array:23 [
  "pii" => "S113014730470487X"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(04)70487-X"
  "estado" => "S300"
  "fechaPublicacion" => "2004-01-01"
  "aid" => "70487"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "2004"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 2004;15:294-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2033
    "formatos" => array:3 [
      "EPUB" => 16
      "HTML" => 942
      "PDF" => 1075
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147304704881"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(04)70488-1"
    "estado" => "S300"
    "fechaPublicacion" => "2004-01-01"
    "aid" => "70488"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2004;15:298"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1810
      "formatos" => array:3 [
        "EPUB" => 16
        "HTML" => 1011
        "PDF" => 783
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Relato: Treinta años de gratitud"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "298"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Osamah El-Rubaidi"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Osamah"
              "apellidos" => "El-Rubaidi"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147304704881?idApp=UINPBA00004B"
    "url" => "/11301473/0000001500000003/v1_201305151221/S1130147304704881/v1_201305151221/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147304704868"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(04)70486-8"
    "estado" => "S300"
    "fechaPublicacion" => "2004-01-01"
    "aid" => "70486"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2004;15:290-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1952
      "formatos" => array:3 [
        "EPUB" => 20
        "HTML" => 1087
        "PDF" => 845
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Cystic mature teratoma of the filum terminale in an adult. Case report and review of the literature"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "290"
          "paginaFinal" => "293"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Teratoma maduro quístico del filum termínale en un adulto. Presentación de un caso y revisión de la literatura"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "V.J. Fernández-Cornejo, M. Martínez-Pérez, J.F. Martínez-Lage, M. Poza"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "V.J."
              "apellidos" => "Fernández-Cornejo"
            ]
            1 => array:2 [
              "nombre" => "M."
              "apellidos" => "Martínez-Pérez"
            ]
            2 => array:2 [
              "nombre" => "J.F."
              "apellidos" => "Martínez-Lage"
            ]
            3 => array:2 [
              "nombre" => "M."
              "apellidos" => "Poza"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "L.A. Polo-García"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "L.A."
              "apellidos" => "Polo-García"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147304704868?idApp=UINPBA00004B"
    "url" => "/11301473/0000001500000003/v1_201305151221/S1130147304704868/v1_201305151221/en/main.assets"
  ]
  "es" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Voluminoso hamartoma hipotalámico en un niño de 5 meses: Epilepsia y cirugía"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "294"
        "paginaFinal" => "297"
      ]
    ]
    "autores" => array:2 [
      0 => array:4 [
        "autoresLista" => "E. Aran, J. Pereira, R. Vaz"
        "autores" => array:3 [
          0 => array:3 [
            "nombre" => "E."
            "apellidos" => "Aran"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Pereira"
          ]
          2 => array:2 [
            "nombre" => "R&#46;"
            "apellidos" => "Vaz"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirug&#237;a&#46; Hospital Sao Jo&#225;o&#46; Oporto&#46; Portugal"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia postal&#58; Echabe&#46; Rep&#46; del Salvador&#44; 3&#46; 3&#176; D&#46; 15702 Santiago de Compostela&#46; A Coru&#241;a&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "L&#46; Castro"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Castro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#46; Hospital Sao Jo&#225;o&#46; Oporto&#46; Portugal"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Voluminous hypothalamic hamartoma in a 5-month-old boy&#58; Epilepsy and surgery"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2003-06-20"
    "fechaAceptado" => "2003-08-20"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec158473"
          "palabras" => array:3 [
            0 => "Hamartoma hipotal&#225;mico"
            1 => "Hamartoma del sistema nervioso central"
            2 => "Crisis gel&#225;sticas"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec158474"
          "palabras" => array:3 [
            0 => "Hypothalamic hamartoma"
            1 => "Central nervous system hamartoma"
            2 => "Gelastic crises"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores presentan el caso cl&#237;nico de un ni&#241;o de 5 meses de edad con un hamartoma hipotal&#225;mico&#44; con crisis gel&#225;sticas persistentes y refractarias a una amplia combinaci&#243;n de diferentes antiepil&#233;pticos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se decidi&#243; realizar una remoci&#243;n parcial de la lesi&#243;n tumoral para descompresi&#243;n y disminuci&#243;n del est&#237;mulo epileptog&#233;nico&#44; en un intento de control quir&#250;rgico de las crisis&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La terap&#233;utica quir&#250;rgica se revel&#243; como una opci&#243;n v&#225;lida en el tratamiento de las crisis gel&#225;sticas incontrolables con la terap&#233;utica m&#233;dica&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors report the case of 5-month-old boy with a hypothalamic hamartoma and persistent gelastic seizures in spite of a wide combination of different antiepileptic drugs&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">It was decided to carry out only partial remo val of the tumor for decompression and to decreasing the activity of the epileptogenic focus&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Surgical therapy revealed as a valid option in the treatment of the uncontrollable gelastic seizures&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Aran&#44; E&#46;&#59; Pereira&#44; J&#46;&#59; Castro&#44; L&#46;&#59; Vaz&#44; R&#46;&#58; Voluminoso hamartoma hipotal&#225;mico en un ni&#241;o de 5 meses&#58; Epilepsia y cirug&#237;a&#46; Neurocirug&#237;a 2003&#59; 14&#58; 294&#8211;297&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:16 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neurosurgical treatment of hypothalamic hamartomas causing precocious puberty"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;L&#46; Albright"
