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TUMORES INFRATENTORIALES Sign up to vote on this title
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PEDIATRIA
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TENTORIO Sign up to vote on this title
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CIRCULACIÓN EXTRACORPOREA
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CONTENIDOS FOSA POSTERIOR Sign up to vote on this title
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CIRCULACIÓN EXTRACORPOREA
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INCIDENCIA Sign up to vote on this title
• 60-70% (43.2% nelson) lesiones de volum intracraneanos intracraneanos en los los niños. Useful
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ESPECTRO
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1.
CIRCULACIÓN EXTRACORPOREA
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SIND SI NDRO ROME ME DE DE HIPE HIPERT RTEN ENSI SION ON INT INTRA RACR CRAN ANEA EANA NA
• Refleja habitualmente la hidrocefalia obstructiva por u de fosa posterior
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2. SI SIGN GNO OS DE DE FO FOCA CALI LIZA ZACI CION ON Useful Not useful • Una hemiparesia sugiere un origen hemisférico o de
cerebral.
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3. CRISIS CONVULSIVAS
• primer síntoma del 6-10% de los tumores cere infantiles, y aparecen a lo largo de la evoluc un 10-15% adicional. • Su aparición depende de la localización tumo la estirpe estirpe celular, celular, del grado de malignidad edad. Sign up to vote on this title Useful
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• Localización, tipo de tumor, edad de pacien
• Obstrucción de drenaje de LCR: HIC (triada cushing) , Disfunción cerebral focal
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• TRIADA CLASICA
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CIRCULACIÓN EXTRACORPOREA
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CIRCULACIÓN EXTRACORPOREA
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VOMITOS
• Uno de los signos mas constantes
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• HIC o irritación del tallo encefálico
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CIRCULACIÓN EXTRACORPOREA
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PAPILEDEMA • 80% de niños con tumores cerebrales
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delnervio • Elevación anormal de la cabeza Useful
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CIRCULACIÓN EXTRACORPOREA
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AGRANDAMIENTO DE LA CABEZA
• Característico Característico de aumento prolongado de P • • Percusión: “Sonido de Olla cascada” o Signo Sign up to vote on this title Useful
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CIRCULACIÓN EXTRACORPOREA
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CONVULSIONES
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CIRCULACIÓN EXTRACORPOREA
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PROCEDIMIENTOS
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CIRCULACIÓN EXTRACORPOREA
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RX CRANEO Sign up to vote on this title
• Separacion de suturas,rara en mayores años Useful
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CIRCULACIÓN EXTRACORPOREA
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TAC CEREBRAL Sign up to vote on this title
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CIRCULACIÓN EXTRACORPOREA
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EEG Sign up to vote on this title
• En tumores de fosa posterior ser nor suelen Useful
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• La clasificación mantiene el mismo sistema de gra para las neoplasias en general.
• OMS grado I: Incluye lesiones con bajo po Sign up to vote on this title proliferativo, crecimiento expansivo, posibilid Useful Not useful cura luego de la resección quirúrgica.
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ASTROCITOMA
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• se derivan de las células neurogliales astrocíticas.
• Suelen nacer del vermis o de Signlos lóbulos latera up to vote on this title cerebro. Useful Not useful
Casi siempre están bien circunscritos y tien
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TRATAMIENTO Sign up to vote on this title
• Evacuacion del quiste asociado evita sintom por periodos prolongados pero no evita qu Useful
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MEDULOBLASTOMA
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• Se derivan de neuronas primitivas : neurob • Macroscópicamente: blandos, fr moderadamente bien diferenciados del del cerebelo. Sign up to vote on this title Useful
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• Metástasis extracraneanas raras: cu vertebrales y ganglios linfáticos cervicales
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TRATAMIENTO Sign up to vote on this title
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CIRCULACIÓN EXTRACORPOREA
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Por orden de frecuencia asientan en
1. hemisferios cerebrales
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• Pueden nacer de cualquier lugar del sistema ventricular pero el techo y el suelo del 4to ventrículo son los lugares mas comunes infancia. • Ocluye cavidad ventricular, se introduce en Sign up to vote on this title Useful
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CIRCULACIÓN EXTRACORPOREA
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Manual de Neurocirugia,
Tumores Cerebrales
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CIRCULACIÓN EXTRACORPOREA
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Manual de Neurocirugia,
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CIRCULACIÓN EXTRACORPOREA
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Manual de Neurocirugia,
Tumores Cerebrales
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• 10-15% tumores primarios del SNC en infan
• en su forma mas común nace d protuberancia, se presenta agrandamiento simétrico del tallo del en y se comba hacia el suelo del 4to ven Sign up to vote on this title Useful
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CIRCULACIÓN EXTRACORPOREA
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Manual de Neurocirugia,
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CIRCULACIÓN EXTRACORPOREA
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Manual de Neurocirugia,
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MANIFESTACIONES CLINICAS TALLO ENCEFALICO
• 4 Aspectos mayores: - parálisis de nervios craneanos - signos de los haces piramidales
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CIRCULACIÓN EXTRACORPOREA
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Manual de Neurocirugia,
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• 2 – 12 años (> 6 años)
• Vómitos y trastornos de la marcha mas com Sign up to vote on this title
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• Menos común comienzo gradual de hemipa h emipa
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