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array:23 [ "pii" => "S1130147393708301" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)70830-1" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "70830" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1993" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:292-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2749 "formatos" => array:3 [ "EPUB" => 31 "HTML" => 1335 "PDF" => 1383 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147393708313" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)70831-3" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "70831" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:297-305" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1995 "formatos" => array:3 [ "EPUB" => 41 "HTML" => 1022 "PDF" => 932 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Ecografía intraoperatoria en neurocirugía: ecografía intraoperatoria raquimedular" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "297" "paginaFinal" => "305" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Conde, G. García, J. Rumia, D. Santamarta, F. Gastón" "autores" => array:5 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Conde" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "García" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Rumia" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Santamarta" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Gastón" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393708313?idApp=UINPBA00004B" "url" => "/11301473/0000000400000004/v1_201305151430/S1130147393708313/v1_201305151430/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147393708295" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)70829-5" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "70829" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:285-91" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7307 "formatos" => array:3 [ "EPUB" => 42 "HTML" => 1918 "PDF" => 5347 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Quemodectomas" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "291" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Díaz-Aramendi, J. Garibi, J. Zorrilla, M. Urigüen, I. Pomposo, A. Pastor, I. Hernando" "autores" => array:7 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Díaz-Aramendi" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Garibi" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Zorrilla" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Urigüen" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "Pomposo" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Pastor" ] 6 => array:2 [ "nombre" => "I." "apellidos" => "Hernando" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393708295?idApp=UINPBA00004B" "url" => "/11301473/0000000400000004/v1_201305151430/S1130147393708295/v1_201305151430/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Morbilidad, mortalidad, recurrencia y calidad de vida tras la cirugía del meningioma intracraneal. Estudio de 90 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "292" "paginaFinal" => "296" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "L. García Pareras, L. González Feria, V. García Marín, J. Ravina" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "García Pareras" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "González Feria" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "García Marín" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ravina" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital Universitario de Canarias. La Laguna" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162548" "palabras" => array:3 [ 0 => "Meningioma" 1 => "Recurrencia tumoral" 2 => "Calidad de vida" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162549" "palabras" => array:4 [ 0 => "Meningioma" 1 => "Recurrence" 2 => "Regrowth" 3 => "Quality of life" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">De un total de 879 tumores intracraneales diagnosticados y tratados en el Hospital Universitario de Canarias entre los años 83–91, se presenta una serie de 95 pacientes consecutivos diagnosticados de meningioma intracraneal. Otros ocho pacientes diagnosticados de meningioma no fueron intervenidos por diversos motivos, incluyendo el mal estado general previo o la localización de ciertos tumores que fueron considerados como inextirpables. En 5 pacientes no fue posible realizar un seguimiento postoperatorio suficiente, por lo que fueron excluidos del estudio.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un total de 90 pacientes fueron incluidos en el análisis, realizándose el estudio estadístico de una serie de variables clínicas, correlacionándolas con los resultados quirúrgicos. La edad media de los pacientes fue de 57,1 años (17–85). La distribución por sexos fue de 32 hombres (35,6%) y 58 mujeres (64.4%). La forma de presentación más frecuente fue el déficit motor establecido, asociado o no a crisis epilépticas. La localización del tumor, la sintomatología de presentación, el tiempo de evolución de los síntomas antes de la intervención quirúrgica, el grado de exéresis del tumor y la histología fueron analizados, discutiéndose su influencia en la evolución y pronóstico de esta patología. El estado actual de los pacientes fue valorado tras un contacto personal, registrando entre otras coasa la existencia o no de crisis epilépticas, la morbilidad a largo plazo y la calidad de vida según la escala Karnofsky. El tiempo de seguimiento de los pacientes osciló entre 6 meses y 8 años, con una media de 4,4 años.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realizó un análisis de las recidivas y el recrecimiento tumoral. Se consideró como recidiva la aparición del tumor tras la exéresis radical del proceso. Aquellos casos de recurrencia en los que se había practicado exéresis subtotal o parcial se consideraron como recrecimientos. En 6 pacientes se detectó un recrecimiento (6,7%), Yen 3 pacientes una recidiva (3,3%). La recurrencia total considerando recidivas y recrecimientos fue del 10%.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El índice Karnofsky medio en los pacientes vivos fue del 93,6%, hallándose la mayoría de éllos asintomáticos. La hemiparesia fue la causa más frecuente de pérdida de la calidad de vida.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A series of 95 cases of intracranial meningioma, collected from 879 intracranial tumors and treated over a 9 years period, has been reviewed. The average age of the patients was 57,1 years (17–85). There were 32 males (35,6%) and 58 females (64,4%). The most frequent clinical picture was a motor deficit, associated or not with epilepsy.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Multiple factors including the location of tumor, clinical symptoms, the degree of tumor excision and the histological features were analyzed. Ninety patients underwent surgery and were evaluated after a personal contact, focusing on the presence of seizures, morbidity, and quality of life assessed and graded according to the Karnofsky rating scale. The follow up was 4,4 years (between 6 months and 8 years).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A distinction was made between recurrence and regrowth. It was considered that the term regrowth should be reserved for enlargement of the tumor after subtotal removal. We found 6 patients with regrowth (6,7%) and 3 patients with recurrence (3,3%). The total recurrence considering regrowth and recurrence was 10%.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The average Karnofsky rating scale of alive patients was 93,6%. Hemiparesis was the most frequent reason for impaired quality of life.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">García Pareras, L.; González Feria, L.; García Marín, V. y Ravina, J.: Morbilidad, mortalidad, recurrencia y calidad de vida tras la cirugía del meningioma intracraneal. Estudio de 90 casos. Neurocirugía 1993; 4: 292–296.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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