array:22 [
  "pii" => "S113014739370857X"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(93)70857-X"
  "estado" => "S300"
  "fechaPublicacion" => "1993-01-01"
  "aid" => "70857"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1993"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1993;4:95-100"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3013
    "formatos" => array:3 [
      "EPUB" => 33
      "HTML" => 1039
      "PDF" => 1941
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147393708581"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(93)70858-1"
    "estado" => "S300"
    "fechaPublicacion" => "1993-01-01"
    "aid" => "70858"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1993;4:101-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3176
      "formatos" => array:3 [
        "EPUB" => 30
        "HTML" => 1160
        "PDF" => 1986
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Anastomosis hipogloso-facial e hipogloso-hipogloso en pacientes con parálisis facial postquirúrgica"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "101"
          "paginaFinal" => "109"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "L.H. Pascual, L.M.P. Varela, S. Zamora"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "L.H."
              "apellidos" => "Pascual"
            ]
            1 => array:2 [
              "nombre" => "L.M.P."
              "apellidos" => "Varela"
            ]
            2 => array:2 [
              "nombre" => "S."
              "apellidos" => "Zamora"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "E. Rubio"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "E."
              "apellidos" => "Rubio"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393708581?idApp=UINPBA00004B"
    "url" => "/11301473/0000000400000002/v1_201305151425/S1130147393708581/v1_201305151425/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Lesiones expansivas del lóbulo temporal asociadas a epilepsia en el niño: tratamiento quirúrgico"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "95"
        "paginaFinal" => "100"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "J.M. Costa, E. Claramunt, J. Lafuente"
        "autores" => array:3 [
          0 => array:2 [
            "nombre" => "J.M."
            "apellidos" => "Costa"
          ]
          1 => array:2 [
            "nombre" => "E."
            "apellidos" => "Claramunt"
          ]
          2 => array:2 [
            "nombre" => "J."
            "apellidos" => "Lafuente"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirugía. Hospital San loan de Deu. Barcelona"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec162426"
          "palabras" => array:4 [
            0 => "Tumor cerebral"
            1 => "Epilepsia"
            2 => "Lobectomía temporal"
            3 => "Esclerosis mesial temporal"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec162425"
          "palabras" => array:4 [
            0 => "Brain tumor"
            1 => "Epilepsy"
            2 => "Temporal lobectomy"
            3 => "Mesial temporal sclerosis"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Revisamos 7 ni&#241;os intervenidos quir&#250;rgicamente&#44; afectos de epilepsia temporal&#44; en los que se identificaron lesiones expansivas del l&#243;bulo temporal&#46; Tres de las lesiones fueron extracerebrales&#58; dos tumores y un quiste aracnoideo&#46; En cuatro pacientes se encontraron lesiones intracerebrales&#44; correspondiendo a tres tumores gliales y a un cavernoma&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Todos los casos fueron investigados mediante TAC y RMN&#46; Las lesiones extracerebrales fueron extirpadas totalmente y el quiste aracnoideo fenestrado&#46; En las intracerebrales se practic&#243; extirpaci&#243;n de la masa y 10bectom&#237;a incluyendo el complejo amigdalohipoc&#225;mpico&#46; En tres de los cuatro pacientes el examen anatomopatol&#243;gico demostr&#243; la existencia de esclerosis mesial concomitante&#46; El seguimiento postoperatorio medio es de m&#225;s de dos a&#241;os&#46; Seis se hallan libres de crisis&#44; cuatro de los cuales toman medicaci&#243;n anticomicial&#46; En un paciente las crisis se han reducido en m&#225;s del 50&#37;&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A series of seven children presenting with temporal epilepsy operated for temporal expansive lesions is analyzed&#46; Three of the lesions were extraaxial&#58; two of them were tumours&#44; and one an aracnoid cyst&#46; In four patients&#44; we found intraaxiallesions&#58; three glial tumours and one cavernoma&#46; All cases were investigated with CT scan and MRl&#46; The extraaxiallesions were totally removed and the cyst opened&#46; The intraaxial lesions were removed and lobectomy was carried out&#44; including the amigdalohippocampal complexo&#46; In three of the four patients the histopathological examination was compatible with mesial temporal sclerosis&#46; The average postoperatory follow up was more than two years&#46; Six of them have not had any more seizures&#59; four are still on epileptic drugs&#46; In one of the cases the seizures have been reduced in more than 50&#37;&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Costa&#44; J&#46; M&#46;&#59; Claramunt&#44; E&#46;&#59; Lafuente&#44; J&#46;&#58; Lesiones del l&#243;bulo temporal asociadas a epilepsia en el ni&#241;o&#58; tratamiento quir&#250;rgico&#46; Neurocirug&#237;a 1993&#59; 4&#58; 95&#8211;100&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:26 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "NMR Imaging in temporal lobe epilepsy due to gliomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Aaron"
