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Vaquero, A. Arias, M. Zurita, S. Coca, S. Oya, C. Morales" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Arias" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Zurita" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Coca" ] 4 => array:2 [ "nombre" => "S." "apellidos" => "Oya" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Morales" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147392708811?idApp=UINPBA00004B" "url" => "/11301473/0000000300000003/v1_201305151419/S1130147392708811/v1_201305151419/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147392708793" "issn" => "11301473" "doi" => "10.1016/S1130-1473(92)70879-3" "estado" => "S300" "fechaPublicacion" => "1992-01-01" "aid" => "70879" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1992;3:186-96" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2058 "formatos" => array:3 [ "EPUB" => 21 "HTML" => 925 "PDF" => 1112 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Hemorragia subaracnoidea aneurismática. Estudio de una serie clínica de 412 casos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "186" "paginaFinal" => "196" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "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" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147392708793?idApp=UINPBA00004B" "url" => "/11301473/0000000300000003/v1_201305151419/S1130147392708793/v1_201305151419/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Hemorragia subaracnoidea idiopática. Estudio clínico de una serie de 258 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "197" "paginaFinal" => "205" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P.A. Gómez, J.J. Rivas, R.D. Lobato, A. Cabrera, R. Alday, S. Castro, J.M. Ortega, H. Sandoval, E. Lamas" "autores" => array:9 [ 0 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 2 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Castro" ] 6 => array:2 [ "nombre" => "J.M." "apellidos" => "Ortega" ] 7 => array:2 [ "nombre" => "H." "apellidos" => "Sandoval" ] 8 => 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" => "xpalclavsec162256" "palabras" => array:5 [ 0 => "Hemorragia subaracnoidea" 1 => "angiografia negativa" 2 => "hallazgos TC" 3 => "complicaciones" 4 => "evolución final" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162257" "palabras" => array:5 [ 0 => "Subarachnoid hemorrhage" 1 => "negative angiography" 2 => "CT findings" 3 => "complications" 4 => "outcome" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizan retrospectivamente 258 casos consecutivos de hemorragia subaracnoidea idiopática, tratados durante los años 1974–1991; éstos representan el 34% del total de hemorragias subaracnoideas diagnosticadas en el mismo período. Se discuten los datos clínicos y radiológicos de ésta en entidad y se comparan con los de la hemorrragia subaracnoidea aneurismática, comprobándose una menor incidencia de complicaciones neurológicas (isquemia 8% y resangrado 6%) y una mejor evolución final (90,3% independientes y sólo un 5,4% de mortalidad) que en los pacientes con aneurisma. Asimismo, se analiza la distribución de sangre en las cisternas subaracnoideas, apreciándose una mayor afectación de las cisternas peritruncales (interpeduncular y ambiens). Se desaconseja repetir el estudio angiográfico si éste es completo y de buena calidad, pudiéndose repetir éste si existe resangrado, si el grado clínico inicial es malo, si hubo vasoespasmo en el estudio angiográfico, o si la TC al ingreso muestra una extensa distribución de sangre por cisternas basales.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A series of 258 cases of subarachnoid hemorrhage of unknown etiology (SAHUE) is analyzed. These cases represent 34% of the total cases of primary subarachnoid hemorrhage diagnosed during the same period. The clinical and radiological findings in patients with SAHUE are compared with those in patients with ruptured aneurysm. The most important neurological complications i.e., ischemia and rebleeding had a lower incidence in patients with SAHUE (8% and 6% respectively) and the final outcome was more favourable than in patients with ruptured aneurysm (90,3% of the patients recovered and only 5,4% died). The analysis of the location of extravasated blood in patients with SAHUE showed a preferent distribution in the interpeduncular and ambiens cisterns, in contrast to patients with ruptured aneurysms. Concerning misdiagnosis resulting from an overlooked aneurysm at initial angiography, we suggest that cerebral angiography should be repeated when 1) the initial study shows vasospasm, 2) when rebleeding occurs, 3) if the initial clinical grade is bad and, 4) when the initial CT sean shows diffuse subarachnoid bleeding through the basal cisterns.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez, P.A.; Rivas, J.J.; Lobato, R.D.; Cabrera, A.; Alday, R.; Castro, S.; Ortega, J.M.; Sandoval, H.; Lamas, E.: Hemorragia subaracnoidea idiopática. Estudio clínico de una serie de 258 casos. Neurocirugía 1992; 3: 197–205.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:57 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Year/Month | Html | Total | |
---|---|---|---|
2023 March | 4 | 1 | 5 |
2018 March | 0 | 1 | 1 |
2018 February | 18 | 22 | 40 |
2018 January | 16 | 21 | 37 |
2017 December | 13 | 28 | 41 |
2017 November | 54 | 53 | 107 |
2017 October | 13 | 25 | 38 |
2017 September | 17 | 35 | 52 |
2017 August | 17 | 37 | 54 |
2017 July | 14 | 34 | 48 |
2017 June | 19 | 55 | 74 |
2017 May | 31 | 43 | 74 |
2017 April | 19 | 40 | 59 |
2017 March | 9 | 45 | 54 |
2017 February | 4 | 38 | 42 |
2017 January | 29 | 21 | 50 |
2016 December | 38 | 26 | 64 |
2016 November | 32 | 25 | 57 |
2016 October | 40 | 40 | 80 |
2016 September | 44 | 34 | 78 |
2016 August | 64 | 31 | 95 |
2016 July | 41 | 44 | 85 |
2016 June | 1 | 0 | 1 |
2016 February | 3 | 0 | 3 |
2015 December | 3 | 0 | 3 |
2015 July | 3 | 7 | 10 |
2015 June | 10 | 18 | 28 |
2015 May | 20 | 17 | 37 |
2015 April | 13 | 24 | 37 |
2015 March | 17 | 24 | 41 |
2015 February | 21 | 16 | 37 |
2015 January | 16 | 19 | 35 |
2014 December | 14 | 23 | 37 |
2014 November | 29 | 22 | 51 |
2014 October | 17 | 31 | 48 |
2014 September | 12 | 18 | 30 |
2014 August | 18 | 25 | 43 |
2014 July | 20 | 24 | 44 |
2014 June | 14 | 29 | 43 |
2014 May | 26 | 27 | 53 |
2014 April | 19 | 25 | 44 |
2014 March | 14 | 28 | 42 |
2014 February | 13 | 23 | 36 |
2014 January | 10 | 21 | 31 |
2013 December | 12 | 20 | 32 |
2013 November | 15 | 25 | 40 |
2013 October | 17 | 14 | 31 |
2013 September | 20 | 18 | 38 |
2013 August | 16 | 22 | 38 |
2013 July | 23 | 24 | 47 |
2013 June | 12 | 19 | 31 |
2013 May | 15 | 22 | 37 |
2013 April | 8 | 28 | 36 |
2013 March | 11 | 30 | 41 |
2013 February | 14 | 20 | 34 |
2013 January | 18 | 17 | 35 |
2012 December | 8 | 19 | 27 |
2012 November | 0 | 24 | 24 |
2012 October | 0 | 4 | 4 |
2012 September | 0 | 3 | 3 |