Hemorragia subaracnoidea aneurismática. Estudio de una serie clínica de 412 casos
P.A. Gómez, R.D. Lobato, J.J. Rivas, A. Cabrera, R. Alday, J. Domínguez, J. Ayerbe, E. Lamas
Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid
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Estudio de una serie clínica de 412 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "186" "paginaFinal" => "196" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P.A. Gómez, R.D. Lobato, J.J. Rivas, A. Cabrera, R. Alday, J. Domínguez, J. Ayerbe, E. Lamas" "autores" => array:8 [ 0 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 1 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 2 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Lamas" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162248" "palabras" => array:5 [ 0 => "Hemorragia subaracnoidea" 1 => "aneurisma" 2 => "hallazgos TC" 3 => "vasoespasmo" 4 => "evolución final" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162249" "palabras" => array:5 [ 0 => "Subarachnoid hemorrhage" 1 => "aneurysm" 2 => "CT findings" 3 => "vasospasm" 4 => "outcome" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizan retrospectivamente 412 casos consecutivos de hemorragia subaracnoidea aneurismática, tratados durante los años 1974–1991. El 79% de los pacientes ingresaron en los tres primeros días del sangrado. El 63% de los pacientes ingresaron en buen grado clínico (Botterell I y II). Se apreció vasoespasmo angiográfico en el 38% de los casos. Se intervinieron 336 pacientes (81,6%), la mayoría pasados siete días. Del total de la serie fallecieron 132 pacientes (32%), 69 de éstos (16,7%) después de haber sido intervenidos. Las complicaciones que más influyeron en la mortalidad fueron la isquemia cerebral y el resangrado. Apreciamos una estrecha correlación entre el depósito de sangre cisternal, la aparición de vasoespasmo angiográfico y el desarrollo de isquemia cerebral, lo que apoya la teoría que imputa a la sangre, o a alguno de sus componentes o productos de degradación un papel fundamental en la producción de vasoespasmo. Es muy importante reconocer precozmente esta enfermedad con el fin de instaurar lo antes posible el tratamiento adecuado.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A series of 412 consecutive cases of aneurysmal subarachnoid hemorrhage are analyzed. Nearly 80% of the patients were admitted within three days after bleeding. At admission, 63% of the patients were in good neurological condition (Botterell I-II). Cerebral vasospasm was appreciated in 38% of the preoperative angiographies. A total of 336 (81,6%) patients were operated on, most after seven days of initial hemorrhage. The overall mortality was 32% (132 patients); of these, 69 died after surgery (16,7%). Vasospasm and rebleeding were the leading causes of morbidity and mortality. A close correlation was found between the amount of subarachnoid bleeding and the development of vasospasm and brain ischemia, supporting the concept that the extravasated blood plays an essential role in the pathogenesis of vasospasmo The early diagnosis of this clinical entity is an important step in order to apply adecuate treatment as soon as possible.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez, P.A.; Lobato, R.D.; Rivas, J.J.; Cabrera, A.; Alday, R.; Domínguez, J.; Ayerbe, J.; Lamas, E.: Hemorragia subaracnoidea aneurismática. Estudio clínico de una serie de 412 casos. Neurocirugía 1992; 3: 186–196.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:74 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 0 | 1 | 1 |
| 2018 March | 0 | 1 | 1 |
| 2018 February | 10 | 13 | 23 |
| 2018 January | 17 | 11 | 28 |
| 2017 December | 14 | 16 | 30 |
| 2017 November | 44 | 23 | 67 |
| 2017 October | 15 | 19 | 34 |
| 2017 September | 12 | 46 | 58 |
| 2017 August | 13 | 34 | 47 |
| 2017 July | 11 | 24 | 35 |
| 2017 June | 20 | 38 | 58 |
| 2017 May | 20 | 30 | 50 |
| 2017 April | 13 | 29 | 42 |
| 2017 March | 9 | 27 | 36 |
| 2017 February | 4 | 18 | 22 |
| 2017 January | 14 | 14 | 28 |
| 2016 December | 38 | 20 | 58 |
| 2016 November | 34 | 25 | 59 |
| 2016 October | 49 | 28 | 77 |
| 2016 September | 45 | 27 | 72 |
| 2016 August | 68 | 30 | 98 |
| 2016 July | 43 | 25 | 68 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 0 | 5 | 5 |
| 2015 June | 8 | 12 | 20 |
| 2015 May | 27 | 22 | 49 |
| 2015 April | 11 | 24 | 35 |
| 2015 March | 20 | 21 | 41 |
| 2015 February | 19 | 19 | 38 |
| 2015 January | 9 | 17 | 26 |
| 2014 December | 15 | 29 | 44 |
| 2014 November | 6 | 19 | 25 |
| 2014 October | 17 | 26 | 43 |
| 2014 September | 13 | 24 | 37 |
| 2014 August | 13 | 34 | 47 |
| 2014 July | 14 | 17 | 31 |
| 2014 June | 17 | 20 | 37 |
| 2014 May | 12 | 26 | 38 |
| 2014 April | 14 | 16 | 30 |
| 2014 March | 19 | 20 | 39 |
| 2014 February | 11 | 17 | 28 |
| 2014 January | 11 | 19 | 30 |
| 2013 December | 14 | 16 | 30 |
| 2013 November | 14 | 17 | 31 |
| 2013 October | 18 | 15 | 33 |
| 2013 September | 14 | 20 | 34 |
| 2013 August | 18 | 18 | 36 |
| 2013 July | 13 | 20 | 33 |
| 2013 June | 17 | 23 | 40 |
| 2013 May | 17 | 23 | 40 |
| 2013 April | 9 | 16 | 25 |
| 2013 March | 11 | 18 | 29 |
| 2013 February | 11 | 13 | 24 |
| 2013 January | 10 | 3 | 13 |
| 2012 December | 8 | 13 | 21 |
| 2012 November | 0 | 9 | 9 |
| 2012 October | 0 | 1 | 1 |
| 2012 September | 0 | 2 | 2 |
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