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[PMID]:29400038
[Au] Autor:Podeur P; Okhremchuk I; Morvan JB; Vatin L; Rivière D; de Faria A; Joubert C; Dagain A
[Ti] Título:[Multiple intracranial epidermoid cysts: Case report].
[So] Source:Rev Laryngol Otol Rhinol (Bord);136(4):159-62, 2015.
[Is] ISSN:0035-1334
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Epidermoid cyst is a benign and rare tumor, that evolves slowly. We describe the case of a 55 years-old woman, who came to our consultation for atypical trigeminal neuralgia of left V1 and V2 nerves. Brain MRI found two tumors: T1W hypointense with no appreciable enhancement after gadolinium injection and T2W and diffusion hyperintense. This last feature was in favour of an epidermoid cyst, but the multiplicity of cerebral lesions was definitely not in favor of such a diagnos­tic. They were located behind the right eye and in the left Meckel's cave (trigeminal cave). The surgical strategy consis­ted in removal the retro orbital tumor witch was the most acces­si­ble of both the diagnostic of epidermoid cyst was retaned thanks to the anatomopathology report. As these lesions had the exact same characteristics, we concluded that they were simi­lar. The second epidermoid cyst was not removed because of surgical risk, its benign nature and low evolutionary potential.
[Mh] Termos MeSH primário: Encefalopatias/diagnóstico por imagem
Fossa Craniana Posterior/diagnóstico por imagem
Cisto Epidérmico/diagnóstico por imagem
Doenças Orbitárias/diagnóstico por imagem
[Mh] Termos MeSH secundário: Encefalopatias/patologia
Fossa Craniana Posterior/patologia
Cisto Epidérmico/patologia
Cisto Epidérmico/cirurgia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Meia-Idade
Doenças Orbitárias/patologia
Doenças Orbitárias/cirurgia
Neuralgia do Trigêmeo/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE


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[PMID]:29384861
[Au] Autor:Chen GY; Ma L; Xu ML; Zhang JN; He ZD; He CY; Zhao CH; Fu C; Li M; Gao YF
[Ad] Endereço:First Department of Neurosurgery.
[Ti] Título:Spontaneous cerebrospinal fluid rhinorrhea: A case report and analysis.
[So] Source:Medicine (Baltimore);97(5):e9758, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Spontaneous cerebrospinal fluid leakage is usually caused by developmental abnormalities and is rare, accounting for approximately 5% of the cases of cerebrospinal fluid (CSF) leakage. To the best of our knowledge, clival dysplasia-caused CSF rhinorrhea has never been reported in the neurosurgical field. CONCLUSION: Spontaneous cerebrospinal fluid rhinorrhea is often treated by surgery, and a transsphenoidal approach repair is the main surgical method used, offering the advantages of less trauma, fewer complications, rapid postoperative recovery, and low recurrence rate.
[Mh] Termos MeSH primário: Rinorreia de Líquido Cefalorraquidiano/diagnóstico por imagem
Rinorreia de Líquido Cefalorraquidiano/cirurgia
Fossa Craniana Posterior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Rinorreia de Líquido Cefalorraquidiano/etiologia
Seres Humanos
Imagem Tridimensional
Imagem por Ressonância Magnética
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009758


