{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:19:43Z","timestamp":1770887983991,"version":"3.50.1"},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nIntroducci\u00f3n: <\/jats:title>\nEl Quiste Epidermoide como tumor de la regi\u00f3n pineal es una patolog\u00eda infrecuente y poco descripta. Su prevalencia en el 3er ventr\u00edculo es de 0,0042% de los tumores primarios intracraneales. Para lograr la exeresis macrosc\u00f3pica total se utiliz\u00f3 el abordaje Supracerebeloso Infratentorial con Endoscopio r\u00edgido de Base de Cr\u00e1neo, t\u00e9cnica descripta para abordaje de lesiones de la regi\u00f3n pineal. El Objetivo del Trabajo es la presentaci\u00f3n de la t\u00e9cnica quir\u00fargica del abordaje, con la resoluci\u00f3n de la patolog\u00eda infrecuente que se presenta.<\/jats:p>\n\t<\/jats:sec>\n\t\nMateriales y m\u00e9todos: <\/jats:title>\nPaciente de 16 a\u00f1os de edad con antecedentes de DBT ins\u00edpida y cefaleas cr\u00f3nicas intermitentes (m-RS 1). RMN de enc\u00e9falo evidencia lesi\u00f3n ocupante de espacio hiperintensa T2 e hipointensa en T1 con realce perif\u00e9rico y restricci\u00f3n en la difusi\u00f3n. Presenta refuerzo a nivel del tallo hipofisario. Se plantea diagn\u00f3stico de tumor germinal. Marcadores en LCR negativos. Se decide realizar abordaje puramente endosc\u00f3pico de la regi\u00f3n para toma de muestra. Congelaci\u00f3n determina quiste epidermoide y se procede a realizar exeresis macrosc\u00f3pica total.<\/jats:p>\n\t<\/jats:sec>\n\t\nResultados: <\/jats:title>\nSe realiz\u00f3 exeresis macrosc\u00f3pica total de quiste de epidermoide en tercer ventr\u00edculo con abordaje supracerebeloso infratentorial a trav\u00e9s de endosc\u00f3pico r\u00edgido de base de cr\u00e1neo, en paciente de 16 a\u00f1os, cursando postoperatorio tard\u00edo sin secuelas y mejor\u00eda sintom\u00e1tica con persistencia de DBT ins\u00edpida (m-RS 1).<\/jats:p>\n\t<\/jats:sec>\n\t\nConclusi\u00f3n: <\/jats:title>\nEl abordaje puramente endosc\u00f3pico supracerebeloso infratentorial es una opci\u00f3n segura para el tratamiento quir\u00fargico de lesiones en el tercer ventr\u00edculo, en este caso, un quiste epidermoide.<\/jats:p>\n\t<\/jats:sec>","DOI":"10.25259\/sni-93-2019","type":"journal-article","created":{"date-parts":[[2019,11,28]],"date-time":"2019-11-28T12:03:05Z","timestamp":1574942585000},"page":"S21-S25","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Abordaje Puramente Endosc\u00f3pico Supracerebeloso Infratentorial para Quiste Epidermoide en Tercer Ventr\u00edculo"],"prefix":"10.25259","volume":"10","author":[{"given":"Franco","family":"Rubino","sequence":"first","affiliation":[{"name":"Hospital Nacional Profesor Alejandro Posadas, Department of Neurosurgery, Av. 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