Granulomas de colesterol de punta de peñasco. A propósito de dos casos
Cholesterol granulomas of the petrous apex. A study of two cases
S. Pardo, J. Molet, P. Parés, F. Bartumeus
Hospital de la Santa Creu i Sant Pau. Universidad autónoma de Barcelona. Barcelona
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Universidad autónoma de Barcelona. Barcelona" "identificador" => "aff0025" ] ] ] 1 => array:3 [ "autoresLista" => "B. Oliver, P. Tresserras, M. Quer, L. Colomo" "autores" => array:4 [ 0 => array:3 [ "nombre" => "B." "apellidos" => "Oliver" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "P." "apellidos" => "Tresserras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Quer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "L." "apellidos" => "Colomo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Programa de cirugía de Base de cráneo. Universidad autónoma de Barcelona. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neurocirugía, ORL. Universidad autónoma de Barcelona. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Anatomía Patológica. Universidad autónoma de Barcelona. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cholesterol granulomas of the petrous apex. A study of two cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156751" "palabras" => array:5 [ 0 => "Abordaje preauricular infratemporal" 1 => "Granuloma de colesterol" 2 => "Hueso temporal" 3 => "Punta de peñasco" 4 => "Tumor de base de cráneo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156750" "palabras" => array:6 [ 0 => "Subtemporal-preauricular" 1 => "Infratemporal approach" 2 => "Cholesterol granuloma" 3 => "Temporal bone" 4 => "Petrous apex" 5 => "Skull base tumors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El granuloma de colesterol de punta de peñasco (PP) se produce como consecuencia de una reacción inflamatoria por la presencia de cristales de colesterol. Este proceso es silente durante años. El diagnóstico se establece mediante la combinación de la TC y RM que permiten un adecuado diagnóstico diferencial de las lesiones de PP. Presentamos dos casos de granulomas de colesterol de PP extirpados completamente mediante abordaje preauricular infratemporal. Se revisa la literatura y se discuten la etiopatogenia y las características clínicas, histológicas, radiológicas y terapéuticas en estas lesiones. Nosotros pensamos que el abordaje preauricular infratemporal con exéresis completa de la tumoración seguido de la obliteración de la cavidad con grasa abdominal, es el procedimiento de elección para estas lesiones cuando la audición está conservada.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cholesterol granuloma of the petrous apex is an inflamatory granulation tissue response to the presence of cholesterol crystals. This lesion is silent for years. The diagnosis is made by the combination of CT and MRI (with and without paramagnetic contrast) that permits accurate differential diagnosis of primary petrous apex lesions. The authors present two patients with cholesterol granulomas of the petrous apex excised completely using a preauricular infratemporal approach. The literature is reviewed and the etiopatogenesis and the histological, clinical, radiographic and therapeutic features of these tumours are discussed. We believe that preauricular infratemporal approach with complete excision of the lesion followed by the obliteration of the cavity with abdominal fat is the procedure of choice when hearing is normal.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Pardo, S.; Oliver, B.; Tresserras, P.; Quer, M.; Colomo, L.; Molet, J.; Parés, P.; Bartumeus, F.: Granulomas de colesterol de punta de peñasco. A propósito de dos casos. Neurocirugía 1999; 10: 313–324.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Operative treatment of intracranial epidermoid cysts and cholesterol granulomas: Report of 21 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E.M. Altschuler" 1 => "Ch.A. Jungreis" 2 => "L.N. Sekhar" 3 => "P.J. Jannetta" 4 => "P.E. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 September | 0 | 1 | 1 |
| 2023 August | 1 | 0 | 1 |
| 2023 March | 1 | 2 | 3 |
| 2022 February | 1 | 2 | 3 |
| 2021 November | 0 | 4 | 4 |
| 2021 April | 0 | 2 | 2 |
| 2021 March | 1 | 0 | 1 |
| 2021 February | 1 | 2 | 3 |
| 2018 November | 1 | 2 | 3 |
| 2018 March | 8 | 0 | 8 |
| 2018 February | 58 | 36 | 94 |
| 2018 January | 45 | 54 | 99 |
| 2017 December | 44 | 42 | 86 |
| 2017 November | 92 | 92 | 184 |
| 2017 October | 77 | 53 | 130 |
| 2017 September | 104 | 109 | 213 |
| 2017 August | 67 | 93 | 160 |
| 2017 July | 81 | 70 | 151 |
| 2017 June | 90 | 106 | 196 |
| 2017 May | 82 | 69 | 151 |
| 2017 April | 55 | 78 | 133 |
| 2017 March | 67 | 145 | 212 |
| 2017 February | 100 | 145 | 245 |
| 2017 January | 55 | 50 | 105 |
| 2016 December | 51 | 67 | 118 |
| 2016 November | 94 | 134 | 228 |
| 2016 October | 105 | 101 | 206 |
| 2016 September | 189 | 187 | 376 |
| 2016 August | 218 | 187 | 405 |
| 2016 July | 109 | 148 | 257 |
| 2016 June | 3 | 0 | 3 |
| 2016 April | 1 | 0 | 1 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 1 | 0 | 1 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 2 | 0 | 2 |
| 2015 July | 1 | 12 | 13 |
| 2015 June | 14 | 67 | 81 |
| 2015 May | 74 | 116 | 190 |
| 2015 April | 46 | 131 | 177 |
| 2015 March | 47 | 101 | 148 |
| 2015 February | 39 | 115 | 154 |
| 2015 January | 41 | 74 | 115 |
| 2014 December | 37 | 105 | 142 |
| 2014 November | 25 | 92 | 117 |
| 2014 October | 40 | 86 | 126 |
| 2014 September | 39 | 130 | 169 |
| 2014 August | 41 | 112 | 153 |
| 2014 July | 45 | 93 | 138 |
| 2014 June | 67 | 113 | 180 |
| 2014 May | 65 | 135 | 200 |
| 2014 April | 41 | 103 | 144 |
| 2014 March | 53 | 106 | 159 |
| 2014 February | 49 | 133 | 182 |
| 2014 January | 60 | 101 | 161 |
| 2013 December | 54 | 88 | 142 |
| 2013 November | 30 | 68 | 98 |
| 2013 October | 38 | 90 | 128 |
| 2013 September | 27 | 100 | 127 |
| 2013 August | 35 | 127 | 162 |
| 2013 July | 24 | 117 | 141 |
| 2013 June | 27 | 146 | 173 |
| 2013 May | 22 | 125 | 147 |
| 2013 April | 22 | 119 | 141 |
| 2013 March | 19 | 111 | 130 |
| 2013 February | 15 | 54 | 69 |
| 2013 January | 16 | 84 | 100 |
| 2012 December | 11 | 73 | 84 |
| 2012 November | 1 | 17 | 18 |
| 2012 October | 0 | 3 | 3 |
| 2012 September | 0 | 3 | 3 |
| 2012 January | 13 | 0 | 13 |
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