TUMOR METASTÁSICO A CEREBRO EN UNA PACIENTE DE 39  AÑOS. HOSPITAL SANTO TOMÁS. ABRIL 2005.

Ricardo Correa M; Julissa Lombardo; José M Rios Yuil

Enviado octubre 25, 2024

Publicado 2026-04-06

Artículos de Investigación

Vol. 18 Núm. 1 (2005): Revista Médico Científica

TUMOR METASTÁSICO A CEREBRO EN UNA PACIENTE DE 39 AÑOS. HOSPITAL SANTO TOMÁS. ABRIL 2005.

Ricardo Correa M⁺⁻
Julissa Lombardo⁺⁻
José M Rios Yuil⁺⁻

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Publicado: 2026-04-06

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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.

Resumen

Presentamos el caso de una paciente de 39 años que cursó con episodio convulsivo asociado a pérdida de la conciencia por primera vez sin otro síntoma relevante. La tomografía computada y la resonancia magnética nuclear cerebral reportaron lesión tumoral frontal derecha. La tomografía computada torácica informó lesiones nodulares sólidas en ambos pulmones sugestivas de metástasis. Al correlacionar la historia clínica con las pruebas de imagenología, se llega al diagnóstico de tumor metastásico a cerebro. La paciente se referencia al Instituto Oncológico Nacional para radioterapia y tratamiento paliativo. Se hace revisión bibliográfica pertinente al caso

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Veléz H, Rojas W, Borrer J et al. Fundamentos de Neurología. Corporación para investigaciones biológicas. 6ta edición. 480-5.
Victor M, Adams R. Principles of Neurology. McGraw Hill Company. 7th edition, 2000. 39-42.
Lewis R. Merritt Neurology. Lippincott Williams and Wilkins publishers. 10th edition, 2000. 66-8.
Graham O, Lantos P. Greenfield's Neuropathology, 6th ed. New York, Oxford University Press, 1997.
Burger P. Surgical Pathology of the Nervous System and its Coverings, 3rd ed. New York, Churchill Livingstone, 1991.
Russell DS, Rubinstein LJ. Pathology of Tumors of the Nervous System, 5th ed. Baltimore, Williams and Wilkins, 1989.
World Health Organization: Histological Typing of Tumors of the Central Nervous System. Berlin. Springer-Verlag, 1993.
Radhakrishnan K, Mokri B, Parisi JE, et al. The trends in incidence of primary brain tumors in the population of Rochester, Minnesota. Ann Neurol 1995;37:67-73.
Mintz A, Cairncross J. Treatment of a single brain metastasis: the role of radiation following surgical excision. JAMA 1998;280:1527-9.
Helle TL, Brito RH, Colby TV. "Primary Lymphoma of the Brain: A Case Report and Review of the Literature". J Surg Oncol 1984;26:115-21.
Delattre JY, Krol G, Thaler HT, Posner JB. Distribution of brain metastases. Arch Neurol 1988;45:741-4.
Poi M, Aalst VC, Wilmink JT, Twijnstra A. J. Neurol. Neurosurg. Psychiatry, 1996;61:321-3.
Jean WC, Hall WA. "Management of Cranial and Spinal Infections". Contemp Neurosurg 1998;20(9):1-10.
Aupérin A, Arriagada R, Pignon JP, et al. Prophylactic cranial irradiation for patients with small-cell lung cancer in complete remission. N Engl J Med 1999;341:476-84.
Glass J, Hayward SO, et al. "Epstein-Barr Virus in AIDS-Related Primary Central Nervous System Lymphoma". Lancet 1991;338:969-73.
DeAngelis LM. Medical Progress: Brain Tumors. N Engl J Med 2001;344:114-23.
Forsyth PA, Posner JB. Headaches in patients with brain tumors: a study of 111 patients. Neurology 1993;43:1678-83.
Russell DS, Rubinstein LJ. Pathology of Tumors of the Nervous System, 5th ed. Baltimore, Williams and Wilkins, 1989.
Posner JB. Brain metastases: 1995. A brief review. J Neurooncol 1996;27:287-93.
Nutt SH, Patchell RA. Intracranial hemorrhage associated with primary and secondary tumors. Neurosurg Clin N Am 1992;3:591-9.
Gerrard G, Franks K. Overview of the diagnosis and management of brain, spine, and meningeal metastases. J Neurol. Neurosurg. Psychiatry 2004;75:ii37-42.
Soffietti R, Ruda R, Mutani R. Management of brain metastases. Journal of Neurology 2002;249:1357-69.
Graham O, Lantos P. Greenfield's Neuropathology, 6th ed. New York, Oxford University Press, 1999.
In-Suk H, Joo-Kyung S, Seung-Lae K. Clinical Neurology and Neurosurgery 1999;99:190.