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[PMID]:28468145
[Au] Autor:McMillan K; Lloyd M; Evans M; White N; Nishikawa H; Rodrigues D; Sharp M; Noons P; Solanki G; Dover S
[Ad] Endereço:Birmingham Children's Hospital, Birmingham, UK.
[Ti] Título:Experiences in Performing Posterior Calvarial Distraction.
[So] Source:J Craniofac Surg;28(3):664-669, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The use of posterior calvarial distraction (PCD) for the management of craniosynostosis is well recognized. The advantages of using this technique include increased cranial volume, decreased intracranial pressure, relief of posterior fossa crowding, improved cerebrospinal fluid (CSF) circulation at the cranio-cervical junction with cessation, and possible resolution of syrinx.The authors retrospectively review their first 50 patients who have undergone PCD under the senior author's care in our unit.The demographics, diagnoses, intraoperative approach with techniques in distractor placement and outcomes of each patient were obtained through an electronic craniofacial database and written patient records. Analysis of complication rates (bleeding, distraction problems, CSF leaks, and infection) was included.A total of 31 boys and 19 girls underwent the procedure between October 2006 and September 2015 with a median age was 17.7 months (range 4 months to 19 years). Of those 50 children, 34 of the cohort were proven to be syndromic by genetic testing.The median length of inpatient stay was 9.4 days (range 3-43 days). Average distraction distance was 24 mm.Complications including CSF leaks, bleeding, distractor problems, and severe complications (recorded in 3 patients) are discussed. Our overall complication rate was 50%.Favorable outcomes included resolution of Chiari, syrinx, and raised intracranial pressure in the majority of patients where distraction was successful.The authors recommend that PCD should be considered the primary treatment for increasing calvarial volume. The authors discuss our experiences and technical innovations over the past decade.
[Mh] Termos MeSH primário: Fossa Craniana Posterior/cirurgia
Craniossinostoses/cirurgia
Osteogênese por Distração/métodos
Crânio/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Vazamento de Líquido Cefalorraquidiano/etiologia
Rinorreia de Líquido Cefalorraquidiano/etiologia
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Lactente
Hipertensão Intracraniana/etiologia
Masculino
Estudos Retrospectivos
Síndrome
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003458


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[PMID]:28799840
[Au] Autor:Martin JE; Bookland M; Moote D; Cebulla C
[Ad] Endereço:Division of Neurosurgery, Department of Surgery, Connecticut Children's Medical Center; and.
[Ti] Título:Standardized method for the measurement of Grabb's line and clival-canal angle.
[So] Source:J Neurosurg Pediatr;20(4):352-356, 2017 Oct.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Grabb's line-the perpendicular distance from the basion-C2 line (pB-C2)-is a widely used radiographic measurement with significant clinical implications in patients with a complex Chiari malformation. Rigorous demonstration of the reproducibility of this measurement has not previously been reported. The authors report a standardized measurement technique with excellent inter- and intrarater reliability on T1-weighted sagittal MRI. METHODS The authors developed a standardized measurement technique that included specifications of midline slice selection, landmark and reference line definitions, and measurement technique on T1-weighted sagittal images. Twenty MR images were reviewed by 2 pediatric neurosurgeons, 1 pediatric radiologist, and 1 undergraduate student. Measurements were performed using the technique specified on 2 separate occasions. Intrarater and interrater reliabilities were calculated using the intraclass correlation coefficient. RESULTS A combined interrater reliability of 0.879 was achieved for the pB-C2, and 0.916 for the clival-canal angle, another measure of interest in patients with complex Chiari malformations. Intrarater reliability for these measurements exceeded 0.858 for all 4 reviewers. CONCLUSIONS Grabb's line-the pB-C2-can be measured with excellent reliability using a standardized measurement protocol. Individual clinicians and collaborative databases should consider using validated measurement techniques to guide clinical decision making in patients with craniocervical junction pathology.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/diagnóstico por imagem
Fossa Craniana Posterior/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Imagem por Ressonância Magnética/normas
Canal Vertebral/diagnóstico por imagem
[Mh] Termos MeSH secundário: Malformação de Arnold-Chiari/cirurgia
Vértebras Cervicais/diagnóstico por imagem
Fossa Craniana Posterior/cirurgia
Seres Humanos
Neurocirurgiões/psicologia
Variações Dependentes do Observador
Processo Odontoide/diagnóstico por imagem
Processo Odontoide/cirurgia
Valores de Referência
Canal Vertebral/cirurgia
Estudantes/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE
[do] DOI:10.3171/2017.5.PEDS17181


