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Academia Mexicana de Neurología, A.C.

2011, Número 1

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Rev Mex Neuroci 2011; 12 (1)


Historia natural y clasificaciones de los meningiomas de la base craneal

López FG, Samblas GJ, Gutiérrez-Díaz JA, Bustos PSJC, Sallabanda DK

Idioma: Español
Referencias bibliográficas: 62
Paginas: 38-49
Archivo PDF: 440.19 Kb.


RESUMEN

Se revisan las clasificaciones para agrupar y diferenciar los meningiomas de la base del cráneo, así como la historia natural, en particular de estos tumores basales. Describimos los diferentes métodos de clasificación más usados, donde resultó generalizada la utilidad del sitio de origen de estos tumores como punto de partida para éstas. En no pocas ocasiones se dificulta la correcta clasificación de estos tumores en relación con su sitio de origen por realizarse un diagnóstico tardío de los mismos; en estas situaciones su tamaño es considerable y se han extendido por la base del cráneo. Esto lo vemos con más frecuencia en la región del seno cavernoso y la región petroclival. Existen otros aspectos clínicos–radiológicos que no son rutinariamente usados y hacen que tumores con igual origen tengan pronósticos, conductas y morbi-mortalidad diferentes. El diagnóstico incidental, en consonancia con la tecnología neurorradiológica disponible y su generalización, seguirá aportando información valiosa sobre su historia natural. Será necesario el uso cada vez más meticuloso de estas clasificaciones, así como la adecuada descripción del volumen tumoral para poder evaluar mejor la efectividad y seguridad de los procederes terapéuticos con los que disponemos en la actualidad.


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