array:23 [
  "pii" => "S113014739670742X"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(96)70742-X"
  "estado" => "S300"
  "fechaPublicacion" => "1996-01-01"
  "aid" => "70742"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1996"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1996;7:111-8"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3558
    "formatos" => array:3 [
      "EPUB" => 16
      "HTML" => 958
      "PDF" => 2584
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147396707431"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(96)70743-1"
    "estado" => "S300"
    "fechaPublicacion" => "1996-01-01"
    "aid" => "70743"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1996;7:119-25"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3866
      "formatos" => array:3 [
        "EPUB" => 19
        "HTML" => 1239
        "PDF" => 2608
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "El abordaje posterolateral extracavitario a la columna dorsal"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "119"
          "paginaFinal" => "125"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M. Clavel Escribano, P. Clavel Laria"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "M."
              "apellidos" => "Clavel Escribano"
            ]
            1 => array:2 [
              "nombre" => "P."
              "apellidos" => "Clavel Laria"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707431?idApp=UINPBA00004B"
    "url" => "/11301473/0000000700000002/v1_201305151451/S1130147396707431/v1_201305151451/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147396707418"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(96)70741-8"
    "estado" => "S300"
    "fechaPublicacion" => "1996-01-01"
    "aid" => "70741"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1996;7:100-10"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1949
      "formatos" => array:3 [
        "EPUB" => 14
        "HTML" => 843
        "PDF" => 1092
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Aspectos inmunológicos en los gliomas: infiltrado celular y características de la célula tumoral"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "100"
          "paginaFinal" => "110"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "J.A. Gómez-Moreta, F. Morales"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "J.A."
              "apellidos" => "Gómez-Moreta"
            ]
            1 => array:2 [
              "nombre" => "F."
              "apellidos" => "Morales"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "M.A. Piris, Mª.P. Galindo, J. Broseta"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M.A."
              "apellidos" => "Piris"
            ]
            1 => array:2 [
              "nombre" => "Mª.P."
              "apellidos" => "Galindo"
            ]
            2 => array:2 [
              "nombre" => "J."
              "apellidos" => "Broseta"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707418?idApp=UINPBA00004B"
    "url" => "/11301473/0000000700000002/v1_201305151451/S1130147396707418/v1_201305151451/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Meningiomas petroclivales gigantes"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "111"
        "paginaFinal" => "118"
      ]
    ]
    "autores" => array:2 [
      0 => array:3 [
        "autoresLista" => "J. Piquer, G. Bataller, H. Pérez Garrigues, R. Villanueva, F. Cortés, J. Navarro, P. Riesgo"
        "autores" => array:7 [
          0 => array:2 [
            "nombre" => "J."
            "apellidos" => "Piquer"
          ]
          1 => array:2 [
            "nombre" => "G."
            "apellidos" => "Bataller"
          ]
          2 => array:2 [
            "nombre" => "H."
            "apellidos" => "Pérez Garrigues"
          ]
          3 => array:2 [
            "nombre" => "R."
            "apellidos" => "Villanueva"
          ]
          4 => array:2 [
            "nombre" => "F."
            "apellidos" => "Cortés"
          ]
          5 => array:2 [
            "nombre" => "J."
            "apellidos" => "Navarro"
          ]
          6 => array:2 [
            "nombre" => "P."
            "apellidos" => "Riesgo"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirugía. Hospital «La Fe». Valencia"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "V. Vázquez Añón"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "V."
