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array:22 [ "pii" => "S1130147399709851" "issn" => "11301473" "doi" => "10.1016/S1130-1473(99)70985-1" "estado" => "S300" "fechaPublicacion" => "1999-01-01" "aid" => "70985" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1999" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1999;10:13-26" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 5893 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 1376 "PDF" => 4499 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147399709863" "issn" => "11301473" "doi" => "10.1016/S1130-1473(99)70986-3" "estado" => "S300" "fechaPublicacion" => "1999-01-01" "aid" => "70986" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1999;10:27-41" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 5365 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 1043 "PDF" => 4304 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tumores y otros procesos de la parte anterior del III ventrículo" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "41" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tumors and other space occupying lesions oí the anterior part of the third ventricle" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Albert Lasierra" "autores" => array:1 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Albert Lasierra" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709863?idApp=UINPBA00004B" "url" => "/11301473/0000001000000001/v1_201305151005/S1130147399709863/v1_201305151005/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Meningiomas del ala esfenoidal. Estudio de 90 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "13" "paginaFinal" => "26" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "R.D. Lobato, R. Alday, P.A. Gómez, J. Ayerbe, G. Sánchez Aniceto, A. Ramos, P. González, B. Rivero, C. Rodríguez" "autores" => array:9 [ 0 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 2 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] 4 => array:2 [ "nombre" => "G." "apellidos" => "Sánchez Aniceto" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Ramos" ] 6 => array:2 [ "nombre" => "P." "apellidos" => "González" ] 7 => array:2 [ "nombre" => "B." "apellidos" => "Rivero" ] 8 => array:2 [ "nombre" => "C." "apellidos" => "Rodríguez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Neurocirugía y Cirugía Maxilofacial y Sección de Neurorradiología Hospital Universitario «12 de Octubre». Universidad Complutense. Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sphenoid Wing Meningiomas. Analysis of 90 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec156594" "palabras" => array:4 [ 0 => "Meningioma" 1 => "Edema cerebral" 2 => "Tomografía computerizada" 3 => "Resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec156593" "palabras" => array:4 [ 0 => "Meningioma" 1 => "Brain edema" 2 => "Computerized tomography" 3 => "Magnetic resonance" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizan la presentación clínica y radiológica, los procedimientos quirúrgicos empleados, los resultados y la evolución a largo plazo en 90 pacientes operados de meningioma del ala esfenoidal entre 1976 y 1997, periodo durante el cual se incorporaron cambios en los métodos de diagnóstico por imagen y la técnica quirúrgica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La edad media de presentación fue de 50.3 años y un 62.2% de los pacientes eran mujeres. La duración media de los síntomas fue de 3.1 años. Se lograron resecciones completas en 61 casos (extirpaciones grados de Simpson I-II) en la primera intervención. La mortalidad perioperatoria fue del 4.4%. El tiempo medio de seguimiento fue de 8.3 años. Veinticinco pacientes mostraron, bien recurrencia de un tumor supuestamente extirpado de manera radical, o bien crecimiento adicional de un tumor extirpado subtotalmente, pero sólo 12 fueron reoperados, en tanto que otros con un crecimiento tumoral lento están siendo observados. Dos pacientes fallecieron a raiz de la reintervención y 4 más por progresividad de tumores en masa. Otros 9 pacientes (con o sin recurrencia) murieron por causas no relacionadas durante el periodo de observación.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se comentan las posibilidades de resección radical en función de la edad del paciente y la presentación anatomoclínica, el valor de la TAC y la RM en el seguimiento y detección de la recurrencia y la utilidad de las nuevas técnicas de abordaje a la base craneal y de la radioterapia convencional o estereotáxica en el control de estos tumores.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors analyze the clinicoradiological presentation, the surgical results and the postoperative courses in 90 patients operated for sphenoid ridge meningioma between 1976 and 1997.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The mean age of the patients was 50.3 years and 62.2% of the patients were females. Average duration of symptoms was 3.1 years. Complete tumor removal (Simpsom grades I and 11) was· achieved in 61 cases at initial operation. Perioperative mortality was 4.4%. The mean follow-up period was 8.3 years. Twenty five patients showed either recurrence or progressive tumor grow but only 12 underwent reoperation. Two patients died following reoperation and 4 more because of tumor progression. Nine more patients (with or without recurrence) died from unrelated causes during the follow-up. Most of non reoperated patients with recurrent or residual tumor show slow tumor progression and are under observation.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The possibilities for radical resection at initial operation, the value of computerized tomography and magnetic resonance for the follow-up, and the usefulness of new surgical approaches to the skull base and postoperative radiotherapy, either conventional or stereotatic, in tumor control are commented.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Lobato, R.D.; Alday, R.; Gómez, P.A.; Ayerbe, J.; Sánchez Aniceto, G.; Ramos, A.; Sánchez Turanzas, F.; Rivero, B.; Rodríguez, C.: Meningiomas del ala esfenoidal. Estudio de 90 casos. Neurocirugía 1999; 10: 13–26.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:44 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "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:4 [ 0 => "A.B. Adegbite" 1 => "M.I. Khan" 2 => "K.W. Paine" 3 => "L.K. Tan" ] ] ] ] ] "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" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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