Craniotomy under local anaesthesia and sedation for the removal of brain tumours within or adjacent to eloquent areas
V. Vanaclocha, N. Sáiz-Sapena, P. Monedero
Servicio de Neurocirugía, Servicio de Anestesiología y Reanimación. Clínica Universitaria, Universidad de Navarra. Pamplona, Navarra
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Monedero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Vanaclocha" ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Sáiz-Sapena" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Monedero" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Servicio de Anestesiología y Reanimación. Clínica Universitaria, Universidad de Navarra. Pamplona, Navarra" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163111" "palabras" => array:3 [ 0 => "Craniotomía" 1 => "Anestesia local" 2 => "Sedación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163112" "palabras" => array:3 [ 0 => "Craniotomy" 1 => "Local anaesthesia" 2 => "Sedation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los gliomas supratentoriales de bajo grado deben ser sometidos a exéresis completa. Cuando estas lesiones asientan en áreas elocuentes su extirpación puede resultar problemática debido a la posibilidad de inducir secuelas neurológicas. Si el procedimiento se practica bajo anestesia general la resección es frecuentemente subtotal. Intentando aumentar la radicalidad de la exéresis nuestro grupo la ha practicado bajo anestesia local, controlando intraoperatoriamente las funciones neurológicas en peligro.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Diecisiete casos de gliomas de bajo grado fueron extirpados bajo anestesia local y sedación ligera. La exéresis quirúrgica fue completa en 15/17 y subtotal en 2/17. Postoperatoriamente sólo un pacienete presentó una hemiparesia ligera y dos más una disfasia motora transitoria.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Concluimos diciendo que la craniotomía bajo anestesia local permite la extirpación, la mayor parte de las veces completa, de lesiones en áreas elocuentes del cerebro.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Low grade supratentorial gliomas should be removed radically. When they lay in eloquent areas its removal can be problematic due to the possibility of inducing neurological sequelae. If the procedure is performed under general anaesthesia the resection is often subtotal. Attempting to increase the radicality these cases were performed under local anaesthesia, controlling intraoperatively the endangered neurological functions.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Seventeen cases of low grade gliomas were removed under local anaesthesia and light sedation. Surgical removal was complete in 15/17 cases and subtotal in 2/17. Postoperatively one patient had a slight hemiparesis and two more a transient motor duysphasia.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude saying that craniotomy under local anaesthesia allows the removal, most of the times complete, of lesions in eloquent brain areas.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vanaclocha, V.; Sáiz-Sapena, N.; Monedero, P.: Craniotomy under local anaesthesia and sedation for the removal of brain tumours within or adjacent to eloquent areas. Neurocirugía 1997; 8: 95–103</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:59 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Supratentorial recurrence of gliomas. Results of reoperation on astrocytomas and oligodendrogliomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Afra" 1 => "W. Mueller" 2 => "G. Benoist" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Neurochir (Wien)" "fecha" => "1987" "volumen" => "43" "paginaInicial" => "217" "paginaFinal" => "227" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 13 | 6 | 19 |
| 2018 Enero | 16 | 9 | 25 |
| 2017 Diciembre | 11 | 8 | 19 |
| 2017 Noviembre | 19 | 31 | 50 |
| 2017 Octubre | 8 | 9 | 17 |
| 2017 Septiembre | 8 | 11 | 19 |
| 2017 Agosto | 10 | 4 | 14 |
| 2017 Julio | 9 | 6 | 15 |
| 2017 Junio | 23 | 11 | 34 |
| 2017 Mayo | 15 | 10 | 25 |
| 2017 Abril | 21 | 13 | 34 |
| 2017 Marzo | 18 | 6 | 24 |
| 2017 Febrero | 9 | 1 | 10 |
| 2017 Enero | 6 | 5 | 11 |
| 2016 Diciembre | 44 | 10 | 54 |
| 2016 Noviembre | 45 | 6 | 51 |
| 2016 Octubre | 33 | 6 | 39 |
| 2016 Septiembre | 30 | 7 | 37 |
| 2016 Agosto | 0 | 16 | 16 |
| 2016 Julio | 0 | 2 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 0 | 6 | 6 |
| 2015 Junio | 23 | 14 | 37 |
| 2015 Mayo | 22 | 15 | 37 |
| 2015 Abril | 26 | 20 | 46 |
| 2015 Marzo | 18 | 14 | 32 |
| 2015 Febrero | 22 | 17 | 39 |
| 2015 Enero | 29 | 16 | 45 |
| 2014 Diciembre | 19 | 13 | 32 |
| 2014 Noviembre | 17 | 7 | 24 |
| 2014 Octubre | 17 | 15 | 32 |
| 2014 Septiembre | 18 | 15 | 33 |
| 2014 Agosto | 15 | 20 | 35 |
| 2014 Julio | 17 | 14 | 31 |
| 2014 Junio | 33 | 24 | 57 |
| 2014 Mayo | 37 | 26 | 63 |
| 2014 Abril | 27 | 33 | 60 |
| 2014 Marzo | 19 | 27 | 46 |
| 2014 Febrero | 32 | 23 | 55 |
| 2014 Enero | 23 | 19 | 42 |
| 2013 Diciembre | 26 | 11 | 37 |
| 2013 Noviembre | 27 | 20 | 47 |
| 2013 Octubre | 26 | 14 | 40 |
| 2013 Septiembre | 29 | 11 | 40 |
| 2013 Agosto | 27 | 13 | 40 |
| 2013 Julio | 25 | 11 | 36 |
| 2013 Junio | 31 | 15 | 46 |
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| 2013 Abril | 24 | 19 | 43 |
| 2013 Marzo | 24 | 21 | 45 |
| 2013 Febrero | 24 | 14 | 38 |
| 2013 Enero | 25 | 9 | 34 |
| 2012 Diciembre | 19 | 15 | 34 |
| 2012 Noviembre | 0 | 3 | 3 |
| 2012 Octubre | 0 | 3 | 3 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2012 Enero | 6 | 0 | 6 |
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