                            1 => "P&#46;F&#46;J&#46; New"
                            2 => "R&#46; Strand"
                            3 => "P&#46; Beaulie"
                            4 => "K&#46; Elmden"
                            5 => "T&#46;I&#46; Brady"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Comput&#46; Assist&#46; Tomogr&#46;"
                        "fecha" => "1984"
                        "volumen" => "8"
                        "paginaInicial" => "608"
                        "paginaFinal" => "613"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6330185"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epilepsies cliniquement primitives et tumeurs cerebrales chez l&#8217;enfant"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Aicardi"
                            1 => "E&#46; Fraud"
                            2 => "J&#46; Bancaud"
                            3 => "J&#46;J&#46; Chevrie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ach&#46; Fr&#46; Pediatr&#46;"
                        "fecha" => "1970"
                        "volumen" => "27"
                        "paginaInicial" => "1&#46; 041"
                        "paginaFinal" => "1&#46;055"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neurorradiology including magnetic resonance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Anslow"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochirurgica"
                        "fecha" => "1990"
                        "numero" => "Suppl&#46; 50"
                        "paginaInicial" => "76"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2305655"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed Tomography in temporal lobe epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Blom"
                            1 => "F&#46; Vi&#241;uela"
                            2 => "A&#46; Fox"
                            3 => "W&#46; Blume"
                            4 => "J&#46; Girvin"
                            5 => "J&#46; Kaufman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Comput&#46; Assist&#46; Tomogr&#46;"
                        "fecha" => "1984"
                        "volumen" => "8"
                        "paginaInicial" => "401"
                        "paginaFinal" => "405"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6725685"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "On certain small tumors encounterd in the temporal lobe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;B&#46; Cavanagh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brain"
                        "fecha" => "1958"
                        "volumen" => "81"
                        "paginaInicial" => "389"
                        "paginaFinal" => "405"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13596472"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outcome of surgery in 40 children with temporal lobe epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Davidson"
                            1 => "M&#46;A&#46; Falconer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1975"
                        "volumen" => "1"
                        "paginaInicial" => "1&#46; 260"
                        "paginaFinal" => "1&#46;263"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2567479"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical management of children with temporal lobe epilepsy and mass lesions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Drake"
                            1 => "H&#46; Hoffman"
                            2 => "J&#46; Kobayashi"
                            3 => "P&#46; Hwang"
                            4 => "L&#46; Becker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1987"
                        "volumen" => "21"
                        "paginaInicial" => "792"
                        "paginaFinal" => "797"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3437944"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Goals of surgery for epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "F&#46;E&#46; Dreifus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Surgical treatment of the epilepsies&#46;"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of drug-resistant epilepsy due to mesial temporal sclerosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;A&#46; Falconer"
                            1 => "D&#46;C&#46; Taylor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch&#46; Neurol&#46;"
                        "fecha" => "1968"
                        "volumen" => "19"
                        "paginaInicial" => "353"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5677186"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "On the occurrence of epilepsy caused by astrocitoma of the cerebral hemispheres"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Gonzalez"
                            1 => "A&#46; Elvidge"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1962.19.6.0470"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1962"
                        "volumen" => "19"
                        "paginaInicial" => "470"
                        "paginaFinal" => "482"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13900190"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Language function following anterior temporal lobectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46;P&#46; Hermann"
