Anatomía quirúrgica de la porción cisternal del IV par craneal
Surgical anatomy of the cisternal segment of the trochlear nerve
E. Urculo Bareño
Sección de Neurocirugía. Hospital de Guipúzcoa. San Sebastián
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Bini" "autores" => array:1 [ 0 => array:2 [ "nombre" => "W." "apellidos" => "Bini" ] ] ] 1 => array:2 [ "autoresLista" => "O. Speck, Th. Thiel, J. Hennig" "autores" => array:3 [ 0 => array:2 [ "nombre" => "O." "apellidos" => "Speck" ] 1 => array:2 [ "nombre" => "Th." "apellidos" => "Thiel" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Hennig" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147397710273?idApp=UINPBA00004B" "url" => "/11301473/0000000800000003/v1_201305151502/S1130147397710273/v1_201305151502/en/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Anatomía quirúrgica de la porción cisternal del IV par craneal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "163" "paginaFinal" => "170" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "E. Urculo Bareño" "autores" => array:1 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Urculo Bareño" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Neurocirugía. Hospital de Guipúzcoa. San Sebastián" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical anatomy of the cisternal segment of the trochlear nerve" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163153" "palabras" => array:4 [ 0 => "Nervio craneal" 1 => "Nervio troclear" 2 => "Abordaje subtemporal transtentorial" 3 => "Anatomía quirúrgica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163152" "palabras" => array:4 [ 0 => "Cranial nerve" 1 => "Trochlear nerve" 2 => "Subtemporal transtentorial approach" 3 => "Surgical anatomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En este artículo se presentan los resultados de un estudio anatómico de la porción cisternal del nervio troclear, realizado sobre 10 cadáveres de adultos. Se destacan los aspectos anatómicos de interés quirúrgico en relación a la trayectoria cisternal del IV par craneal, dividiéndolo en dos segmentos: un segmento inicial o cerebelo-mesencefálico y un segmento distal o tentorial.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El largo recorrido cisternal del nervio troclear (35 s.d. 5<span class="elsevierStyleHsp" style=""></span>mm), sus adherencias aracnoideas, su delgadez (0.7-1<span class="elsevierStyleHsp" style=""></span>mm de grosor) y su localización infratentorial (en estrecha relación con la cara inferior de la tienda del cerebelo), son características anatómicas que le hacen ser un nervio potencialmente frágil y de inadvertida lesión durante las maniobras quirúrgicas de acceso a la amplia región de la incisura tentorial, especialmente durante los abordajes subtemporales transtentoriales.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In this paper the author describes the results of an anatomical study of the cisternal segment of the trochlear nerve, performed on 10 adults cadavers. The anatomical aspects of surgical interest are emphasized in relation to the cisternal course of the 4 th cranial nerve, dividing it into two segments: an initial or cerebellomesencephalic segment and a distal or tentorial segmento</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The long cisternal course of the trochlear nerve (35 s.d. 5<span class="elsevierStyleHsp" style=""></span>mm), its arachnoidal attachments, its thinness (0.7–1<span class="elsevierStyleHsp" style=""></span>mm thick) and its infratentorial position (in close relationship with the inner face of the tentorium cerebelli), are anatomical features that make it a potentially fragile nerve which may be inadvertently damaged during surgical manipulation to the region of the tentorial incisure, especially during transtentorial subtemporal approaches.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Urculo Bareño, E.: Anatomía quirúrgica de la porción cisternal del IV par craneal. Neurocirugía 1997; 8: 163–170.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:50 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trochlear nerve neurinoma associated with a giant thrombosed dissecting aneurysm of the contralateral vertebral artery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Abe" 1 => "T. Iwata" 2 => "M. Shimazu" 3 => "K. Matsumoto" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg Neurol" "fecha" => "1994" "volumen" => "42" "paginaInicial" => "438" "paginaFinal" => "441" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7974152" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 4 | 2 | 6 |
| 2021 February | 0 | 1 | 1 |
| 2018 February | 21 | 14 | 35 |
| 2018 January | 10 | 17 | 27 |
| 2017 December | 11 | 20 | 31 |
| 2017 November | 17 | 25 | 42 |
| 2017 October | 10 | 25 | 35 |
| 2017 September | 9 | 21 | 30 |
| 2017 August | 13 | 28 | 41 |
| 2017 July | 13 | 34 | 47 |
| 2017 June | 21 | 51 | 72 |
| 2017 May | 24 | 32 | 56 |
| 2017 April | 21 | 33 | 54 |
| 2017 March | 26 | 43 | 69 |
| 2017 February | 10 | 21 | 31 |
| 2017 January | 11 | 16 | 27 |
| 2016 December | 29 | 26 | 55 |
| 2016 November | 22 | 42 | 64 |
| 2016 October | 17 | 40 | 57 |
| 2016 September | 46 | 45 | 91 |
| 2016 August | 46 | 32 | 78 |
| 2016 July | 25 | 23 | 48 |
| 2016 May | 3 | 0 | 3 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 2 | 12 | 14 |
| 2015 June | 31 | 26 | 57 |
| 2015 May | 53 | 40 | 93 |
| 2015 April | 36 | 35 | 71 |
| 2015 March | 38 | 25 | 63 |
| 2015 February | 30 | 38 | 68 |
| 2015 January | 38 | 24 | 62 |
| 2014 December | 36 | 24 | 60 |
| 2014 November | 27 | 39 | 66 |
| 2014 October | 35 | 39 | 74 |
| 2014 September | 14 | 37 | 51 |
| 2014 August | 21 | 45 | 66 |
| 2014 July | 17 | 39 | 56 |
| 2014 June | 29 | 41 | 70 |
| 2014 May | 31 | 43 | 74 |
| 2014 April | 34 | 33 | 67 |
| 2014 March | 56 | 46 | 102 |
| 2014 February | 20 | 34 | 54 |
| 2014 January | 22 | 48 | 70 |
| 2013 December | 19 | 31 | 50 |
| 2013 November | 17 | 25 | 42 |
| 2013 October | 19 | 29 | 48 |
| 2013 September | 23 | 33 | 56 |
| 2013 August | 31 | 49 | 80 |
| 2013 July | 24 | 36 | 60 |
| 2013 June | 18 | 30 | 48 |
| 2013 May | 21 | 27 | 48 |
| 2013 April | 17 | 28 | 45 |
| 2013 March | 14 | 39 | 53 |
| 2013 February | 10 | 27 | 37 |
| 2013 January | 23 | 21 | 44 |
| 2012 December | 4 | 17 | 21 |
| 2012 November | 1 | 18 | 19 |
| 2012 October | 0 | 6 | 6 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 9 | 0 | 9 |
Show all
