<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8771</journal-id>
<journal-title><![CDATA[Anestesia en México]]></journal-title>
<abbrev-journal-title><![CDATA[Anest. Méx.]]></abbrev-journal-title>
<issn>2448-8771</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-87712017000300048</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo anestésico para resección de tumor cerebral intrínseco en paciente pediátrico despierto: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Anesthetic management for an intrinsic brain tumor resection in a pediatric awake patient: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Barreto]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruelas-León]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruvalcaba-Sánchez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Valencia]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escamilla-Asiain]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-Vega]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,nmartinez@hospitalteleton.org.mx  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,aff3  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,aff4  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,aff5  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Infantil Teletón de Oncología  ]]></institution>
<addr-line><![CDATA[Querétaro Qro]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>29</volume>
<numero>3</numero>
<fpage>48</fpage>
<lpage>54</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712017000300048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712017000300048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712017000300048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Durante los últimos años, la tendencia a realizar craneotomías en paciente despierto ha ido aumentando; desde su utilización en pacientes sometidos a neurocirugías funcionales para el tratamiento de la epilepsia hasta las recomendaciones actuales, en la resección de tumores localizados en áreas críticas del sistema nervioso central, donde se requiere monitoreo en tiempo real de las funciones cerebrales superiores y/o motoras durante la exégesis de la lesión, para disminuir el riesgo de déficits neurológicos posoperatorios. Los registros de las técnicas de resección de tumores cerebrales en pacientes pediátricos despiertos son limitados, en parte debido a que esta técnica quiru&#769;rgico-aneste&#769;sica tiene el riesgo de potenciales complicaciones transoperatorias, como obstrucción de la vía área, hipoxemia, hipoventilación y convulsiones o dolor incontrolable, que pueden poner en riesgo la integridad del paciente. Para la población adulta, se describen diversos abordajes anestésicos, como el de la técnica &#8220;dormido-despierto-dormido&#8221;, la cual se ha reportado también en pacientes pediátricos. En esta revisión, describimos el caso de un paciente masculino de once años, con una lesión neoplásica intrínseca parietal derecha, quien fue sometido a una craneotomía, permaneciendo despierto durante la cirugía, debido a la cercanía de la lesión con la regio&#769; n sensorio-motriz primaria del hemisferio derecho demostrándose excelentes resultados posoperatorios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract During the last few years, the tendency to perform craniotomies in awake patients has increased. Since epilepsy surgery treatment was performed until the current recommendations in tumor resection located in critical areas of the central nervous system, where real-time brain monitoring is required during the excision, to avoid the neurological postoperative deficit risks. The record of brain tumor resection techniques in awaken pediatric patients is limited, in part because this anesthesia technique has the risk of potential intraoperative complications such as airway obstruction, hypoxemia, hypoventilation and seizures or uncontrollable pain, which could compromise the patient integrity. For the adult population, there have been different anesthetic approaches, as the "asleep-awake-asleep&#8221; technique, which has also been reported in pediatric patients. In this review, we report an 11-year old male, with an intrinsic right-parietal tumor behind primary sensory-motor cortex. During the surgery, he was awake for resection, and a clinical evaluation for sensory-motor and language functioning was performed, which demonstrated excellent post-operative results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[craneotomía con paciente despierto]]></kwd>
<kwd lng="es"><![CDATA[monitorización neurofisiológica funcional]]></kwd>
<kwd lng="en"><![CDATA[awake craniotomy]]></kwd>
<kwd lng="en"><![CDATA[real-time brain monitoring]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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