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Vol. 15. Núm. 1.Enero 2004Páginas 5-75
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Vol. 15. Núm. 1.Enero 2004Páginas 5-75
DOI: 10.1016/S1130-1473(04)70502-3
Gliomas del tronco encefálico
Brainstem gliomas
Visitas
8758
P. Sousa??, J. Hinojosa, M.J. Muñoz, J. Esparza
Servicio de Neurocirugía Pediátrica. Hospital Doce de Octubre. Madrid
A. Muñoz*
* Servicio de Neurorradiología Infantil. Hospital Doce de Octubre. Madrid
Visitas
8758
Información del artículo
Resumen
Bibliografía
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Resumen

El conocimiento de los gliomas de tronco ha sufrido una importante progresión en las dos últimas décadas, siendo considerados en la actualidad un grupo heterogéneo de lesiones con especial predilección por la edad infantil, donde alcanzan un 10–20% de los tumores cerebrales. Además del tradicional tumor difuso, se han identificado subgrupos biológicamente diferentes, susceptibles de resección quirúrgica y con mejores expectativas pronosticas, lo que ha dado lugar a numerosas definiciones y clasificaciones. Por otra parte, recientemente se ha prestado atención a los rasgos especiales que presentan los gliomas de tronco en la edad adulta. Basados en una revisión de la literatura existente, describimos los diferentes tipos conocidos de gliomas de tronco, con particular interés sobre las modalidades terapéuticas y las diferencias entre los tumores pediátricos y los del adulto, empleando iconografía propia.

Palabras clave:
Tronco encefálico
Glioma
Difuso
Focal
Pronóstico
Summary

Brainstem gliomas have been increasingly unders-tood in the last two decades and they are nowadays regarded as an heterogeneous group of tumors with tendency towards the pediatric age, where they account for 10–20% of brain neoplasms. Besides the well known diffuse tumor, several subtypes, with a different biologi-cal behaviour, amenable to surgical resection and better prognosis, have been identified, giving rise to many classifications and terms. In the other way, attention has been recently paid to adult brainstem gliomas in contrast to pediatric tumors. Based on a review of the literature, we describe the different subtypes of brainstem gliomas, with particular interest on therapeutic approaches and differences between pediatric and adult tumors, employing iconography from our series.

Key words:
Brainstem
Glioma
Diffuse
Focal
Prognosis
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Sousa, P.; Hinojosa, J.; Muñoz, M.J.; Esparza, J.; Muñoz, A.: Gliomas del tronco encefálico. Neurociragia 2004; 15: 56–66.

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