 Noviembre | 81 | 137 | 218 |
2017 Octubre | 40 | 111 | 151 |
2017 Septiembre | 38 | 118 | 156 |
2017 Agosto | 52 | 169 | 221 |
2017 Julio | 58 | 201 | 259 |
2017 Junio | 50 | 168 | 218 |
2017 Mayo | 55 | 118 | 173 |
2017 Abril | 61 | 154 | 215 |
2017 Marzo | 57 | 179 | 236 |
2017 Febrero | 74 | 218 | 292 |
2017 Enero | 44 | 196 | 240 |
2016 Diciembre | 61 | 86 | 147 |
2016 Noviembre | 69 | 179 | 248 |
2016 Octubre | 76 | 153 | 229 |
2016 Septiembre | 209 | 364 | 573 |
2016 Agosto | 446 | 552 | 998 |
2016 Julio | 221 | 468 | 689 |
2016 Junio | 1 | 0 | 1 |
2016 Febrero | 2 | 0 | 2 |
2015 Diciembre | 2 | 295 | 297 |
2015 Noviembre | 0 | 218 | 218 |
2015 Octubre | 0 | 23 | 23 |
2015 Agosto | 0 | 16 | 16 |
2015 Julio | 7 | 10 | 17 |
2015 Junio | 43 | 207 | 250 |
2015 Mayo | 37 | 284 | 321 |
2015 Abril | 43 | 263 | 306 |
2015 Marzo | 47 | 285 | 332 |
2015 Febrero | 41 | 271 | 312 |
2015 Enero | 32 | 188 | 220 |
2014 Diciembre | 30 | 171 | 201 |
2014 Noviembre | 28 | 224 | 252 |
2014 Octubre | 39 | 245 | 284 |
2014 Septiembre | 37 | 324 | 361 |
2014 Agosto | 33 | 317 | 350 |
2014 Julio | 37 | 297 | 334 |
2014 Junio | 50 | 237 | 287 |
2014 Mayo | 60 | 350 | 410 |
2014 Abril | 40 | 295 | 335 |
2014 Marzo | 51 | 273 | 324 |
2014 Febrero | 56 | 280 | 336 |
2014 Enero | 40 | 274 | 314 |
2013 Diciembre | 53 | 194 | 247 |
2013 Noviembre | 36 | 233 | 269 |
2013 Octubre | 32 | 287 | 319 |
2013 Septiembre | 34 | 282 | 316 |
2013 Agosto | 34 | 304 | 338 |
2013 Julio | 43 | 262 | 305 |
2013 Junio | 24 | 367 | 391 |
2013 Mayo | 32 | 499 | 531 |
2013 Abril | 27 | 385 | 412 |
2013 Marzo | 25 | 299 | 324 |
2013 Febrero | 20 | 129 | 149 |
2013 Enero | 17 | 91 | 108 |
2012 Diciembre | 13 | 45 | 58 |
2012 Noviembre | 0 | 51 | 51 |
2012 Octubre | 0 | 19 | 19 |
2012 Septiembre | 0 | 3 | 3 |