            "apellidos" => "Vázquez Añón"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Neurocirug&#237;a y Radiolog&#237;a&#46; Hospital &#171;La Fe&#187;&#46; Valencia"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec162960"
          "palabras" => array:4 [
            0 => "Meningioma"
            1 => "Base de cr&#225;neo"
            2 => "Clivus"
            3 => "Cirug&#237;a"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec162959"
          "palabras" => array:4 [
            0 => "Meningioma"
            1 => "Cranial Base"
            2 => "Clivus"
            3 => "Surgery"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se trata de 4 pacientes&#44; tres mujeres y un var&#243;n&#44; diagnosticados de meningiomas petroclivales gigantes&#46; En todos los casos super&#243; los 44<span class="elsevierStyleHsp" style=""></span>mm de di&#225;metro mayor&#46; La cl&#237;nica predominante fue la hipertensi&#243;n endocraneal con afectaci&#243;n de pares craneales&#46; El abordaje utilizado fue el transcoclear modificado&#46; Se practic&#243; pretrosectomia radical y se emple&#243; la v&#237;a presigmoidea para la apertura dural&#46; Se preservo el seno sigmoideo y transverso&#46; La tumoraci&#243;n fue extirpada de forma total &#40;2 casos&#41;&#44; subtotal &#40;1 caso&#41; y parcial &#40;1 caso&#41;&#46; No hubo mortalidad operatoria &#40;&#233;xitus hospitalario&#41;&#46; Existi&#243; morbilidad neurol&#243;gica relacionada fundamentalmente con los nervios craneales V-VI-VII-VIII y un caso de hemiparesia&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se detallan los aspectos y las bases t&#233;cnicas de la t&#233;cnica quir&#250;rgica empleada&#46; Se contrastan los resultados obtenidos con otras alternativas m&#225;s cl&#225;sicas&#46; Finalmente&#44; concluimos que los meningiomas petroclivales son entidades quir&#250;rgicamente tratables&#44; aunque siempre reclamar&#225;n abordajes dificultosos y una t&#233;cnica microquir&#250;rgica meticulosa&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Four patients with giant petroclival meningioma are presented&#46; In all cases the tumor size was over 44<span class="elsevierStyleHsp" style=""></span>mm&#46; The main clinical symptoms were related to raised intracranial pressure&#46; Cranial nerve deficits were observed in almost all cases&#46; A modified transcochlear approach in two stages was used&#46; Total tumor removal was achieved in one case and the remaining patients had partial removal&#46; There was no mortality and complications were related to cranial nerve dysfunction&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Piquer&#44; J&#46;&#59; Bataller&#44; G&#46;&#59; P&#233;rez Garriguez&#44; H&#46;&#59; Villanueva&#44; R&#46;&#59; V&#225;zquez A&#241;&#243;n&#44; V&#46;&#59; Cort&#233;s&#44; F&#46;&#59; Navarro&#44; J&#46;&#59; Riesgo&#44; P&#46;&#58; Meningiomas petroclivales gigantes&#46; Neurocirug&#237;a 1996&#59; 7&#58; 111&#8211;118&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:29 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Petrosal approach for petroclival meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "O&#46; Al Mefty"
                            1 => "J&#46;L&#46; Fox"
                            2 => "R&#46;R&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1988"
                        "volumen" => "22"
                        "paginaInicial" => "510"
                        "paginaFinal" => "517"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3362317"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673608602032"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clival and petroclival meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "O&#46; Al Mefty"
                            1 => "R&#46;R&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Meningiomas"
                        "paginaInicial" => "517"
                        "paginaFinal" => "538"
                        "serieFecha" => "1991"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Drilling the posterior wall of the petrous pyramid&#58; a microneurosurgical anatomical study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "M&#46; Ammirati"
                            1 => "J&#46; Ma"
                            2 => "M&#46;L&#46; Cheatham"
                            3 => "D&#46; Maxwell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1993.78.3.0452"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1993"
                        "volumen" => "78"
                        "paginaInicial" => "452"
                        "paginaFinal" => "455"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8433148"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Petroclival meningiomas&#58; a report of 15 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46; Bellotti"
                            1 => "G&#46; Panzarasa"
                            2 => "G&#46; Oliveri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery &#8211; Update I&#46; Proceedings of the First Congress of the European Skull Base Society"
                        "paginaInicial" => "477"
                        "paginaFinal" => "481"
                        "serieFecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Microsurgical removal of petroclival meningiomas&#58; A report of 33 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46;P&#46; Bricolo"
                            1 => "S&#46; Turazzi"
                            2 => "A&#46; Talacchi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1992"
                        "volumen" => "31"
                        "paginaInicial" => "813"
                        "paginaFinal" => "828"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1436406"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Combined supra-infratentarial petrosal approach in 22 petroclival meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Cantare"
                            1 => "R&#46; Delfini"
                            2 => "P&#46; Ciappetta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery Update I Proceedings of the First Congress of the European Skull Base Society"
                        "paginaInicial" => "459"
                        "paginaFinal" => "462"
                        "serieFecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of petroclival meningiomas&#58; Experience with 16 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Cantare"
                            1 => "R&#46; Delfini"
                            2 => "P&#46; Ciappetta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery&#46; First Int Skull Base Congr&#46; Hannover 1992"
                        "paginaInicial" => "1025"
                        "paginaFinal" => "1031"