                            1 => "A&#46;R&#46; Wyler"
                            2 => "G&#46; Somes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1991.74.4.0560"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1991"
                        "volumen" => "74"
                        "paginaInicial" => "560"
                        "paginaFinal" => "566"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2002368"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patological findings in 50 cases of temporal lobe epilepsy &#40;partial complex seizures&#41; treated by anterior temporal lobectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;T&#46; Hugues"
                            1 => "C&#46;B&#46;T&#46; Adams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Advances in Epileptology&#58; XV Epilepsy Internat&#237;onal Symposium"
                        "serieFecha" => "1984"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hippocampal neuronal density in temporal lobe epilepsy with and without gliomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;H&#46; Kim"
                            1 => "P&#46;O&#46; Guimaraes"
                            2 => "M&#46;Y&#46; Shen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neuropathol"
                        "fecha" => "1990"
                        "volumen" => "80"
                        "paginaInicial" => "40"
                        "paginaFinal" => "45"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of limbic epilepsy associated with extrahippocampal lesions&#58; the problem of dual&#8217; pathology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Levesque"
                            1 => "N&#46; Nakasato"
                            2 => "H&#46; Vinters"
                            3 => "L&#46; Babb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1991.75.3.0364"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1991"
                        "volumen" => "75"
                        "paginaInicial" => "364"
                        "paginaFinal" => "370"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1869934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Temporal lobectomy in children with epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46;B&#46; Meyer"
                            1 => "W&#46;R&#46; Marsh"
                            2 => "E&#46;R&#46; Laws"
                            3 => "F&#46;W&#46; Sharbrough"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1986.64.3.0371"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg"
                        "fecha" => "1986"
                        "volumen" => "64"
                        "paginaInicial" => "371"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3950715"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epilepsy surgery in childhood"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46;J&#46; Peacock"
                            1 => "Y&#46; Comair"
                            2 => "H&#46;T&#46; Chugani"
                            3 => "D&#46;A&#46; Shemond"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Epilepsy surgery"
                        "serieFecha" => "1991"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgery of epilepsy associated with brain tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46; Rasmussen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Adv&#46; Neurol&#46;"
                        "fecha" => "1975"
                        "volumen" => "8"
                        "paginaInicial" => "227"
                        "paginaFinal" => "329"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/164107"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Results of cortical resection in focal epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;T&#46; Rasmussen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Advances in Epileptology&#58; XV th Epilepsy International Symposium"
                        "paginaInicial" => "449"
                        "paginaFinal" => "455"
                        "serieFecha" => "1984"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "PrincipIes of surgery for epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;F&#46; Rosi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Neurosurgical aspects of epilepsy"
                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of the neurosurgeon in the treatment of childhood epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;F&#46; Rosi"
                            1 => "C&#46; Di Rocco"
                            2 => "A&#46; Iannelli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
                        "editores" => "C&#46;FaienzaG&#46;L&#46;Prati"
                        "paginaInicial" => "135"
                        "paginaFinal" => "147"
                        "serieVolumen" => "781"
                        "serieTitulo" => "Excerpta Medica Intero&#46; Congo Ser"
                        "serieFecha" => "1988"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Access to the posterior medial temporal lobe structures in the surgical treatment of temporal lobe epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;D&#46; Spencer"
                            1 => "S&#46;S&#46; Spencer"
                            2 => "R&#46;H&#46; Mattson"
                            3 => "P&#46;D&#46; Williamson"
                            4 => "R&#46;A&#46; Novelly"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1984"
                        "volumen" => "15"