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[PMID]:28698083
[Au] Autor:Vilela MD; Pedrosa HAS; Dias Filho MA
[Ad] Endereço:Department of Neurosurgery, Mater Dei Hospital, Belo Horizonte, Brazil; Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. Electronic address: vilelamd@gmail.com.
[Ti] Título:A Hemorrhagic Clival Chordoma with a Long Progression-Free Survival.
[So] Source:World Neurosurg;105:1042.e1-1042.e4, 2017 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chordomas and ecchordosis physaliphora may on rare occasions present with intracranial hemorrhage. Their distinction usually relies on the results of the Ki-67 proliferative index, with a result lower than 1% favoring ecchordosis physaliphora. Intracranial hemorrhagic chordomas have been linked to unfavorable prognosis, due to acute neurologic deterioration and death, or progression after treatment. To the best of our knowledge, this is the first report of a patient with an intracranial hemorrhagic chordoma who had a long progression-free survival. CASE DESCRIPTION: A 67-year-old woman presented with a large hemorrhagic clival tumor that was resected through an endonasal endoscopic approach. Physallipharous cells interspersed in a myxoid matrix, positivity for S-100, cytokeratin, and epithelial membrane antigen were found, along with an extremely low Ki-67 index. Imaging findings of bone erosion, a large size, and enhancement favored the diagnosis of chordoma. The patient received adjuvant stereotactic radiotherapy and has remained disease free after 4 years. CONCLUSIONS: Although hemorrhagic intracranial chordomas have been linked to unfavorable outcomes, our case demonstrates that they may have a low proliferative index, and a long progression-free survival may be seen.
[Mh] Termos MeSH primário: Cordoma/cirurgia
Hemorragias Intracranianas/cirurgia
Neoplasias da Base do Crânio/cirurgia
[Mh] Termos MeSH secundário: Idoso
Cordoma/complicações
Cordoma/diagnóstico por imagem
Fossa Craniana Posterior/diagnóstico por imagem
Fossa Craniana Posterior/cirurgia
Intervalo Livre de Doença
Feminino
Seres Humanos
Hemorragias Intracranianas/diagnóstico por imagem
Hemorragias Intracranianas/etiologia
Neoplasias da Base do Crânio/complicações
Neoplasias da Base do Crânio/diagnóstico por imagem
Fatores de Tempo
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170713
[St] Status:MEDLINE


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[PMID]:28693694
[Au] Autor:Wang T; Ma L; Lou X; Bu B
[Ad] Endereço:Department of Radiology, Chinese PLA General Hospital, Beijing 100853, China.
[Ti] Título:Trigeminal Ganglioneuroma in the Middle-posterior Cranial Fossa: a Case Report.
[So] Source:Chin Med Sci J;32(2):123-8, 2017 Jun 10.
[Is] ISSN:1001-9294
[Cp] País de publicação:China
[La] Idioma:eng
[Mh] Termos MeSH primário: Fossa Craniana Posterior
Neoplasias dos Nervos Cranianos/diagnóstico
Ganglioneuroma/diagnóstico
Neoplasias da Base do Crânio/diagnóstico
Gânglio Trigeminal
[Mh] Termos MeSH secundário: Neoplasias dos Nervos Cranianos/patologia
Ganglioneuroma/patologia
Seres Humanos
Masculino
Meia-Idade
Neoplasias da Base do Crânio/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.24920/J1001-9294.2017.016