                        "serieFecha" => "1994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas&#58; their classification&#44; regional behavior&#44; life history&#44; and surgical end results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;W&#46; Cushing"
                            1 => "L&#46; Eisenhardt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1938"
                        "editorial" => "Charles C Thomas"
                        "editorialLocalizacion" => "Spingfield&#44; III"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clivus meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Cherington"
                            1 => "S&#46; Schneck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurology"
                        "fecha" => "1996"
                        "volumen" => "16"
                        "paginaInicial" => "86"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5948010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Les vois trans-p&#233;treuses dans l&#8217;acc&#233;s au clivus&#46; Anatomie chirurgicale&#44; pr&#233;tentions et limites"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "H&#46;D&#46; Fournier"
                            1 => "P&#46;H&#46; Mercier"
                            2 => "P&#46; Menei"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurochirurgie"
                        "fecha" => "1995"
                        "volumen" => "41"
                        "paginaInicial" => "6"
                        "paginaFinal" => "28"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7651573"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Petroclival meningiomas&#58; experience in 19 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;J&#46; Galzio"
                            1 => "G&#46;P&#46; Tassi"
                            2 => "D&#46; Lucantoni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery &#8211; Update I Proceedings of the First Congress of the European Skull Base Society&#46;"
                        "paginaInicial" => "463"
                        "paginaFinal" => "468"
                        "serieFecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A combined retroauricular and preauricular transpetrosal-transtentorial approach to clivus meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Hakuba"
                            1 => "S&#46; Nishimura"
                            2 => "B&#46;J&#46; Jang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Surg Nemol"
                        "fecha" => "1988"
                        "volumen" => "30"
                        "paginaInicial" => "108116"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The middle fossa transpetrous approach for petroclival meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "K&#46;L&#46; Horn"
                            1 => "W&#46;E&#46; Hitselberger"
                            2 => "H&#46; Hankinson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery&#46; First Int Skull Base Congr&#46; Hannover 1992"
                        "paginaInicial" => "1032"
                        "paginaFinal" => "1034"
                        "serieFecha" => "1994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterior transpetrosal transtentorial approach for sphenopetroclival meningiomas&#58; surgical method and results in 10 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46; Kawase"
                            1 => "R&#46; Shiobara"
                            2 => "S&#46; Toya"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1991"
                        "volumen" => "28"
                        "paginaInicial" => "869"
                        "paginaFinal" => "876"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2067611"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas of the clivus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Knosp"
                            1 => "A&#46; Perneczky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery &#8211; Update I Proceedings of the First Congress of the European Skull Base Society"
                        "paginaInicial" => "447"
                        "paginaFinal" => "454"
                        "serieFecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical resection of tumors of the skull base"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;I&#46; Malis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
                        "editores" => "R&#46;H&#46;WilkinsS&#46;S&#46;Rengachary"
                        "paginaInicial" => "1011"
                        "paginaFinal" => "1020"
                        "serieVolumen" => "1"
                        "serieTitulo" => "Neurosurgery"
                        "serieFecha" => "1985"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas of the clivus and apical petrous bone"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;R&#46; Mayberg"
                            1 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1986.65.2.0160"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1986"
                        "volumen" => "65"
                        "paginaInicial" => "160"
                        "paginaFinal" => "167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3723172"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transpetrosal approach&#58; Surgical anatomy and technique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46;G&#46; Miller"
                            1 => "H&#46;R&#46; Van Loveren"
                            2 => "J&#46;T&#46; Keller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1993"
                        "volumen" => "33"
                        "paginaInicial" => "461"
                        "paginaFinal" => "469"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8413878"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Piquer&#44; J&#46; Meningiomas&#46; Estudio correlativo&#46; Consideraciones cl&#237;nicas&#44; inmunohistoqu&#237;micas&#44; citogen&#233;ticas y hormonales&#46; Valencia&#59; Facultad de Medicina de Valencia&#44; 1988&#46; Tesis Doctoral&#46;"
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningioma infiltrante de pares craneales"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Piquer"
                            1 => "M&#46; Cerda"
                            2 => "C&#46; Monteagudo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Revista de Neurolog&#237;a"
                        "fecha" => "1989"
                        "volumen" => "85"
                        "paginaInicial" => "153"
                        "paginaFinal" => "157"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Correlation of female sex steroid hormone receptor with histologic features in meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Piquer"
                            1 => "M&#46; Cerda"
                            2 => "A&#46; Lluch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochirurgica &#40;Wien&#41;"