                        "paginaInicial" => "667"
                        "paginaFinal" => "671"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6504282"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Magnetic resonance imaging in intractable part&#237;al epilepsy&#58; Correlative studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;R&#46; Sperling"
                            1 => "G&#46; Wilson"
                            2 => "J&#46; Engel"
                            3 => "T&#46; Babb"
                            4 => "M&#46; Phelps"
                            5 => "W&#46; Bradley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/ana.410200110"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann&#46; Neurol&#46;"
                        "fecha" => "1986"
                        "volumen" => "20"
                        "paginaInicial" => "57"
                        "paginaFinal" => "62"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3488709"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "New techniques for evaluating patiens for epilepsy surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;R&#46; Sperling"
                            1 => "W&#46;W&#46; Sutherling"
                            2 => "M&#46; Nuwer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Surgical treatment of the epilepsies&#46;"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A new method for the deterrnination of the side of the cerebral speech dominance&#58; A preliminary report on the intracarotid injection of sodium amital in mano"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Wada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Igaku Seibutsugaku"
                        "fecha" => "1949"
                        "volumen" => "14"
                        "paginaInicial" => "221"
                        "paginaFinal" => "222"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Secondary cerebral functional alterations examined in the Kindling model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Wada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Secondary epileptogenesis"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Selective amigdalo hippocampectorny&#46; Operative anatorny and surgical technique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;G&#46; Yasargil"
                            1 => "P&#46;I&#46; Teddy"
                            2 => "P&#46; Roth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
                        "editores" => "L&#46;Syrnon"
                        "paginaInicial" => "93"
                        "paginaFinal" => "123"
                        "serieVolumen" => "12"
                        "serieTitulo" => "Advances and technical standars in Neurosurgery&#46;"
                        "serieFecha" => "1985"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000000400000002/v1_201305151425/S113014739370857X/v1_201305151425/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000400000002/v1_201305151425/S113014739370857X/v1_201305151425/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739370857X?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 4. Núm. 2.
Páginas 95-100 (enero 1992)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 4. Núm. 2.
Páginas 95-100 (enero 1992)
Lesiones expansivas del lóbulo temporal asociadas a epilepsia en el niño: tratamiento quirúrgico
Visitas
3002
J.M. Costa, E. Claramunt, J. Lafuente
Servicio de Neurocirugía. Hospital San loan de Deu. Barcelona
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Resumen

Revisamos 7 niños intervenidos quirúrgicamente, afectos de epilepsia temporal, en los que se identificaron lesiones expansivas del lóbulo temporal. Tres de las lesiones fueron extracerebrales: dos tumores y un quiste aracnoideo. En cuatro pacientes se encontraron lesiones intracerebrales, correspondiendo a tres tumores gliales y a un cavernoma.

Todos los casos fueron investigados mediante TAC y RMN. Las lesiones extracerebrales fueron extirpadas totalmente y el quiste aracnoideo fenestrado. En las intracerebrales se practicó extirpación de la masa y 10bectomía incluyendo el complejo amigdalohipocámpico. En tres de los cuatro pacientes el examen anatomopatológico demostró la existencia de esclerosis mesial concomitante. El seguimiento postoperatorio medio es de más de dos años. Seis se hallan libres de crisis, cuatro de los cuales toman medicación anticomicial. En un paciente las crisis se han reducido en más del 50%.

Palabras clave:
Tumor cerebral
Epilepsia
Lobectomía temporal
Esclerosis mesial temporal
Summary

A series of seven children presenting with temporal epilepsy operated for temporal expansive lesions is analyzed. Three of the lesions were extraaxial: two of them were tumours, and one an aracnoid cyst. In four patients, we found intraaxiallesions: three glial tumours and one cavernoma. All cases were investigated with CT scan and MRl. The extraaxiallesions were totally removed and the cyst opened. The intraaxial lesions were removed and lobectomy was carried out, including the amigdalohippocampal complexo. In three of the four patients the histopathological examination was compatible with mesial temporal sclerosis. The average postoperatory follow up was more than two years. Six of them have not had any more seizures; four are still on epileptic drugs. In one of the cases the seizures have been reduced in more than 50%.

Key words:
Brain tumor
Epilepsy
Temporal lobectomy
Mesial temporal sclerosis

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?