                            1 => "P&#46;A&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1993.78.1.0077"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1993"
                        "volumen" => "78"
                        "paginaInicial" => "77"
                        "paginaFinal" => "82"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8416246"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0735109702020533"
                          "estado" => "S300"
                          "issn" => "07351097"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Subsidence of seizure induced by stereotatic radiation in a patient with hypothalamic hamartoma&#46; Casereport"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "K&#46; Arita"
                            1 => "K&#46; Kurisu"
                            2 => "K&#46; Iida"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1998.89.4.0645"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1998"
                        "volumen" => "89"
                        "paginaInicial" => "645"
                        "paginaFinal" => "648"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9761061"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hamartomas of me tuber cmereum&#58; CT&#44; MR and pathologic findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "O&#46;B&#46; Boyko"
                            1 => "J&#46;T&#46; Curves"
                            2 => "W&#46;J&#46; Oakes"
                            3 => "P&#46;C&#46; Burger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "AJNR"
                        "fecha" => "1991"
                        "volumen" => "12"
                        "paginaInicial" => "309"
                        "paginaFinal" => "314"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1902033"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Asymptomatic large hypothalamic hamartoma associated with polydactyly in an adult"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46; Cheng"
                            1 => "Y&#46; Sawamura"
                            2 => "T&#46; Yamauchi"
                            3 => "H&#46; Abe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurosurg"
                        "fecha" => "1993"
                        "volumen" => "32"
                        "paginaInicial" => "458"
                        "paginaFinal" => "460"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Uncommon glial tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46;C&#46; Chen"
                            1 => "I&#46; Gonz&#225;lez-G&#243;mez"
                            2 => "J&#46;G&#46; McComb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Brain Tumours&#46; An Encyclopedia Approach"
                        "paginaInicial" => "525"
                        "paginaFinal" => "557"
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patterns of human local cerebral glucose metabolism during epileptic seizures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Engel Jr&#46;"
                            1 => "D&#46;E&#46; Kuhl"
                            2 => "M&#46;E&#46; Phelps"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Science"
                        "fecha" => "1982"
                        "volumen" => "218"
                        "paginaInicial" => "64"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6981843"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Stereotaxy for hypothalamic hamartoma with intractable gelastic seizures&#58; technical case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46; Fukuda"
                            1 => "S&#46; Kameyama"
                            2 => "M&#46; Wachi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1999"
                        "volumen" => "44"
                        "paginaInicial" => "1347"
                        "paginaFinal" => "1350"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10371639"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrinsic epileptogenesis of hypothalamic hamartomas in gelastic epilepsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Kuzniecky"
                            1 => "B&#46; Guthrie"
                            2 => "J&#46; Mountz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/ana.410420111"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Neurol"
                        "fecha" => "1997"
                        "volumen" => "42"
                        "paginaInicial" => "60"
                        "paginaFinal" => "67"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9225686"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gelastic seizures treated by resection of a hypothalamic hamartoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;R&#46; Machado"
                            1 => "H&#46;J&#46; Hoffmann"
                            2 => "P&#46;A&#46; Hwang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Childs Nerv Syst"
                        "fecha" => "1991"
                        "volumen" => "42"
                        "paginaInicial" => "60"
                        "paginaFinal" => "67"
                        "itemHostRev" => array:3 [
