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array:23 [ "pii" => "S113014739371129X" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)71129-X" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "71129" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1993" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:19-32" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 15583 "formatos" => array:3 [ "EPUB" => 32 "HTML" => 2969 "PDF" => 12582 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147393711306" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)71130-6" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "71130" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:33-45" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4939 "formatos" => array:3 [ "EPUB" => 27 "HTML" => 1549 "PDF" => 3363 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Tratamiento de las sinostosis craneofaciales" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "33" "paginaFinal" => "45" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Esparza, F. Cordobés, R. Salván, M. Ochotorena, M. Muñoz, J. Ayerbe" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Esparza" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Cordobés" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Salván" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Ochotorena" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Muñoz" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393711306?idApp=UINPBA00004B" "url" => "/11301473/0000000400000001/v1_201305151424/S1130147393711306/v1_201305151424/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147393711288" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)71128-8" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "71128" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:10-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2484 "formatos" => array:3 [ "EPUB" => 31 "HTML" => 1101 "PDF" => 1352 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Estado actual de los intentos de regeneración medular utilizando transplantes neurales" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "10" "paginaFinal" => "18" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Vaquero" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393711288?idApp=UINPBA00004B" "url" => "/11301473/0000000400000001/v1_201305151424/S1130147393711288/v1_201305151424/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Quistes epidermoides y dermoides intracraneales intradurales: tratamiento quirúrgico y seguimiento de 32 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "19" "paginaFinal" => "32" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J. Ayerbe, R. Díez Lobato, J.M. Ortega, J. Domínguez, J.J. Rivas, S. Castro, H. Sandoval" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Díez Lobato" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Ortega" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez" ] 4 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Castro" ] 6 => array:2 [ "nombre" => "H." "apellidos" => "Sandoval" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital «12 de Octubre». Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "A. Muñoz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Neurorradiología. Hospital «12 de Octubre». Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162385" "palabras" => array:4 [ 0 => "Quiste epidermoide" 1 => "quiste dermoide" 2 => "ángulo pontocerebeloso" 3 => "resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162384" "palabras" => array:4 [ 0 => "Epidernoid cyst" 1 => "dermoid cyst" 2 => "cerebellopontine angle" 3 => "magnetic resonance" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 27 casos de quistes epidermoides y 5 casos de quistes dermoides intracraneales intradurales que fueron intervenidos quirúrgicamente en nuestro Servicio durante un período de 18 años. Los pacientes fueron estudiados radiológicamente mediante neumoencefalografía en 5 casos, angiografía cerebral en 16, tomografía computadorizada (T.C.) en 24 casos y resonancia magnética (R.M.) en 13 (9 preoperatoriamente y 4 postoperatoriamente). Se realizó un seguimiento posquirúrgico en 30 pacientes durante un período medio de 4 años.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En ambos tipos de quiste la localización predominante fue supratentorial (un 59,2 % de los epidermoides y 60 % de los dermoides). Como localizaciones poco frecuentes de quiste epidermoide se presentan 2 intraventriculares (IV ventrículo y región atrial), 2 intradiencefálicas, una paratrigeminal y otra interhemisférica supracallosa.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la mayoría de los quistes la exéresis se practicó mediante técnica microquirúrgica. Se consideró total en 16 pacientes (50 % de los casos), casi total en 7 (21,8 %) y parcial en 9 (28,1 %). Se consiguió mejoría clínica en 14 pacientes (46,6 %), estabilización sintomática en 11 (36,6 %) y empeoramiento en 5 (16,6 %). Cinco pacientes presentaron recidiva tras un intervalo posquirúrgico medio de 7 años. Cuatro de ellos empeoraron clínicamente y fueron reintervenidos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestra experiencia observamos que la R.M. ofrece mayor información diagnóstica que la T.C. en la recidiva, especialmente en la secuencia potenciada en densidad protónica. Asimismo hemos comprobado que varios pacientes con imagen radiológica posquirúrgica de restos quísticos o recidiva pueden permanecer largo tiempo asintomáticos y nuestra actitud terapéutica en estos casos ha sido expectante.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Thirty-two patients with intracranial intradural epidermoid (27 cases) and dermoid (5 cases) cysts were operated in our Service during the last eighteen years. The patients were studied with pneumoencephalography (5 cases), cerebral angiography (16 cases), computed tomography (24 cases) and magnetic resonance imaging (9 cases preoperatively and 4 postoperatively). Follow-up was available in 30 patients (average 4 years).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The most common location of the cyst was supratentorial (59,2 % epidermoids and 60 % dermoids), but six appeared in uncommon locations: 2 intraventricular (IV ventricle and atrial region), 2 intradiencephalic, one paratrigeminal and one supracallosal interhemispheric.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Microsurgical resection was performed in most cases. Cyst removal was considered total in 16 patients (50 % of cases), near total in 7 (21,8 %) and partial in 9 (28,1 %). Fourteen patients (46,6 %) improved, 11 remained unchanged (36,6 %) and 5 got worse (16,6 %). Five patients showed cyst's recurrence after an average time of 7 years. Four of them presented neurological deterioration and they underwent reoperation.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In our opinion M.R. is more useful than C.T. for determining the presence of recurrence, especially by using proton density weighted sequences. We have observed that some patients with postsurgical radiographic imaging of remaining cyst or recurrence may stay asymptomatic for a long time.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Ayerbe, J.; Díez, R.; Muñoz, A.; Ortega, J.M.; Domínguez, J.; Rivas, J.J.; Castro, S. y Sandoval, H.: Quistes epidermoides y dermoides intracraneales intradurales: tratamiento quirúrgico y seguimiento de 32 casos. 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