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Vol. 20. Núm. 1.Enero 2009Páginas 5-63
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Vol. 20. Núm. 1.Enero 2009Páginas 5-63
DOI: 10.1016/S1130-1473(09)70190-3
Tumores espinales infantiles
Childhood spinal tumours
Visitas
1409
F.J. Villarejo, J.M. Belinchón??, R. Alfaro, C. Pérez, B. Rivero, A. Pascual, F. Cordobés
Servicio de Neurocirugía. Hospital Infantil Universitario Niño Jesús. Madrid
Visitas
1409
Información del artículo
Resumen

Presentamos una extensa serie de 48 tumores espinales en niños diagnosticados y tratados en nuestro centro en el período 1986–2006. Los tumores espinales infantiles suponen una patología infrecuente y heterogénea que es habitualmente diagnosticada tarde por la inespecificidad del cuadro clínico. Los síntomas suelen limitarse a dolor difuso de espalda o deformidades espinales meses antes de debutar con parálisis de miembros inferiores o trastornos esfinterianos. El diagnóstico se realiza con TAC o RM. En la mayoría de casos el tratamiento es quirúrgico. El pronóstico de estos tumores es variable dependiendo de la histología de cada lesión, pudiendo requerir tratamiento complementario con radioterapia y/o quimioterapia.

Palabras clave:
Tumor extradural
Fijación espinal
Tumor intradural extramedular
Tumor intramedular
Tumor espinal
Summary

We report a large series of 48 childhood spine tumors diagnosed and treated at our Hospital between 1986 and 2006. Spinal tumors in children are a rare and heterogeneous condition that frequently are diagnosed late because of their uncharacteristic clinical picture. Symptoms are usually limited to difuse backpain or spinal deformities, prior to leg paresis or sphinter dysfunction. Diagnosis is usually made with MRI or CT. Treatment is surgical in most cases. The prognosis is variable due to the diverse histological findings and it may require the use of complementary treatments as chemoterapy or radiation.

Key words:
Extradural tumor
Intradural extramedullar tumor
Intramedullar tumor
Spinal fixation
Spinal tumor
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Villarejo, F.J.; Belinchón, J.M.; Alfaro, R.; Pérez, C.; Rivero, B.; Pascual, A.; Cordobés. F.: Tumores espinales infantiles. Neurocirugía 2009; 20: 25–30.

Copyright © 2009. Sociedad Española de Neurocirugía
Neurocirugía

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