                          "pii" => "S0735109703007708"
                          "estado" => "S300"
                          "issn" => "07351097"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of the hypothalamic hamartoma in the genesis of gelastic fits&#58; a video-stereo-EEG study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46; Munari"
                            1 => "P&#46; Kahane"
                            2 => "S&#46; Francione"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Electroencephalogr Clin Neurophisiol"
                        "fecha" => "1995"
                        "volumen" => "95"
                        "paginaInicial" => "154"
                        "paginaFinal" => "160"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tumores cerebrales y masas de tipo tumoral&#58; Clasificaci&#243;n y diagn&#243;stico diferencial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;G&#46; Osborn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Osborn&#46; Neurorradiolog&#237;a Diagn&#243;stica"
                        "paginaInicial" => "401"
                        "paginaFinal" => "528"
                        "serieFecha" => "1996"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hamartoma of the hypothalamus&#58; Clinical&#44; radiological and histological study-results of surgical excisi&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "J&#46;E&#46; Paulas"
                            1 => "J&#46; Roger"
                            2 => "M&#46; Toga"
                            3 => "R&#46; Soulayrol"
                            4 => "G&#46; Salamon"
                            5 => "C&#46; Dravet"
                            6 => "M&#46; Bureau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "RevNeurol &#40;Paris&#41;"
                        "fecha" => "1969"
                        "volumen" => "120"
                        "paginaInicial" => "177"
                        "paginaFinal" => "194"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brain Tumors&#58; Biology&#44; Pathology and Clinical References"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46; Schiffer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "ed 2&#46;"
                        "fecha" => "1997"
                        "editorial" => "Springer-Verlag"
                        "editorialLocalizacion" => "Berlin"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gamma knife radiosurgery for hypothalamic hamartomas in patients with medically intractable epilepsy and precocious puberty"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "F&#46; Unger"
                            1 => "O&#46; Schrottner"
                            2 => "K&#46; Haselberger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.2000.92.4.0726"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "2000"
                        "volumen" => "92"
                        "paginaInicial" => "726"
                        "paginaFinal" => "731"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10761669"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hypothalamic hamartomas&#58; with special reference to gelastic epilepsy and surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Valdueza"
                            1 => "L&#46; Cristante"
                            2 => "O&#46; Dammann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1994"
                        "volumen" => "34"
                        "paginaInicial" => "949"
                        "paginaFinal" => "958"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8084405"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atlas de Patolog&#237;a Tumoral del Sistema Nervioso"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Vaquero"
                            1 => "S&#46; Coca"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1990"
                        "editorial" => "Ministerio de Defensa&#44; Secretar&#237;a General T&#233;cnica"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000001500000003/v1_201305151221/S113014730470487X/v1_201305151221/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001500000003/v1_201305151221/S113014730470487X/v1_201305151221/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014730470487X?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 15. Núm. 3.
Páginas 294-297 (enero 2004)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 15. Núm. 3.
Páginas 294-297 (enero 2004)
Voluminoso hamartoma hipotalámico en un niño de 5 meses: Epilepsia y cirugía
Voluminous hypothalamic hamartoma in a 5-month-old boy: Epilepsy and surgery
Visitas
2023
E. Aran
, J. Pereira, R. Vaz
Servicio de Neurocirugía. Hospital Sao Joáo. Oporto. Portugal
L. Castro*
* Servicio de Anatomía Patológica. Hospital Sao Joáo. Oporto. Portugal
Este artículo ha recibido
Información del artículo
Resumen

Los autores presentan el caso clínico de un niño de 5 meses de edad con un hamartoma hipotalámico, con crisis gelásticas persistentes y refractarias a una amplia combinación de diferentes antiepilépticos.

Se decidió realizar una remoción parcial de la lesión tumoral para descompresión y disminución del estímulo epileptogénico, en un intento de control quirúrgico de las crisis.

La terapéutica quirúrgica se reveló como una opción válida en el tratamiento de las crisis gelásticas incontrolables con la terapéutica médica.

Palabras clave:
Hamartoma hipotalámico
Hamartoma del sistema nervioso central
Crisis gelásticas
Summary

The authors report the case of 5-month-old boy with a hypothalamic hamartoma and persistent gelastic seizures in spite of a wide combination of different antiepileptic drugs.

It was decided to carry out only partial remo val of the tumor for decompression and to decreasing the activity of the epileptogenic focus.

Surgical therapy revealed as a valid option in the treatment of the uncontrollable gelastic seizures.

Keywords:
Hypothalamic hamartoma
Central nervous system hamartoma
Gelastic crises

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?