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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar los resultados obtenidos en una serie de 40 meningiomas espinales&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudian retrospectivamente 40 meningiomas espinales intervenidos en nuestro Servicio entre Junio de 1977 y Abril de 1997&#46; Se discuten aspectos cl&#237;nicos&#44; radiol&#243;gicos y terap&#233;uticos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La edad&#44; sexo y localizaci&#243;n tumoral no difiere de la reportada por otros autores&#46; En nuestra serie la p&#233;rdida de fuerza destac&#243; como el s&#237;ntoma predominante&#44; ya que s&#243;lo dos pacientes presentaban una fuerza muscular normal en el momento del diagn&#243;stico&#46; Todos los pacientes fueron intervenidos mediante laminectom&#237;a con una tasa de buenos resultados del 90&#37;&#46; Seis pacientes presentaban una paraparesia severa preoperatoriamente &#40;fuerza muscular de 0-1 sobre 5&#41;&#44; y de ellos tres pudieron deambular tras la cirug&#237;a&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">&#58; La cirug&#237;a de los meningiomas espinales es un procedimiento seguro&#44; que ofrece buenos resultados terap&#233;uticos en la mayor&#237;a de los casos&#46; La tendencia a la recurrencia en relaci&#243;n a los meningiomas de otra localizaci&#243;n es menor&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the surgical results in a series of 40 consecutive patients operated for spinal meningioma&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyzed retrospectively the clinical records of 40 patients operated on for spinal meningioma in our Neurosurgical Unit from June 1977 to April 1997&#46; Clinical&#44; radiological and surgical results are critically analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Age&#44; sex and tumor location were similar to that reported by other authors&#46; Weakness was the most common presenting symptom and only two patients showed intact motor function at the moment of diagnosis&#46; All the patients were operated on by laminectomy achieving a favorable result in 90&#37; of the cases&#46; Three out of the six patients undergoing operation with severe motor deficits &#40;lower limbs strength&#58; 0-1&#41; could walk after surgery&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Surgical removal of spinal meningiomas is a safe and gratifying procedure&#46; Satisfactory results can be obtained in the majority of cases&#46; The risk of recurrence with spinal meningiomas is low when compared with meningiomas in other location&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Dom&#237;nguez&#44; J&#46;&#59; Rivas&#44; J&#46;J&#46;&#59; Lobato&#44; R&#46;D&#46;&#59; G&#243;mez&#44; P&#46;A&#46;&#59; Alday&#44; R&#59; Cabrera&#44; A&#46;&#59; Rivero&#44; B&#46;&#59; Rodr&#237;guez&#44; C&#46;&#59; Boto&#44; G&#46;R&#46;&#58; Meningiomas espinales&#46; Revisi&#243;n de 40 casos&#46; Neurocirug&#237;a 1998&#59; 9&#58; 123&#8211;128&#46;</p>"
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                          "autores" => array:3 [
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                        "paginaInicial" => "27"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3354308"
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                        "paginaInicial" => "15"
                        "paginaFinal" => "21"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5419957"
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                      "titulo" => "Removal of an ossified ventral thoracic meningioma&#58; Case report"
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                          "autores" => array:1 [
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                          "autores" => array:2 [
                            0 => "L&#46; Harkey"
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                        "serieFecha" => "1991"
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                      "titulo" => "Primary intraspinal neoplasms in Norway&#44; 1955 to 1986&#46; A population-based survey of 467 patients"
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                      "doi" => "10.3171/jns.1989.71.6.0842"
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1989"
                        "volumen" => "71"
                        "paginaInicial" => "842"
                        "paginaFinal" => "845"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2585075"
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                          "autores" => array:3 [
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                        "paginaFinal" => "303"
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                        "paginaInicial" => "59"
                        "paginaFinal" => "61"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of spinal meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Katz"
                            1 => "E&#46; Reichenthal"
                            2 => "J&#46; Israeli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurochirurgia"
                        "fecha" => "1981"
                        "volumen" => "24"
                        "paginaInicial" => "21"
                        "paginaFinal" => "22"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7219651"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal cord meningioma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46;J&#46; Levy"
                            1 => "J&#46; Bay"
                            2 => "D&#46; Dohn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1982.57.6.0804"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1982"
                        "volumen" => "57"
                        "paginaInicial" => "804"
                        "paginaFinal" => "812"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7143063"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal cord tumor during pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Mealey"
                            1 => "J&#46;E&#46; Carter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Obstet&#46; Gynecol&#46;"
                        "fecha" => "1968"
                        "volumen" => "32"
                        "paginaInicial" => "204"
                        "paginaFinal" => "209"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5742100"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas&#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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "I&#46;J&#46; Namer"
                            1 => "M&#46;N&#46; Pamir"
                            2 => "K&#46; Benli"
                            3 => "S&#46; Saglam"
                            4 => "A&#46; Erbengi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurochirurgia &#40;Sttugart&#41;"
                        "fecha" => "1987"
                        "volumen" => "30"
                        "paginaInicial" => "11"
                        "paginaFinal" => "15"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The pathogenesis of the spinal cord disorder with cervical spondylosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Nurick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brain"
                        "fecha" => "1972"
                        "volumen" => "95"
                        "paginaInicial" => "87"
                        "paginaFinal" => "100"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5023093"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Les m&#233;ningiomes r&#233;cidivants"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Philippon"
                            1 => "P&#46;R&#46; Cornu"
                            2 => "R&#46; Grob"
                            3 => "M&#46; Rivierez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurochirurgie"
                        "fecha" => "1986"
                        "volumen" => "32"
                        "numero" => "Suppl&#46; 1"
                        "paginaInicial" => "54"
                        "paginaFinal" => "62"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intraspinal Meningiomas&#58; review of 54 cases with discussion of poor prognosis factors and modern therapeutic management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46;X&#46; Roux"
                            1 => "F&#46; Nataf"
                            2 => "M&#46; Pinaudeau"
                            3 => "G&#46; Borne"
                            4 => "B&#46; Devaux"
                            5 => "J&#46;F&#46; Meder"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1996"
                        "volumen" => "46"
                        "paginaInicial" => "458"
                        "paginaFinal" => "464"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8874546"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgery of spinal meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;B&#46; Sisti"
                            1 => "B&#46;M&#46; Stein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Meningiomas"
                        "paginaInicial" => "615"
                        "paginaFinal" => "620"
                        "serieFecha" => "1991"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal meningiomas&#58; review of 174 operated cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46;L&#46; Solero"
                            1 => "M&#46; Fornari"
                            2 => "S&#46; Giombini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "25"
                        "paginaInicial" => "153"
                        "paginaFinal" => "160"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2671779"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
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Vol. 9. Núm. 2.
Páginas 123-128 (enero 1998)
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Vol. 9. Núm. 2.
Páginas 123-128 (enero 1998)
Meningiomas espinales. Revisión de 40 casos
Spinal meningiomas: review of 40 cases
Visitas
3458
J. Domínguez, J.J. Rivas, R.D. Lobato, P.A. Gómez, R. Alday, A. Cabrera, B. Rivero, C. Rodríguez, G.R. Boto
Servicio de Neurocirugía. Hospital 12 de Octubre. Facultad de Medicina. Universidad Complutense de Madrid
Este artículo ha recibido
Información del artículo
Resumen
Objetivo