                        "fecha" => "1991"
                        "volumen" => "110"
                        "paginaInicial" => "38"
                        "paginaFinal" => "43"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgery of petroclival meningiomas&#46; Report of 24 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46; Samii"
                            1 => "M&#46; Ammirati"
                            2 => "A&#46; Mahram"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "24"
                        "paginaInicial" => "12"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2927589"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Experience with 36 surgical cases of petroclival meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Samii"
                            1 => "M&#46; Tatagiba"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurochir"
                        "fecha" => "1992"
                        "volumen" => "118"
                        "paginaInicial" => "27"
                        "paginaFinal" => "32"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1414527"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas involving the clivus&#58; a six year experience with 41 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "L&#46;N&#46; Sekhar"
                            1 => "P&#46;J&#46; Jannetta"
                            2 => "L&#46;E&#46; Burkhart"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1990"
                        "volumen" => "27"
                        "paginaInicial" => "764"
                        "paginaFinal" => "781"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2259407"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Petroclival meningiomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;N&#46; Sekhar"
                            1 => "T&#46; Javed"
                            2 => "P&#46;J&#46; Jannetta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Surgery of Cranial base Tumors"
                        "paginaInicial" => "605"
                        "paginaFinal" => "660"
                        "serieFecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Petrosal approach&#58; Anatomical basis for surgical treatment of petroclival meningiomas&#58; A preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Silveira"
                            1 => "F&#46; Ferraz"
                            2 => "D&#46; Cabral"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery&#46; First Int Skull Base Congr&#46; Hannover 1992"
                        "paginaInicial" => "1025"
                        "paginaFinal" => "1031"
                        "serieFecha" => "1994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Strategy in posterior fossa meningioma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46;K&#46; Taibah"
                            1 => "V&#46; Achilli"
                            2 => "E&#46; Saleh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Skull Base Surgery &#8211; Update I&#46; Proceedings of the First Congress of the European Skull Base Society"
                        "paginaInicial" => "469"
                        "paginaFinal" => "475"
                        "serieFecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lateral approaches to the petroclival region"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Tedeschi"
                            1 => "A&#46;I&#46; Rhoton Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1994"
                        "volumen" => "41"
                        "paginaInicial" => "180"
                        "paginaFinal" => "216"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8146735"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meningiomas of basal posterior fossa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;G&#46; Yasargil"
                            1 => "R&#46;W&#46; Mortara"
                            2 => "M&#46; Curcic"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
                        "editores" => "H&#46;Krayenbuhl"
                        "paginaInicial" => "3"
                        "paginaFinal" => "115"
                        "serieVolumen" => "Vol&#46; 7"
                        "serieTitulo" => "Advances and Technical Standars in Neurosurgery"
                        "serieFecha" => "1980"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000000700000002/v1_201305151451/S113014739670742X/v1_201305151451/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000700000002/v1_201305151451/S113014739670742X/v1_201305151451/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739670742X?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 7. Núm. 2.
Páginas 111-118 (enero 1996)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 7. Núm. 2.
Páginas 111-118 (enero 1996)
Meningiomas petroclivales gigantes
Visitas
3545
J. Piquer, G. Bataller, H. Pérez Garrigues, R. Villanueva, F. Cortés, J. Navarro, P. Riesgo
Servicio de Neurocirugía. Hospital «La Fe». Valencia
V. Vázquez Añón*
* Neurocirugía y Radiología. Hospital «La Fe». Valencia
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Resumen

Se trata de 4 pacientes, tres mujeres y un varón, diagnosticados de meningiomas petroclivales gigantes. En todos los casos superó los 44mm de diámetro mayor. La clínica predominante fue la hipertensión endocraneal con afectación de pares craneales. El abordaje utilizado fue el transcoclear modificado. Se practicó pretrosectomia radical y se empleó la vía presigmoidea para la apertura dural. Se preservo el seno sigmoideo y transverso. La tumoración fue extirpada de forma total (2 casos), subtotal (1 caso) y parcial (1 caso). No hubo mortalidad operatoria (éxitus hospitalario). Existió morbilidad neurológica relacionada fundamentalmente con los nervios craneales V-VI-VII-VIII y un caso de hemiparesia.

Se detallan los aspectos y las bases técnicas de la técnica quirúrgica empleada. Se contrastan los resultados obtenidos con otras alternativas más clásicas. Finalmente, concluimos que los meningiomas petroclivales son entidades quirúrgicamente tratables, aunque siempre reclamarán abordajes dificultosos y una técnica microquirúrgica meticulosa.

Palabras clave:
Meningioma
Base de cráneo
Clivus
Cirugía
Summary

Four patients with giant petroclival meningioma are presented. In all cases the tumor size was over 44mm. The main clinical symptoms were related to raised intracranial pressure. Cranial nerve deficits were observed in almost all cases. A modified transcochlear approach in two stages was used. Total tumor removal was achieved in one case and the remaining patients had partial removal. There was no mortality and complications were related to cranial nerve dysfunction.

Key words:
Meningioma
Cranial Base
Clivus
Surgery

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?