Meningiomas petroclivales gigantes
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Pérez Garrigues, R. Villanueva, F. Cortés, J. Navarro, P. Riesgo" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Piquer" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Bataller" ] 2 => array:2 [ "nombre" => "H." "apellidos" => "Pérez Garrigues" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Villanueva" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Cortés" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Navarro" ] 6 => array:2 [ "nombre" => "P." "apellidos" => "Riesgo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital «La Fe». Valencia" ] ] ] 1 => array:3 [ "autoresLista" => "V. Vázquez Añón" "autores" => array:1 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Vázquez Añón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Neurocirugía y Radiología. Hospital «La Fe». Valencia" "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" => "xpalclavsec162960" "palabras" => array:4 [ 0 => "Meningioma" 1 => "Base de cráneo" 2 => "Clivus" 3 => "Cirugía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162959" "palabras" => array:4 [ 0 => "Meningioma" 1 => "Cranial Base" 2 => "Clivus" 3 => "Surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se trata de 4 pacientes, tres mujeres y un varón, diagnosticados de meningiomas petroclivales gigantes. En todos los casos superó los 44<span class="elsevierStyleHsp" style=""></span>mm de diámetro mayor. La clínica predominante fue la hipertensión endocraneal con afectación de pares craneales. El abordaje utilizado fue el transcoclear modificado. Se practicó pretrosectomia radical y se empleó la vía presigmoidea para la apertura dural. Se preservo el seno sigmoideo y transverso. La tumoración fue extirpada de forma total (2 casos), subtotal (1 caso) y parcial (1 caso). No hubo mortalidad operatoria (éxitus hospitalario). Existió morbilidad neurológica relacionada fundamentalmente con los nervios craneales V-VI-VII-VIII y un caso de hemiparesia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se detallan los aspectos y las bases técnicas de la técnica quirúrgica empleada. Se contrastan los resultados obtenidos con otras alternativas más clásicas. Finalmente, concluimos que los meningiomas petroclivales son entidades quirúrgicamente tratables, aunque siempre reclamarán abordajes dificultosos y una técnica microquirúrgica meticulosa.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Four patients with giant petroclival meningioma are presented. In all cases the tumor size was over 44<span class="elsevierStyleHsp" style=""></span>mm. The main clinical symptoms were related to raised intracranial pressure. Cranial nerve deficits were observed in almost all cases. A modified transcochlear approach in two stages was used. Total tumor removal was achieved in one case and the remaining patients had partial removal. There was no mortality and complications were related to cranial nerve dysfunction.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Piquer, J.; Bataller, G.; Pérez Garriguez, H.; Villanueva, R.; Vázquez Añón, V.; Cortés, F.; Navarro, J.; Riesgo, P.: Meningiomas petroclivales gigantes. Neurocirugía 1996; 7: 111–118.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Petrosal approach for petroclival meningiomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "O. Al Mefty" 1 => "J.L. Fox" 2 => "R.R. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 1 | 3 |
| 2018 Febrero | 9 | 6 | 15 |
| 2018 Enero | 13 | 18 | 31 |
| 2017 Diciembre | 9 | 28 | 37 |
| 2017 Noviembre | 38 | 49 | 87 |
| 2017 Octubre | 7 | 34 | 41 |
| 2017 Septiembre | 14 | 50 | 64 |
| 2017 Agosto | 12 | 39 | 51 |
| 2017 Julio | 10 | 43 | 53 |
| 2017 Junio | 14 | 61 | 75 |
| 2017 Mayo | 22 | 59 | 81 |
| 2017 Abril | 8 | 44 | 52 |
| 2017 Marzo | 12 | 89 | 101 |
| 2017 Febrero | 8 | 77 | 85 |
| 2017 Enero | 6 | 51 | 57 |
| 2016 Diciembre | 26 | 35 | 61 |
| 2016 Noviembre | 32 | 63 | 95 |
| 2016 Octubre | 29 | 63 | 92 |
| 2016 Septiembre | 66 | 123 | 189 |
| 2016 Agosto | 88 | 77 | 165 |
| 2016 Julio | 50 | 57 | 107 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 5 | 0 | 5 |
| 2015 Julio | 2 | 6 | 8 |
| 2015 Junio | 11 | 32 | 43 |
| 2015 Mayo | 13 | 60 | 73 |
| 2015 Abril | 15 | 33 | 48 |
| 2015 Marzo | 20 | 37 | 57 |
| 2015 Febrero | 14 | 44 | 58 |
| 2015 Enero | 19 | 50 | 69 |
| 2014 Diciembre | 13 | 43 | 56 |
| 2014 Noviembre | 10 | 66 | 76 |
| 2014 Octubre | 18 | 59 | 77 |
| 2014 Septiembre | 16 | 78 | 94 |
| 2014 Agosto | 19 | 61 | 80 |
| 2014 Julio | 15 | 64 | 79 |
| 2014 Junio | 26 | 66 | 92 |
| 2014 Mayo | 21 | 58 | 79 |
| 2014 Abril | 18 | 62 | 80 |
| 2014 Marzo | 12 | 52 | 64 |
| 2014 Febrero | 22 | 59 | 81 |
| 2014 Enero | 10 | 30 | 40 |
| 2013 Diciembre | 15 | 41 | 56 |
| 2013 Noviembre | 14 | 50 | 64 |
| 2013 Octubre | 15 | 47 | 62 |
| 2013 Septiembre | 25 | 50 | 75 |
| 2013 Agosto | 19 | 64 | 83 |
| 2013 Julio | 21 | 44 | 65 |
| 2013 Junio | 11 | 47 | 58 |
| 2013 Mayo | 8 | 48 | 56 |
| 2013 Abril | 11 | 36 | 47 |
| 2013 Marzo | 7 | 43 | 50 |
| 2013 Febrero | 12 | 35 | 47 |
| 2013 Enero | 12 | 20 | 32 |
| 2012 Diciembre | 9 | 15 | 24 |
| 2012 Noviembre | 0 | 10 | 10 |
| 2012 Octubre | 0 | 5 | 5 |
| 2012 Septiembre | 0 | 3 | 3 |
| 2012 Enero | 6 | 0 | 6 |
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