Hematoma subdural crónico: drenaje versus expansion cerebral activa. Estudio comparativo
J.A. Gómez-Moreta, F. Morales, P. Díaz, J. Hernández, A. Maillo
Servicio de Neurocirugía. Hospital Virgen de la Vega. Salamanca
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"apellidos" => "Sánchez de Toledo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147392708859?idApp=UINPBA00004B" "url" => "/11301473/0000000300000003/v1_201305151419/S1130147392708859/v1_201305151419/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Hematoma subdural crónico: drenaje versus expansion cerebral activa. Estudio comparativo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "233" "paginaFinal" => "239" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.A. Gómez-Moreta, F. Morales, P. Díaz, J. Hernández, A. Maillo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "Gómez-Moreta" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Morales" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Díaz" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Hernández" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Maillo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Virgen de la Vega. Salamanca" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162285" "palabras" => array:3 [ 0 => "Hematoma subdural" 1 => "hematoma subdural crónico" 2 => "reexpansión cerebral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162284" "palabras" => array:3 [ 0 => "Subdural hematoma" 1 => "chronic subdural hematoma" 2 => "brain reexpansión" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan dos grupos de pacientes con hematoma subdural crónico (H.S.C.) que suman 64 casos, tratados mediante evacuación por trépanos seguida de expansión cerebral activa en el primero de ellos y drenaje contínuo en el segundo. El estudio demuestra que el último método disminuye la morbilidad inherente a la cirugía, confirmando al mismo tiempo que la mortalidad depende fundamentalmente de la situación clínica preoperatoria y no de la técnica utilizada. El seguimiento periódico de todos los casos, valorando los datos clínicos y la exploración TAC, confirma también que la reexpansión cerebral está en relación inversa a la edad y al grado neurológico preoperatorio, siendo menos importantes la presión existente en la cavidad subdural y la modalidad del tratamiento quirúrgico utilizado.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors analyze a series of 64 patients with chronic subdural hematoma who were classified into two groups on the basis of the surgical treatment: burr-hole evacuation followed by spinal injection of saline solution, or burr-hole evacuation followed by drainage of the subdural cavity. This prospective study shows that patients operated by the last procedure had less postoperative complications and confirms that mortality is mainly related to the patient's ncurological condition but not to the type of surgical thechnique employed. Postoperative C.T. controls, showed that brain reexpansion is inversely related to the patient's age an neurological grade, and poorly infIuenced by intracavitary pressure or type of surgery.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez-Moreta, J.A.; Morales, F.; Díaz, P.; Hernández, J.; Maillo, A.: Hematoma subdural crónico: drenaje versus expansión cerebral activa. Estudio comparativo. Neurocirugía 1992; 3: 233–239.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 1 | 1 | 2 |
| 2018 March | 0 | 2 | 2 |
| 2018 February | 18 | 21 | 39 |
| 2018 January | 18 | 16 | 34 |
| 2017 December | 16 | 43 | 59 |
| 2017 November | 66 | 37 | 103 |
| 2017 October | 10 | 23 | 33 |
| 2017 September | 21 | 30 | 51 |
| 2017 August | 16 | 24 | 40 |
| 2017 July | 9 | 28 | 37 |
| 2017 June | 33 | 74 | 107 |
| 2017 May | 20 | 27 | 47 |
| 2017 April | 23 | 26 | 49 |
| 2017 March | 27 | 22 | 49 |
| 2017 February | 17 | 24 | 41 |
| 2017 January | 17 | 15 | 32 |
| 2016 December | 37 | 18 | 55 |
| 2016 November | 26 | 24 | 50 |
| 2016 October | 33 | 38 | 71 |
| 2016 September | 51 | 37 | 88 |
| 2016 August | 64 | 26 | 90 |
| 2016 July | 47 | 29 | 76 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 1 | 3 | 4 |
| 2015 June | 7 | 43 | 50 |
| 2015 May | 15 | 37 | 52 |
| 2015 April | 17 | 40 | 57 |
| 2015 March | 14 | 37 | 51 |
| 2015 February | 16 | 37 | 53 |
| 2015 January | 14 | 41 | 55 |
| 2014 December | 13 | 41 | 54 |
| 2014 November | 10 | 53 | 63 |
| 2014 October | 16 | 75 | 91 |
| 2014 September | 14 | 87 | 101 |
| 2014 August | 8 | 52 | 60 |
| 2014 July | 11 | 66 | 77 |
| 2014 June | 11 | 46 | 57 |
| 2014 May | 14 | 61 | 75 |
| 2014 April | 6 | 34 | 40 |
| 2014 March | 11 | 53 | 64 |
| 2014 February | 19 | 52 | 71 |
| 2014 January | 11 | 40 | 51 |
| 2013 December | 16 | 39 | 55 |
| 2013 November | 17 | 41 | 58 |
| 2013 October | 21 | 67 | 88 |
| 2013 September | 20 | 34 | 54 |
| 2013 August | 18 | 28 | 46 |
| 2013 July | 21 | 26 | 47 |
| 2013 June | 22 | 26 | 48 |
| 2013 May | 26 | 39 | 65 |
| 2013 April | 18 | 48 | 66 |
| 2013 March | 9 | 28 | 37 |
| 2013 February | 18 | 27 | 45 |
| 2013 January | 15 | 18 | 33 |
| 2012 December | 9 | 21 | 30 |
| 2012 November | 0 | 7 | 7 |
| 2012 October | 0 | 2 | 2 |
| 2012 September | 0 | 2 | 2 |
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