Analizar los resultados obtenidos en una serie de 40 meningiomas espinales.

Material y métodos

Se estudian retrospectivamente 40 meningiomas espinales intervenidos en nuestro Servicio entre Junio de 1977 y Abril de 1997. Se discuten aspectos clínicos, radiológicos y terapéuticos.

Resultados

La edad, sexo y localización tumoral no difiere de la reportada por otros autores. En nuestra serie la pérdida de fuerza destacó como el síntoma predominante, ya que sólo dos pacientes presentaban una fuerza muscular normal en el momento del diagnóstico. Todos los pacientes fueron intervenidos mediante laminectomía con una tasa de buenos resultados del 90%. Seis pacientes presentaban una paraparesia severa preoperatoriamente (fuerza muscular de 0-1 sobre 5), y de ellos tres pudieron deambular tras la cirugía.

Conclusiones

: La cirugía de los meningiomas espinales es un procedimiento seguro, que ofrece buenos resultados terapéuticos en la mayoría de los casos. La tendencia a la recurrencia en relación a los meningiomas de otra localización es menor.

Palabras clave:
Meningioma
Raquis
Resonancia magnética
Summary
Objective

To analyze the surgical results in a series of 40 consecutive patients operated for spinal meningioma.

Material and methods

We analyzed retrospectively the clinical records of 40 patients operated on for spinal meningioma in our Neurosurgical Unit from June 1977 to April 1997. Clinical, radiological and surgical results are critically analyzed.

Results

Age, sex and tumor location were similar to that reported by other authors. Weakness was the most common presenting symptom and only two patients showed intact motor function at the moment of diagnosis. All the patients were operated on by laminectomy achieving a favorable result in 90% of the cases. Three out of the six patients undergoing operation with severe motor deficits (lower limbs strength: 0-1) could walk after surgery.

Conclusion

Surgical removal of spinal meningiomas is a safe and gratifying procedure. Satisfactory results can be obtained in the majority of cases. The risk of recurrence with spinal meningiomas is low when compared with meningiomas in other location.

Key words:
Meningioma
Spine
Magnetic resonance

Artículo

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