Ependimomas anaplásicos intraventriculares
G. Posadas Narro, J. Vaquero Crespo, J.M. del Pozo García, G. Bravo Zabalgoitia
Servicio de Neurocirugía. Clínica Puerta de Hierro. Universidad Autónoma de Madrid-España
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Vaquero Crespo, J.M. del Pozo García, G. Bravo Zabalgoitia" "autores" => array:4 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Posadas Narro" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero Crespo" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "del Pozo García" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Bravo Zabalgoitia" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Clínica Puerta de Hierro. Universidad Autónoma de Madrid-España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162596" "palabras" => array:2 [ 0 => "Neoplasia intraventricular" 1 => "Ependimoma" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162597" "palabras" => array:2 [ 0 => "Ventricular neoplasms" 1 => "Ependymoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizaron 10 pacientes con ependimomas anaplásicos, hospitalizados entre enero de 1970 y diciembre de 1992.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La edad osciló entre 1 y 46 años con un promedio de 13,8 años. Siete eran hombres y 3 mujeres. El tiempo de duración de la enfermedad fue de 2 a 24 meses. En el cuadro clínico predominaron: hipertensión endocraneal, déficit de pares craneales y síndrome cerebeloso. Siete tumores se localizaron en el IV ventrículo (5 en el velo inferior y 2 en el velo superior), 2 en el ventrículo lateral, y 1 en el III ventrículo. Todos los pacientes presentaron hidrocefalia necesitando derivación ventricular, 5 de ellos antes de realizar la craneotomía. Se realizó resección tumoral completa en 5 casos y parcial en otros 5. Cinco pacientes recibieron radioterapia tras la cirugía y 4 de ellos radioterapia más quimioterapia. En el seguimiento de 1 a 10 años, 6 de ellos presentaban secuelas y 2 fallecieron, uno por bronconeumonía y el otro por el propio tumor. Tres de 5 pacientes presentaron células neoplásicas en L.C.R., y uno de estos además metástasis en médula cervical de la que fue operado. Un caso presentó meningoencefalitis por cándida albicans, resuelta con antibióticos.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se concluye que los ependimomas anaplásicos intraventriculares se presentan preferentemente en menores de 15 años, localizándose fundamentalmente en el IV ventrículo. Estos tumores conllevan una gran morbilidad neurológica, y el tratamiento quirúrgico más radioterapia representa la mejor actitud terapéutica.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We have analyzed 10 patients with intraventricular anaplastic ependymomas studied between January 1970 and December 1992.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The age ranged from 1 to 46 years with a mean age of 13,8 years. Seven patients were males and 3 were females. The duration of the disease ranged between 2 and 24 months. Raised intracranial pressure, cranial nerve deficit and cerebellar syndrome were the predominant clinical manifestations. Seven of the tumors were localized in the IV ventricle (5 in the inferior velum and 2 in the superior velum), 2 in the lateral ventricle and 1 in the III ventricle. All the patients showed hydrocephalus and it was necessary to implant a ventriculo-peritoneal CSF shunt in 5 of them before performing craneotomy.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Complete tumor resection was done in 5 cases and partial in another 5 cases. It was followed by radiotherapy in 5 cases, and by radiotherapy and chemotherapy in 4. At follow-up, ranging from 1 to 10 years, 6 of the patients had neurological deficits and three of the 5 patients had neoplasic cells in the cerebral fluid, and 1 developed spinal metastases.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The conclusions are that intraventricular anaplastic ependymomas predominantly occur in individuals under 15 years of age, are mainly located in the IV ventricle, and produce a severe neurologic morbidity. Surgical treatment followed by radiotherapy improves the final prognosis of these patients.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Posadas Narro, G.; Vaquero Crespo, J.; Pozo García, J.M. del y Bravo Zabalgoitia, G.: Ependimomas anaplásicos intraventriculares. Neurocirugía 1994; 5: 32–36.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:41 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intracranial tumors: response and resistance to therapeutic endeavors, 1970–1980" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.J. Bloom" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Radiat Oncol Biol Phys" "fecha" => "1982" "volumen" => "8" "paginaInicial" => "1083" "paginaFinal" => "1113" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6288633" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 3 | 1 | 4 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 11 | 16 | 27 |
| 2018 Enero | 13 | 17 | 30 |
| 2017 Diciembre | 14 | 16 | 30 |
| 2017 Noviembre | 65 | 49 | 114 |
| 2017 Octubre | 7 | 26 | 33 |
| 2017 Septiembre | 8 | 51 | 59 |
| 2017 Agosto | 10 | 38 | 48 |
| 2017 Julio | 8 | 32 | 40 |
| 2017 Junio | 15 | 48 | 63 |
| 2017 Mayo | 14 | 53 | 67 |
| 2017 Abril | 20 | 30 | 50 |
| 2017 Marzo | 15 | 61 | 76 |
| 2017 Febrero | 7 | 33 | 40 |
| 2017 Enero | 8 | 22 | 30 |
| 2016 Diciembre | 18 | 21 | 39 |
| 2016 Noviembre | 24 | 38 | 62 |
| 2016 Octubre | 18 | 53 | 71 |
| 2016 Septiembre | 59 | 85 | 144 |
| 2016 Agosto | 60 | 54 | 114 |
| 2016 Julio | 35 | 62 | 97 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 0 | 5 | 5 |
| 2015 Junio | 21 | 25 | 46 |
| 2015 Mayo | 29 | 36 | 65 |
| 2015 Abril | 25 | 26 | 51 |
| 2015 Marzo | 18 | 37 | 55 |
| 2015 Febrero | 14 | 32 | 46 |
| 2015 Enero | 18 | 37 | 55 |
| 2014 Diciembre | 12 | 28 | 40 |
| 2014 Noviembre | 13 | 47 | 60 |
| 2014 Octubre | 15 | 52 | 67 |
| 2014 Septiembre | 15 | 49 | 64 |
| 2014 Agosto | 11 | 63 | 74 |
| 2014 Julio | 11 | 58 | 69 |
| 2014 Junio | 26 | 49 | 75 |
| 2014 Mayo | 13 | 53 | 66 |
| 2014 Abril | 13 | 46 | 59 |
| 2014 Marzo | 10 | 46 | 56 |
| 2014 Febrero | 13 | 46 | 59 |
| 2014 Enero | 7 | 32 | 39 |
| 2013 Diciembre | 11 | 30 | 41 |
| 2013 Noviembre | 15 | 32 | 47 |
| 2013 Octubre | 15 | 44 | 59 |
| 2013 Septiembre | 19 | 47 | 66 |
| 2013 Agosto | 17 | 48 | 65 |
| 2013 Julio | 18 | 47 | 65 |
| 2013 Junio | 17 | 50 | 67 |
| 2013 Mayo | 14 | 48 | 62 |
| 2013 Abril | 15 | 42 | 57 |
| 2013 Marzo | 12 | 52 | 64 |
| 2013 Febrero | 12 | 19 | 31 |
| 2013 Enero | 12 | 19 | 31 |
| 2012 Diciembre | 9 | 18 | 27 |
| 2012 Noviembre | 0 | 13 | 13 |
| 2012 Octubre | 0 | 4 | 4 |
| 2012 Septiembre | 0 | 2 | 2 |
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