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Vol. 19. Issue 6.
Pages 551-555 (January 2008)
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Vol. 19. Issue 6.
Pages 551-555 (January 2008)
Tumores de tronco cerebral en la población pediátrica
Brain-stem tumors in children
Visits
1907
F.J. Villarejo, M.P. Ferrara, J.M. Belinchón
, B. Rivero, F. Cordobés, A. Pascual, C. Pérez-Díaz e
Servicios de Neurocirugía. Hospital Infantil Universitario Niño Jesús. Madrid
L. Madero*, I. de Prada**
* Servicios de Oncología. Hospital Infantil Universitario Niño Jesús. Madrid
** Servicios de Anatomía Patológica. Hospital Infantil Universitario Niño Jesús. Madrid
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Resumen

Presentamos una serie de tumores de tronco cerebral diagnosticados y tratados en nuestro centro durante un período de 18 años. Se han revisado un total de 42 pacientes entre los años 1982 y 2006; 36 de ellos fueron intervenidos, realizándose una resección parcial en la mayoría de los casos.

Los tumores de tronco cerebral suponen una rara entidad patológica con muy mal pronóstico. En la mayoría de los casos no resulta posible una resección completa de la lesión, por lo que el principal objetivo de la cirugía es la reducción de masa tumoral y la descompresión. El mejor pronóstico se obtiene en los tumores de bajo grado de malignidad con mínimo déficit neurológico. La mayoría de estos tumores provocan la muerte en un breve período, habitualmente un año o menos desde el diagnóstico.

Palabras clave:
Tumores de tronco cerebral
Clasificación de los tumores de tronco
Tumores pediátricos
Hidrocefalia
Resonancia magnética
Summary

We report a large series of brain-stem tumors seen during 18 years of at our hospital. We diagnosed and treated a total of 42 patients between 1988 and 2006; 36 of them were operated with partial resection in most cases.

Brain-stem tumors constitute a rare condition with very bad prognosis. A surgical complete resection of the mass is not possible in most cases, so the principal surgical objetive is reduction and descompression. The best prognosis is seen in patients with low grade tumors with minimal neurologic deficit. Most of these tumors cause death in a short period, usually one year or less.

key words:
Brain-stem tumors
Classification of brainstem neoplasms
Pediatric tumors
Hydrocephalus
MRI

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