Hidrocefalia crónica del adulto (hidrocefalia “normotensiva”) y macrocefalia
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"apellidos" => "Hemández" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147391709147?idApp=UINPBA00004B" "url" => "/11301473/0000000200000004/v1_201305151330/S1130147391709147/v1_201305151330/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Hidrocefalia crónica del adulto (hidrocefalia “normotensiva”) y macrocefalia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "344" "paginaFinal" => "353" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J. Sahuquillo, M.A. Poca, A. Chasampi, E. Gabas, E. Rubio" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Sahuquillo" ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "Poca" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Chasampi" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Gabas" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Rubio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Neurocirugía. Hospital Vall d’Hebron. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "A. Molins, A. Rovira" "autores" => array:2 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Molins" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Rovira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">+</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Neurología. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Neuroradiología. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">+</span>" "identificador" => "aff0015" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec160513" "palabras" => array:5 [ 0 => "Hidrocefalia" 1 => "Estenosis de acueducto" 2 => "Macrocefalia" 3 => "Demencia" 4 => "TC cerebral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec160512" "palabras" => array:5 [ 0 => "Hydrocephalus" 1 => "Aqueduct stenosis" 2 => "Macrocephalia" 3 => "Dementia" 4 => "CT scan" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos 12 casos seleccionados de una serie de 71 pacientes incluidos en un estudio prospectivo e intervenidos con el diagnóstico de hidrocefalia crónica del adulto (HCA). Estos doce pacientes fueron seleccionados por presentar una macrocefalia (perímetro craneal igualo superior al percentil 98). Once casos presentaban transtoroos de la marcha a su ingreso. El patrón tomodensitométrico se caracterizó de una forma uniforme por la presencia de una ventriculomegalia masiva, con una media en el Indice de Evans de 0.48 (Intervalo de confianza al 95% de 0.42 a 0.54), una dilatación marcada de las astas temporales y ausencia de atrofia cortical. Los estudios de PIC e hidrodinámicos demostraron en 8 casos la existencia de una hidrocefalia compensada (PIC media inferior o igual a 12<span class="elsevierStyleHsp" style=""></span>mmHg) y en 4 de una hidrocefalia activa (PIC media superior a los 12<span class="elsevierStyleHsp" style=""></span>mmHg). Se discute la clínica, la respuesta al shunt y las características diferenciales respecto a otros grupos con un síndrome de HCA. La macrocefalia y otros hallazgos clinicoradiológicos sugieren en este grupo particular de pacientes la existencia de una hidrocefalia congénita oculta, descompensada de forma tardía. Se discuten los posibles mecanismos fisiopatológicos responsables de la descompensación, los probables factores etiológicos y la importancia clínica de este tipo particular de hidrocefalia dentro del contexto de la HCA.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We are reporting 12 selected cases from a series of 71 patients included in a prospective study with the diagnosis of ACHS and in whom a cerebrospinal shunt was implanted. These twelve patients were selected because they had a head circumference at or greater than the 98th percentile. Eleven patients had gait disturbances on admission. CT scan findings were characterized by the presence of a severe ventricular dilatation with an average in the Evans Index of 0.48 (confidence interval at 95% of 0.42 to 0.54). A very important dilatation of the III ventricle (CI 0.116 to 0.160) and the temporal horos were found. Cortical hydrodynamic studies showed the existence of a compensated hydrocephalus in 8 cases (mean ICP equal or less than 12<span class="elsevierStyleHsp" style=""></span>mmHg). Four patients were considered to have an active hydrocephalus (mean ICP above 12<span class="elsevierStyleHsp" style=""></span>mmHg). Clinical findings, improvement after shunt and specific characteristics of these patients compared with other cases with ACHS are discussed. An increased head circumference and other clinical findings suggest the existence of an occult congenital hydrocephalus that becomes symptomatic later in life in this particular group of cases. The physiopathological mechanisms responsible for decompensation, etiological factors and the clinical importance of this type of hydrocephalus, are discussed.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Normal pressure hydrocephalus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Anderson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Brit Med J" "fecha" => "1986" "volumen" => "293" "paginaInicial" => "837" "paginaFinal" => "838" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 4 | 7 |
| 2021 September | 0 | 2 | 2 |
| 2020 May | 1 | 0 | 1 |
| 2019 August | 1 | 0 | 1 |
| 2019 May | 2 | 0 | 2 |
| 2018 November | 1 | 0 | 1 |
| 2018 February | 40 | 41 | 81 |
| 2018 January | 23 | 125 | 148 |
| 2017 December | 32 | 139 | 171 |
| 2017 November | 57 | 175 | 232 |
| 2017 October | 38 | 168 | 206 |
| 2017 September | 53 | 203 | 256 |
| 2017 August | 46 | 191 | 237 |
| 2017 July | 50 | 196 | 246 |
| 2017 June | 56 | 244 | 300 |
| 2017 May | 74 | 201 | 275 |
| 2017 April | 64 | 166 | 230 |
| 2017 March | 56 | 235 | 291 |
| 2017 February | 81 | 220 | 301 |
| 2017 January | 65 | 140 | 205 |
| 2016 December | 53 | 135 | 188 |
| 2016 November | 84 | 217 | 301 |
| 2016 October | 72 | 161 | 233 |
| 2016 September | 248 | 420 | 668 |
| 2016 August | 511 | 650 | 1161 |
| 2016 July | 243 | 411 | 654 |
| 2015 December | 2 | 484 | 486 |
| 2015 November | 0 | 310 | 310 |
| 2015 October | 0 | 69 | 69 |
| 2015 August | 2 | 54 | 56 |
| 2015 July | 1 | 26 | 27 |
| 2015 June | 27 | 303 | 330 |
| 2015 May | 59 | 435 | 494 |
| 2015 April | 31 | 512 | 543 |
| 2015 March | 36 | 526 | 562 |
| 2015 February | 26 | 460 | 486 |
| 2015 January | 39 | 374 | 413 |
| 2014 December | 23 | 327 | 350 |
| 2014 November | 27 | 401 | 428 |
| 2014 October | 30 | 486 | 516 |
| 2014 September | 32 | 546 | 578 |
| 2014 August | 43 | 487 | 530 |
| 2014 July | 38 | 367 | 405 |
| 2014 June | 51 | 308 | 359 |
| 2014 May | 41 | 418 | 459 |
| 2014 April | 36 | 414 | 450 |
| 2014 March | 35 | 331 | 366 |
| 2014 February | 33 | 301 | 334 |
| 2014 January | 35 | 335 | 370 |
| 2013 December | 30 | 275 | 305 |
| 2013 November | 50 | 305 | 355 |
| 2013 October | 35 | 334 | 369 |
| 2013 September | 46 | 455 | 501 |
| 2013 August | 37 | 504 | 541 |
| 2013 July | 42 | 405 | 447 |
| 2013 June | 22 | 453 | 475 |
| 2013 May | 36 | 526 | 562 |
| 2013 April | 43 | 535 | 578 |
| 2013 March | 42 | 343 | 385 |
| 2013 February | 27 | 148 | 175 |
| 2013 January | 29 | 71 | 100 |
| 2012 December | 11 | 60 | 71 |
| 2012 November | 0 | 63 | 63 |
| 2012 October | 0 | 12 | 12 |
| 2012 September | 0 | 11 | 11 |
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