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[PMID]:28647656
[Au] Autor:Nguyen HS; Choi H; Kurpad S; Soliman H
[Ad] Endereço:Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Electronic address: hsnguyen@mcw.edu.
[Ti] Título:Delayed Retroclival and Cervical Spinal Subdural Hematoma Complicated by Preexisting Chiari Malformation in Adult Trauma Patient.
[So] Source:World Neurosurg;105:1039.e1-1039.e5, 2017 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Traumatic spinal subdural hematoma involving the retroclival region and upper cervical spine is a rare pathology. To our knowledge, there have only been 2 prior cases in an adult trauma patient. We describe a patient with preexisting Chiari 1 malformation, who recently sustained a unilateral type 1 occipital condyle fracture with associated disruption of the tectorial membrane and transverse ligament, which returned with a retroclival subdural hematoma extending down to C7, causing spinal cord compression and symptomatic obstructive hydrocephalus. CASE PRESENTATION: A 30-year-old female sustained a motor vehicle collision. Computed tomography C spine revealed a type I occipital condyle fracture. Magnetic resonance imaging C spine demonstrated disruption of the tectorial membrane and avulsion of the transverse ligament at its attachment to the left C1 tubercle; moreover, there was a Chiari 1 malformation. The patient was neurologically intact. A halo was recommended, but the patient opted for an aspen collar with close management. She was discharged but returned 3 days later with apneic episodes, along with bradycardia and hypertension. She was promptly intubated. Computed tomography head showed interval ventricular enlargement. Magnetic resonance imaging C spine revealed a new ventral hematoma spanning the retroclival region to C7, most pronounced at C2-C3. On examination, she opened her eyes to pain, her pupils were equal and reactive, and she withdrew in all extremities. An external ventricular drain was emergently placed. She underwent a suboccipital craniectomy, C1-3 laminectomies, and occiput-C4 instrumented fusion. The dura was significantly tense, and no epidural hematoma was observed during lateral exploration. Postoperatively, she woke up well, exhibiting a nonfocal neurologic examination. A diagnostic angiogram was negative. She was extubated uneventfully, and the external ventricular drain was weaned off in 4 days. CONCLUSION: Traumatic spinal subdural hematoma involving both the retroclival region and upper cervical spine can lead to bulbar signs and symptomatic obstructive hydrocephalus. There should be vigilance for this pathology in patients with high-energy craniocervical trauma. Disruption of the tectorial membrane and therapeutic anticoagulation may be risk factors. The clinical scenario can be complicated in the setting of a preexisting Chiari 1 malformation.
[Mh] Termos MeSH primário: Acidentes de Trânsito
Malformação de Arnold-Chiari/complicações
Malformação de Arnold-Chiari/cirurgia
Vértebras Cervicais/cirurgia
Hematoma Subdural Espinal/etiologia
Hematoma Subdural Espinal/cirurgia
[Mh] Termos MeSH secundário: Adulto
Malformação de Arnold-Chiari/diagnóstico por imagem
Vértebras Cervicais/diagnóstico por imagem
Fossa Craniana Posterior/diagnóstico por imagem
Fossa Craniana Posterior/cirurgia
Feminino
Hematoma Subdural Espinal/diagnóstico por imagem
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170626
[St] Status:MEDLINE


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[PMID]:28576541
[Au] Autor:Benadjaoud Y; Klopp-Dutote N; Choquet M; Brunel E; Guiheneuf R; Page C
[Ad] Endereço:Department of Paediatrics, University Hospital, Amiens, France.
[Ti] Título:A case of acute clival osteomyelitis in a 7-year-old boy secondary to infection of a Thornwaldt cyst.
[So] Source:Int J Pediatr Otorhinolaryngol;95:87-90, 2017 Apr.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Clival osteomyelitis is a potentially life-threatening infection that can occur in healthy children. It can be related to congenital anomalies. We report the case of a 7-year-old boy with Streptococcus intermedius and Fusobacterium clival osteomyelitis arising from a Thornwaldt cyst situated in a fossa navicularis magna of the occipital bone. Multidisciplinary management is necessary to ensure rapid improvement and complete healing.
[Mh] Termos MeSH primário: Fossa Craniana Posterior/patologia
Cistos/complicações
Infecções por Fusobacterium/complicações
Nasofaringe/patologia
Osso Occipital/patologia
Osteomielite/etiologia
Infecções Estreptocócicas/complicações
[Mh] Termos MeSH secundário: Antibacterianos/uso terapêutico
Criança
Fusobacterium/isolamento & purificação
Infecções por Fusobacterium/tratamento farmacológico
Seres Humanos
Masculino
Infecções Estreptocócicas/tratamento farmacológico
Streptococcus intermedius/isolamento & purificação
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170604
[St] Status:MEDLINE


