array:23 [
  "pii" => "S1130147394708186"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(94)70818-6"
  "estado" => "S300"
  "fechaPublicacion" => "1994-01-01"
  "aid" => "70818"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1994"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1994;5:121-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1535
    "formatos" => array:3 [
      "EPUB" => 20
      "HTML" => 714
      "PDF" => 801
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147394708198"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(94)70819-8"
    "estado" => "S300"
    "fechaPublicacion" => "1994-01-01"
    "aid" => "70819"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1994;5:127-30"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2596
      "formatos" => array:3 [
        "EPUB" => 18
        "HTML" => 1006
        "PDF" => 1572
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Abscesos de aparición tardía tras fijación intersomática cervical anterior"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "127"
          "paginaFinal" => "130"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A. García Allut, A. Bollar Zabala, A. Prieto González, C. Femández Kuhne, R. Martínez Rumbo, M. Gelabert González"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "García Allut"
            ]
            1 => array:2 [
              "nombre" => "A."
              "apellidos" => "Bollar Zabala"
            ]
            2 => array:2 [
              "nombre" => "A."
              "apellidos" => "Prieto González"
            ]
            3 => array:2 [
              "nombre" => "C."
              "apellidos" => "Femández Kuhne"
            ]
            4 => array:2 [
              "nombre" => "R."
              "apellidos" => "Martínez Rumbo"
            ]
            5 => array:2 [
              "nombre" => "M."
              "apellidos" => "Gelabert González"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147394708198?idApp=UINPBA00004B"
    "url" => "/11301473/0000000500000002/v1_201305151434/S1130147394708198/v1_201305151434/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147394708174"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(94)70817-4"
    "estado" => "S300"
    "fechaPublicacion" => "1994-01-01"
    "aid" => "70817"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1994;5:115-20"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1650
      "formatos" => array:3 [
        "EPUB" => 20
        "HTML" => 764
        "PDF" => 866
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Estudio comparativo de los resultados quirúrgicos y los cambios en resonancia magnética en 29 pacientes con siringomielia"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "115"
          "paginaFinal" => "120"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R. 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&#44; estudiados en nuestro Servicio durante el per&#237;odo de 1981&#8211;1990&#44; que fueron clasificados en dos grupos&#58; Grupo A&#44; adultos con edad entre 19 y 64 a&#241;os y Grupo B&#44; tercera edad &#8211;65 y 78 a&#241;os&#8211;&#46; Predomin&#243; el sexo femenino 1&#58;2&#44;15&#46; Practicamos TAC craneal en todos los casos&#44; angiograf&#237;a cerebral en 53 pacientes y RMN en 20 pacientes&#46; En cuatro casos se prescindi&#243; de la intervenci&#243;n quir&#250;rgica por diferentes causas cl&#237;nicas&#46; Consideramos los resultados quir&#250;rgicos de 100 pacientes&#44; 70 del Grupo A y 30 del Grupo B&#46; En todos se realiz&#243; seguimiento m&#237;nimo de 1 a&#241;o&#46; En la valoraci&#243;n del grado de resecci&#243;n tumoral utilizamos la escala de Simpson&#46; Considerando la escala de pron&#243;stico de Glasgow modificada en los resultados post-operatorios el 85&#37; de casos &#40;Grupo A 85&#44;71&#37;&#44; Grupo B 83&#44;35&#37;&#41; hacen vida normal&#44; o presentan crisis comiciales en la mayor parte de los casos controladas farmacol&#243;gicamente&#44; o d&#233;ficit neurol&#243;gico menor&#44; que les permite llevar una vida aut&#243;noma y funcional&#46; Nuestros resultados apoyan el tratamiento quir&#250;rgico activo de meningiomas intracraneales en pacientes de la tercera edad&#44; excepto si existiera contraindicaci&#243;n m&#233;dica espec&#237;fica&#46;</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&#46; They were divided into two groups&#46; Group A&#58; adults with age ranging between 19 and 64 years&#46; Group B&#58; patients 65 to 78 years old&#46; All patients were studied by CT scan&#46; Fifty three patients had cerebral angiography&#44; and 20 patients were studied by MR&#46; Four patients were excluded from surgery for different clinical reasons&#46; The surgical results in 100 patients are analyzed &#40;70 of Group A&#44; and 30 of Group B&#41;&#46; All patients were followed for 1 year or longer period&#46; The Glasgow Outcome Scale was used to evaluate the surgical results&#46; Eighty five per cent of the patients &#40;Group A&#61;85&#44;7&#37;&#44; Group B&#61;83&#44;3&#37;&#41; were either in normal condition&#44; or they had seizures controlled by treatment&#44; or minor neurological deficits&#46; There were not statistical differences in the results between the two age groups&#46; Thus&#44; the results of our study support that surgical treatment of intracranial meningiomas is indicated in old patients&#44; except when medical status prevents surgical treatment be performed&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Chong&#44; C&#46;&#59; Molet&#44; J&#46;&#59; Par&#233;s&#44; P&#46;&#59; Oliver&#44; B&#46;&#59; Tresserras&#44; P&#46; y Bartumeus&#44; F&#46;&#58; Estudio comparativo de meningiomas intracraneales en grupos de edades diferentes&#58; tercera edad - edad adulta&#46; Neurocirug&#237;a 1994&#59; 5&#58; 121&#8211;126&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Referencias"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:22 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant and atypical meningiomas&#58; a reappraisal of clinical&#44; histological and computed tomographic features"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; Alvarez"
                            1 => "J&#46;M&#46; Roda"
                            2 => "M&#46; P&#233;rez"
                            3 => "C&#46; Morales"
                            4 => "M&#46;A&#46; Sarmiento"
                            5 => "M&#46; Blazquez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1987"
                        "volumen" => "20"
                        "paginaInicial" => "688"