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[1] Veléz H, Rojas W, Borrer J et al. Fundamentos de Neurología. Corporación para investigaciones biológicas. 6ta edición. 480-5.

[2] Victor M, Adams R. Principles of Neurology. McGraw Hill Company. 7th edition, 2000. 39-42.

[3] Lewis R. Merritt Neurology. Lippincott Williams and Wilkins publishers. 10th edition, 2000. 66-8.

[4] Graham O, Lantos P. Greenfield's Neuropathology, 6th ed. New York, Oxford University Press, 1997.

[5] Burger P. Surgical Pathology of the Nervous System and its Coverings, 3rd ed. New York, Churchill Livingstone, 1991.

[6] Russell DS, Rubinstein LJ. Pathology of Tumors of the Nervous System, 5th ed. Baltimore, Williams and Wilkins, 1989.

[7] World Health Organization: Histological Typing of Tumors of the Central Nervous System. Berlin. Springer-Verlag, 1993.

[8] Radhakrishnan K, Mokri B, Parisi JE, et al. The trends in incidence of primary brain tumors in the population of Rochester, Minnesota. Ann Neurol 1995;37:67-73.

[9] Mintz A, Cairncross J. Treatment of a single brain metastasis: the role of radiation following surgical excision. JAMA 1998;280:1527-9.

[10] Helle TL, Brito RH, Colby TV. "Primary Lymphoma of the Brain: A Case Report and Review of the Literature". J Surg Oncol 1984;26:115-21.

[11] Delattre JY, Krol G, Thaler HT, Posner JB. Distribution of brain metastases. Arch Neurol 1988;45:741-4.

[12] Poi M, Aalst VC, Wilmink JT, Twijnstra A. J. Neurol. Neurosurg. Psychiatry, 1996;61:321-3.

[13] Jean WC, Hall WA. "Management of Cranial and Spinal Infections". Contemp Neurosurg 1998;20(9):1-10.

[14] Aupérin A, Arriagada R, Pignon JP, et al. Prophylactic cranial irradiation for patients with small-cell lung cancer in complete remission. N Engl J Med 1999;341:476-84.

[15] Glass J, Hayward SO, et al. "Epstein-Barr Virus in AIDS-Related Primary Central Nervous System Lymphoma". Lancet 1991;338:969-73.

[16] DeAngelis LM. Medical Progress: Brain Tumors. N Engl J Med 2001;344:114-23.

[17] Forsyth PA, Posner JB. Headaches in patients with brain tumors: a study of 111 patients. Neurology 1993;43:1678-83.

[18] Russell DS, Rubinstein LJ. Pathology of Tumors of the Nervous System, 5th ed. Baltimore, Williams and Wilkins, 1989.

[19] Posner JB. Brain metastases: 1995. A brief review. J Neurooncol 1996;27:287-93.

[20] Nutt SH, Patchell RA. Intracranial hemorrhage associated with primary and secondary tumors. Neurosurg Clin N Am 1992;3:591-9.

[21] Gerrard G, Franks K. Overview of the diagnosis and management of brain, spine, and meningeal metastases. J Neurol. Neurosurg. Psychiatry 2004;75:ii37-42.

[22] Soffietti R, Ruda R, Mutani R. Management of brain metastases. Journal of Neurology 2002;249:1357-69.

[23] Graham O, Lantos P. Greenfield's Neuropathology, 6th ed. New York, Oxford University Press, 1999.

[24] In-Suk H, Joo-Kyung S, Seung-Lae K. Clinical Neurology and Neurosurgery 1999;99:190.

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