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[PMID]:28533856
[Au] Autor:Saqui AE; Aggouri M; Benzagmout M; Chakour K; Faizchaoui ME
[Ad] Endereço:Service de Neurochirurgie, CHU Hassan II, Fès, Maroc.
[Ti] Título:[Hydatid cyst of the posterior fossa].
[Ti] Título:Kyste hydatique de la fosse cérébrale postérieure..
[So] Source:Pan Afr Med J;26:133, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Hydatidosis is an endemic affection in Morocco. Cerebral echinococcosis is a relatively rare entity accounting for only 1-2% of all hydatid cysts in humans. hydatid cyst of the posterior fossa is a very uncommon site for the disease. We report the case of a 12 year-old child admitted for high intracranial pressure. Brain CT scan showed a posterior fossa cyst without enhancement after contrast medium injection. Operative finding revealed a hydatid cyst. The histological examination of the tissue sample confirmed the diagnosis. The patient was given albendazole post operatively. He feels well six months later.
[Mh] Termos MeSH primário: Albendazol/administração & dosagem
Anti-Helmínticos/administração & dosagem
Fossa Craniana Posterior/parasitologia
Equinococose/diagnóstico por imagem
[Mh] Termos MeSH secundário: Encéfalo/diagnóstico por imagem
Encéfalo/parasitologia
Criança
Fossa Craniana Posterior/diagnóstico por imagem
Equinococose/tratamento farmacológico
Seres Humanos
Masculino
Marrocos
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anthelmintics); F4216019LN (Albendazole)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170613
[Lr] Data última revisão:
170613
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170524
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.133.8363


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[PMID]:28526643
[Au] Autor:Pérez de San Román-Mena L; Simal-Julián JA; Miranda-Lloret P; Sanromán-Álvarez P; Botella-Asunción C
[Ad] Endereço:Department of Neurosurgery, Hospital U. i P. La Fe. Fernando Abril Martorell, Valencia, Spain. Electronic address: lperezdesan@hotmail.com.
[Ti] Título:Radiological Study of the Carotid-Clival Window and Its Application in Endoscopic Endonasal Expanded Approaches.
[So] Source:World Neurosurg;104:356-360, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The surgical approach to the petrous apex (PA) and petroclival junction (PCJ) remains a challenge. The carotid-clival window (CCW) represents the widest window available to approach the PCJ from a mediolateral endoscopic route. Here we define the CCW radiologically in nonpathological conditions, to establish the anatomic variability of the PCJ, relate this variability to pneumatization patterns, and evaluate some technical concerns conditioned by the CCW. METHODS: This was an analytical study of 10 multislice computed tomography scans from patients without SB pathology. Bilateral measures were taken at the roof and floor levels of the lacerum canal (LC) and its posterior projection over the PCJ (segments DE and QR). All measures were compared across different pneumatization patterns. RESULTS: The DE and QR lengths were found to be the most important measures affecting the width of the CCW. Wide variability was observed, with a mean DE length of 8.52 mm (range, 2.4-12.8 mm) at the LC floor level and a mean QR length of 9.11 mm (range, 4.3-13.1 mm) at the LC roof level. The presence of retrocarotid pneumatization was statistically significantly associated with longer DE and QR segments. No differences were found among other pneumatization patterns. CONCLUSIONS: The CCW varies widely among individuals. The presence of pneumatization behind the paraclival carotid represents an advantageous characteristic when planning an endoscopic approach to the PCJ.
[Mh] Termos MeSH primário: Artéria Carótida Interna/cirurgia
Fossa Craniana Posterior/diagnóstico por imagem
Fossa Craniana Posterior/cirurgia
Endoscopia/métodos
Tomografia Computadorizada Multidetectores/métodos
Procedimentos Neurocirúrgicos/métodos
Osso Petroso/diagnóstico por imagem
Osso Petroso/cirurgia
Neoplasias da Base do Crânio/diagnóstico por imagem
Neoplasias da Base do Crânio/cirurgia
[Mh] Termos MeSH secundário: Dissecação/métodos
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170521
[St] Status:MEDLINE



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