                        "paginaFinal" => "694"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3601014"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of intracranial meningiomas in patients over 70 years old"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Arienta"
                            1 => "M&#46; Caroli"
                            2 => "F&#46; Crotti"
                            3 => "R&#46; Villani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "1990"
                        "volumen" => "107"
                        "paginaInicial" => "47"
                        "paginaFinal" => "55"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The recurrence of intracranial meningiomas after surgical treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46;B&#46; Adegbite"
                            1 => "M&#46;I&#46; Khan"
                            2 => "K&#46;W&#46; Paine"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1983.58.1.0051"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1983"
                        "volumen" => "58"
                        "paginaInicial" => "51"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6847909"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial meningiomas in the aged&#58; surgical outcome in the era of computed tomography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "I&#46;A&#46; Awad"
                            1 => "I&#46; Kalfas"
                            2 => "J&#46;F&#46; Hahn"
                            3 => "J&#46;R&#46; Little"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "24"
                        "paginaInicial" => "557"
                        "paginaFinal" => "560"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2710300"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracraneal meningiomas in the elderly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Bartumeus"
                            1 => "P&#46; Par&#233;s"
                            2 => "R&#46; Noboa"
                            3 => "B&#46; Oliver"
                            4 => "J&#46; Molet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Comunicaci&#243;n presentada en VIII Congreso de Neurocirug&#237;a en Barcelona"
                        "paginaInicial" => "222"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Black"
                            1 => "L&#46; Mc"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1993"
                        "volumen" => "32"
                        "paginaInicial" => "643"
                        "paginaFinal" => "657"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8474655"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial meningiomas in the elderly&#46; A reappraisal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Clavel"
                            1 => "F&#46; Gomez-Taborga"
                            2 => "P&#46; Tresserras"
                            3 => "R&#46; Dinares"
                            4 => "J&#46; Hornedo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurocirug&#237;a"
                        "fecha" => "1992"
                        "volumen" => "3"
                        "paginaInicial" => "23"
                        "paginaFinal" => "29"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Challa&#44; V&#46;R&#46;&#44; Markesbery&#44; R&#46;W&#46;&#58; Meningiomas Pathology&#46; En Wilkins-Rengachary &#40;eds&#41; Neurosurgery 1985&#59; Tomo 1&#46; pp&#46;&#58; 613&#8211;622&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The vascular component in meningiomas associated with severe cerebral edema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46;R&#46; Challa"
                            1 => "D&#46;M&#46; Moody"
                            2 => "R&#46;B&#46; Marshall"
                            3 => "D&#46;L&#46; Kelly Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "7"
                        "paginaInicial" => "363"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7442977"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Chan&#44; R&#46;C&#46;&#44; Thompson&#44; G&#46;B&#46;&#44; F&#46;R&#46;C&#46;S&#46; &#40;C&#41;&#58; Morbidity&#44; mortality&#44; and quality of life following surgery for intracranial meningiomas&#46; J Neurosurg 1984&#59; 60&#58; 52&#8211;60&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial meningiomas in the elderly &#40;Over 70 years old&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Djindjian"
                            1 => "J&#46;P&#46; Caron"
                            2 => "A&#46;A&#46; Athayde"
                            3 => "M&#46;J&#46; F&#233;vrier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "1988"
                        "volumen" => "90"
                        "paginaInicial" => "121"
                        "paginaFinal" => "123"
                        "itemHostRev" => array:3 [
                          "pii" => "S1130634308728083"
                          "estado" => "S300"
                          "issn" => "11306343"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebral edema associated with meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;J&#46; Gilbert"
                            1 => "J&#46;E&#46; Paulseth"
                            2 => "R&#46;K&#46; Coates"
                            3 => "D&#46; Mallot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1983"
                        "volumen" => "12"
                        "paginaInicial" => "599"
                        "paginaFinal" => "605"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6877541"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Peritumoral brain edema associated with meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Gwam Go"
                            1 => "J&#46;T&#46; Wilmink"
                            2 => "W&#46;M&#46; Molenaar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1988"
                        "volumen" => "23"
                        "paginaInicial" => "175"
                        "paginaFinal" => "179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3185876"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningeal hemangiopericytoma&#58; histopathological features&#44; treratment&#44; and long term follow-up of 44 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;L&#46; Gurthie"
                            1 => "M&#46;J&#46; Ebersold"
                            2 => "B&#46;W&#46; Scheithauer"
                            3 => "E&#46;G&#46; Shaw"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "25"
