Estudio comparativo de meningiomas intracraneales en grupos de edades diferentes: tercera edad - edad adulta
C. Chong, J. Molet, P. Parés, B. Oliver, P. Tresserras, F. Bartumeus
Servicio de Neurocirugía del Hospital Sant Pau de la Universidad Autónoma de Barcelona, Barcelona - España
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Sarabia, H. Sandoval, R.D. Lobato, J.J. Rivas, P.A. Gómez, A. Cabrera, R. Alday, J. Ayerbe" "autores" => array:8 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Sarabia" ] 1 => array:2 [ "nombre" => "H." "apellidos" => "Sandoval" ] 2 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 4 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 7 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147394708174?idApp=UINPBA00004B" "url" => "/11301473/0000000500000002/v1_201305151434/S1130147394708174/v1_201305151434/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Estudio comparativo de meningiomas intracraneales en grupos de edades diferentes: tercera edad - edad adulta" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "121" "paginaFinal" => "126" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "C. Chong, J. Molet, P. Parés, B. Oliver, P. Tresserras, F. Bartumeus" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Chong" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Molet" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Parés" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Oliver" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Tresserras" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Bartumeus" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía del Hospital Sant Pau de la Universidad Autónoma de Barcelona, Barcelona - España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162642" "palabras" => array:3 [ 0 => "Meningioma" 1 => "Tercera edad" 2 => "Tumor benigno intracraneal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162643" "palabras" => array:3 [ 0 => "Meningioma" 1 => "Aging" 2 => "Intracranial benign tumor" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos 104 pacientes con meningiomas intracraneales, estudiados en nuestro Servicio durante el período de 1981–1990, que fueron clasificados en dos grupos: Grupo A, adultos con edad entre 19 y 64 años y Grupo B, tercera edad –65 y 78 años–. Predominó el sexo femenino 1:2,15. Practicamos TAC craneal en todos los casos, angiografía cerebral en 53 pacientes y RMN en 20 pacientes. En cuatro casos se prescindió de la intervención quirúrgica por diferentes causas clínicas. Consideramos los resultados quirúrgicos de 100 pacientes, 70 del Grupo A y 30 del Grupo B. En todos se realizó seguimiento mínimo de 1 año. En la valoración del grado de resección tumoral utilizamos la escala de Simpson. Considerando la escala de pronóstico de Glasgow modificada en los resultados post-operatorios el 85% de casos (Grupo A 85,71%, Grupo B 83,35%) hacen vida normal, o presentan crisis comiciales en la mayor parte de los casos controladas farmacológicamente, o déficit neurológico menor, que les permite llevar una vida autónoma y funcional. Nuestros resultados apoyan el tratamiento quirúrgico activo de meningiomas intracraneales en pacientes de la tercera edad, excepto si existiera contraindicación médica específica.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present 104 patients with intracranial meningiomas studied in our Service between 1981 and 1990. They were divided into two groups. Group A: adults with age ranging between 19 and 64 years. Group B: patients 65 to 78 years old. All patients were studied by CT scan. Fifty three patients had cerebral angiography, and 20 patients were studied by MR. Four patients were excluded from surgery for different clinical reasons. The surgical results in 100 patients are analyzed (70 of Group A, and 30 of Group B). All patients were followed for 1 year or longer period. The Glasgow Outcome Scale was used to evaluate the surgical results. Eighty five per cent of the patients (Group A=85,7%, Group B=83,3%) were either in normal condition, or they had seizures controlled by treatment, or minor neurological deficits. There were not statistical differences in the results between the two age groups. Thus, the results of our study support that surgical treatment of intracranial meningiomas is indicated in old patients, except when medical status prevents surgical treatment be performed.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Chong, C.; Molet, J.; Parés, P.; Oliver, B.; Tresserras, P. y Bartumeus, F.: Estudio comparativo de meningiomas intracraneales en grupos de edades diferentes: tercera edad - edad adulta. Neurocirugía 1994; 5: 121–126.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Malignant and atypical meningiomas: a reappraisal of clinical, histological and computed tomographic features" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Alvarez" 1 => "J.M. Roda" 2 => "M. Pérez" 3 => "C. Morales" 4 => "M.A. Sarmiento" 5 => "M. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 4 | 1 | 5 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 9 | 3 | 12 |
| 2018 Enero | 11 | 11 | 22 |
| 2017 Diciembre | 11 | 15 | 26 |
| 2017 Noviembre | 37 | 49 | 86 |
| 2017 Octubre | 4 | 10 | 14 |
| 2017 Septiembre | 10 | 15 | 25 |
| 2017 Agosto | 7 | 22 | 29 |
| 2017 Julio | 11 | 8 | 19 |
| 2017 Junio | 22 | 11 | 33 |
| 2017 Mayo | 12 | 12 | 24 |
| 2017 Abril | 14 | 7 | 21 |
| 2017 Marzo | 5 | 21 | 26 |
| 2017 Febrero | 5 | 4 | 9 |
| 2017 Enero | 14 | 2 | 16 |
| 2016 Diciembre | 11 | 14 | 25 |
| 2016 Noviembre | 10 | 9 | 19 |
| 2016 Octubre | 13 | 14 | 27 |
| 2016 Septiembre | 33 | 18 | 51 |
| 2016 Agosto | 22 | 55 | 77 |
| 2016 Julio | 12 | 13 | 25 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Julio | 1 | 0 | 1 |
| 2015 Junio | 12 | 14 | 26 |
| 2015 Mayo | 22 | 14 | 36 |
| 2015 Abril | 18 | 11 | 29 |
| 2015 Marzo | 18 | 21 | 39 |
| 2015 Febrero | 14 | 25 | 39 |
| 2015 Enero | 26 | 19 | 45 |
| 2014 Diciembre | 17 | 15 | 32 |
| 2014 Noviembre | 11 | 15 | 26 |
| 2014 Octubre | 16 | 15 | 31 |
| 2014 Septiembre | 13 | 22 | 35 |
| 2014 Agosto | 12 | 18 | 30 |
| 2014 Julio | 9 | 16 | 25 |
| 2014 Junio | 17 | 17 | 34 |
| 2014 Mayo | 11 | 19 | 30 |
| 2014 Abril | 10 | 15 | 25 |
| 2014 Marzo | 7 | 17 | 24 |
| 2014 Febrero | 10 | 14 | 24 |
| 2014 Enero | 12 | 15 | 27 |
| 2013 Diciembre | 9 | 9 | 18 |
| 2013 Noviembre | 17 | 9 | 26 |
| 2013 Octubre | 18 | 12 | 30 |
| 2013 Septiembre | 14 | 20 | 34 |
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| 2013 Julio | 20 | 18 | 38 |
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| 2013 Marzo | 9 | 14 | 23 |
| 2013 Febrero | 14 | 7 | 21 |
| 2013 Enero | 14 | 10 | 24 |
| 2012 Diciembre | 8 | 8 | 16 |
| 2012 Noviembre | 1 | 13 | 14 |
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