{"id":20303,"date":"2025-12-05T00:33:05","date_gmt":"2025-12-05T00:33:05","guid":{"rendered":"https:\/\/cancercentertec100.com\/?p=20303"},"modified":"2025-12-05T00:34:09","modified_gmt":"2025-12-05T00:34:09","slug":"epilepsias_radiocirugia","status":"publish","type":"post","link":"https:\/\/cancercentertec100.com\/en\/radiocirugia\/epilepsias_radiocirugia\/","title":{"rendered":"EPILEPSIAS Y TRATAMIENTO DE RADIOCIRUG\u00cdA"},"content":{"rendered":"
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Por: Dr. Manuel Garc\u00eda Ram\u00edrez
Radio onc\u00f3logo con Alta Especialidad en Radiocirug\u00eda
<\/em><\/span><\/figure>\n
Radiocirug\u00eda en epilepsia<\/span><\/strong>
La radiocirug\u00eda es una alternativa no invasiva para el tratamiento de epilepsias focales, especialmente aquellas relacionadas con epilepsia del l\u00f3bulo temporal mesial (ELTM) y en menor medida, en epilepsia secundaria a malformaciones cavernosas o hipocampales resistentes.
Es importante mencionar que la radiocirug\u00eda no se considera la terapia est\u00e1ndar o de primera l\u00ednea en epilepsia refractaria. Su papel principal es como alternativa para pacientes no aptos para cirug\u00eda o bien en pacientes que expl\u00edcitamente la rechazan.<\/p>\n

 <\/p>\n

El objetivo es inducir una neuro modulaci\u00f3n de estructuras epileptog\u00e9nicas profundas, con el fin de reducir o eliminar las crisis sin requerir craneotom\u00eda.<\/p>\n

La dosis en ELTM es de 20\u201325 Gy en dosis \u00fanica, abarcando como volumen blanco la am\u00edgdala, hipocampo y porci\u00f3n anterior del giro parahipocampal. La duraci\u00f3n del tratamiento es entre 20 a 40 minutos. T\u00e9cnica ambulatoria, no invasiva y con preservaci\u00f3n anat\u00f3mica.<\/p>\n

Aunque los efectos cl\u00ednicos pueden apreciarse hasta los 6\u201312 meses, se ha reportado la libertad de crisis (Engel I) en ELTM en un 60\u201370% a los 3 a\u00f1os de seguimiento.<\/p>\n

Los efectos adversos son m\u00ednimos, pueden presentarse en un 10% de casos y est\u00e1n en relaci\u00f3n con dolor de cabeza, n\u00e1usea y aura recurrente. Importante destacar que los d\u00e9ficits neurocognitivos son menores que los reportados con la lobectom\u00eda, especialmente en los rubros de memoria verbal y visual.<\/p>\n

A manera de conclusi\u00f3n se muestra una tabla resumen de forma comparativa entre la radiocirug\u00eda y la resecci\u00f3n quir\u00fargica.<\/p>\n

\"\"<\/p>\n<\/figure>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

La radiocirug\u00eda es una alternativa no invasiva para el tratamiento de epilepsias focales, especialmente aquellas relacionadas con epilepsia del l\u00f3bulo temporal mesial (ELTM) y en menor medida, en epilepsia secundaria a malformaciones cavernosas o hipocampales resistentes.
\nEs importante mencionar que la radiocirug\u00eda no se considera la terapia est\u00e1ndar o de primera l\u00ednea en epilepsia refractaria.<\/p>","protected":false},"author":1,"featured_media":20305,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[394],"tags":[427,428,391],"class_list":["post-20303","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-radiocirugia","tag-epilepsia","tag-epilepsias-focales","tag-radiocirugia"],"yoast_head":"\nEPILEPSIAS Y TRATAMIENTO DE RADIOCIRUG\u00cdA<\/title>\n<meta name=\"description\" content=\"La radiocirug\u00eda es una alternativa no invasiva para el tratamiento de epilepsias focales, especialmente aquellas relacionadas con epilepsia del l\u00f3bulo temporal mesial (ELTM) y en menor medida, en epilepsia secundaria a malformaciones cavernosas o hipocampales resistentes. 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