                        "paginaInicial" => "514"
                        "paginaFinal" => "522"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2797389"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1130634308759488"
                          "estado" => "S300"
                          "issn" => "11306343"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atypical and anaplastic meningiomas&#58; radiology&#44; surgery&#44; radiotherapy&#44; and outcome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Jaaskelalnen"
                            1 => "M&#46; Haltia"
                            2 => "A&#46; Servo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1986"
                        "volumen" => "25"
                        "paginaInicial" => "233"
                        "paginaFinal" => "242"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3945904"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assesment of outcome after severe head injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46; Jenneti"
                            1 => "M&#46; Bond"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1983"
                        "volumen" => "1"
                        "paginaInicial" => "480"
                        "paginaFinal" => "484"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2893908"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resultados de un programa de evaluaci&#243;n preoperatoria hospitalaria en pacientes geri&#225;tricos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Lazaro del Nogal"
                            1 => "A&#46;J&#46; Cruz"
                            2 => "I&#46;M&#46; Ribera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Med Inter"
                        "fecha" => "1992"
                        "volumen" => "12"
                        "paginaInicial" => "591"
                        "paginaFinal" => "597"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningioma&#58; analysis of recurrence and progression following neurosurgical resection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;O&#46; Mirimanoff"
                            1 => "D&#46;E&#46; Dosoretz"
                            2 => "R&#46;M&#46; Linggood"
                            3 => "R&#46;G&#46; Ojemann"
                            4 => "R&#46;L&#46; Martuza"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1985.62.1.0018"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1985"
                        "volumen" => "62"
                        "paginaInicial" => "18"
                        "paginaFinal" => "24"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3964853"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas intraventriculares"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Molet"
                            1 => "E&#46; Guardia"
                            2 => "B&#46; Oliver"
                            3 => "P&#46; Par&#233;s"
                            4 => "F&#46; Bartumeus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Barcelona Quir&#250;rgica"
                        "fecha" => "1989"
                        "volumen" => "32"
                        "paginaInicial" => "177"
                        "paginaFinal" => "182"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial meningiomas in the elderly in the CT scan era"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "I&#46; Papo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "1983"
                        "volumen" => "67"
                        "paginaInicial" => "195"
                        "paginaFinal" => "204"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The recurrence of intracranial meningiomas after surgical treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46; Simpson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Neurol Nerusurg Psychiat"
                        "fecha" => "1957"
                        "volumen" => "20"
                        "paginaInicial" => "22"
                        "paginaFinal" => "39"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant meningioma&#58; clinical and pathological features"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;G&#46; Thomas"
                            1 => "C&#46;L&#46; Dolman"
                            2 => "K&#46; Berry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1981.55.6.0929"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1981"
                        "volumen" => "55"
                        "paginaInicial" => "929"
                        "paginaFinal" => "934"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7299467"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000000500000002/v1_201305151434/S1130147394708186/v1_201305151434/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000500000002/v1_201305151434/S1130147394708186/v1_201305151434/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147394708186?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 5. Núm. 2.
Páginas 121-126 (enero 1993)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 5. Núm. 2.
Páginas 121-126 (enero 1993)
Estudio comparativo de meningiomas intracraneales en grupos de edades diferentes: tercera edad - edad adulta
Visitas
1520
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
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Resumen

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.

Palabras clave:
Meningioma
Tercera edad
Tumor benigno intracraneal
Summary

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.

Key words:
Meningioma
Aging
Intracranial benign tumor

Artículo

Opciones para acceder a los textos completos de la publicación Neurocirugía
Socio
Socio de la Sociedad Española de Neurocirugía

Si es la primera vez que accede a la web puede obtener sus claves de acceso poniéndose en contacto con Elsevier España en suscripciones@elsevier.com o a través de su teléfono de Atención al Cliente 902 88 87 40 si llama desde territorio español o del +34 932 418 800 (de 9 a 18h., GMT + 1) si lo hace desde el extranjero.

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".

Suscriptor
Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".
Suscribirse
Suscribirse a:

Neurocirugía

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contactar
Teléfono para suscripciones e incidencias
De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h
Llamadas desde España
932 415 960
Llamadas desde fuera de España
+34 932 415 960
Email
Idiomas
Neurocirugía
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?