Hematomas cerebelosos
Cerebellar haematomas
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Cardona, J. Molet, P. Parés, V. Gilete, F. Bartumeus" "autores" => array:5 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Cardona" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Molet" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Parés" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Gilete" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Bartumeus" ] ] ] 1 => array:2 [ "autoresLista" => "B. Oliver, P. Tresserras" "autores" => array:2 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Oliver" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Tresserras" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739870716X?idApp=UINPBA00004B" "url" => "/11301473/0000000900000001/v1_201305151507/S113014739870716X/v1_201305151507/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Hematomas cerebelosos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "26" "paginaFinal" => "34" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "V. Vanaclocha" "autores" => array:1 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Vanaclocha" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía y Neurología. Universitaria de Navarra, Pamplona" ] ] ] 1 => array:3 [ "autoresLista" => "N. Saiz-Sapena, J. Kay de Villiers" "autores" => array:2 [ 0 => array:3 [ "nombre" => "N." "apellidos" => "Saiz-Sapena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Kay de Villiers" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Anestesia de la Clínica Universitaria de Navarra, Pamplona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Departamento de Neurocirugía del Groote Schuur. Hospital de Ciudad del Cabo, Sudráfrica" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cerebellar haematomas" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163243" "palabras" => array:2 [ 0 => "Hematomas cerebelosos" 1 => "Hidrocefalia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163242" "palabras" => array:2 [ 0 => "Cerebellar haematomas" 1 => "Hydrocephalus" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los hematomas de cerebelo representan una patología especial dentro de los hematomas intracraneales. Dadas las exiguas dimensiones de la fosa posterior determinan con frecuencia compresión precoz del neuroeje y de las vías de drenaje del líquido cefalo-raquídeo. Es por ello que un diagnóstico y tratamiento adecuados son vitales para obtener los mejores resultados clínicos. Aquí presentamos nuestra serie de 23 casos con la evolución seguida y los tratamientos aplicados, con la finalidad de evaluar la mejor actitud terapéutica a indicar según el estado del paciente y el tamaño del hematoma. Como conclusiones de nuestro estudio diremos que en los hematomas de tamaño comprendido entre 2.5 y 3.5<span class="elsevierStyleHsp" style=""></span>cm de diámetro el drenaje ventricular suele ser suficiente para evitar el empeoramiento del enfermo por hidrocefalia, mieptras que el tratamiento de los hematomas de más de 3.5<span class="elsevierStyleHsp" style=""></span>cm de diámetro debe incluir drenaje ventricular y la evacuación del hematoma mediante craniectomía suboccipital. A diferencia de los hematomas de los ganglios basales, la calidad de vida de los supervivientes suele ser buena en la mayoría de los casos, quedando con déficits neurológicos de poca magnitud (ataxia e incoordinación) pero son indispensables un diagnóstico y tratamiento adecuados.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cerebellar haematomas are a special subgroup of intracranial haematomas. Due to the reduced dimensions of the posterior fossa they soon determine early compression of the brain-stem and CSF pathways. Thus a correct diagnosis and treatment are vital to archieve the best clinical results. Herewith we present our series of 23 cases together with their clinical course and the treatment applied, with the aim to analyse the best therapeutic approach to be recommended according to the clinical status of the patient and the size of the haematoma. We would summarise our results saying that in haematomas with a size between 2.5 and 3.5<span class="elsevierStyleHsp" style=""></span>cm in diameter the ventricular drainage is usually enough to prevent the deterioration of the patient due to hydrocephalus, while de treatment of haematomas bigger than 3.5<span class="elsevierStyleHsp" style=""></span>cm in diameter should include ventricular drainage plus haematoma removal through a posterior fossa craniectomy. Contrary to the haematomas in the basal ganglia, the quality of life of the survivors is usually good in the great majority of the cases, remaining neurological deficits of little entity (ataxia and incoordination), but is vital to do a correct diagnosis and treatment).</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vanaclocha, V.; Saiz-Sapena, N.; Kay de Villiers, J.: Hematomas cerebelosos. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 3 | 6 |
| 2022 April | 0 | 2 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 September | 1 | 1 | 2 |
| 2018 March | 1 | 5 | 6 |
| 2018 February | 50 | 55 | 105 |
| 2018 January | 40 | 44 | 84 |
| 2017 December | 53 | 22 | 75 |
| 2017 November | 84 | 114 | 198 |
| 2017 October | 62 | 73 | 135 |
| 2017 September | 60 | 76 | 136 |
| 2017 August | 47 | 56 | 103 |
| 2017 July | 63 | 77 | 140 |
| 2017 June | 77 | 71 | 148 |
| 2017 May | 98 | 94 | 192 |
| 2017 April | 47 | 74 | 121 |
| 2017 March | 48 | 96 | 144 |
| 2017 February | 130 | 144 | 274 |
| 2017 January | 38 | 138 | 176 |
| 2016 December | 59 | 86 | 145 |
| 2016 November | 113 | 124 | 237 |
| 2016 October | 79 | 160 | 239 |
| 2016 September | 181 | 201 | 382 |
| 2016 August | 194 | 198 | 392 |
| 2016 July | 106 | 174 | 280 |
| 2015 December | 2 | 0 | 2 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 4 | 8 | 12 |
| 2015 June | 35 | 38 | 73 |
| 2015 May | 48 | 69 | 117 |
| 2015 April | 27 | 49 | 76 |
| 2015 March | 44 | 45 | 89 |
| 2015 February | 28 | 48 | 76 |
| 2015 January | 36 | 43 | 79 |
| 2014 December | 35 | 44 | 79 |
| 2014 November | 39 | 32 | 71 |
| 2014 October | 55 | 51 | 106 |
| 2014 September | 47 | 44 | 91 |
| 2014 August | 51 | 41 | 92 |
| 2014 July | 59 | 28 | 87 |
| 2014 June | 58 | 42 | 100 |
| 2014 May | 54 | 60 | 114 |
| 2014 April | 45 | 35 | 80 |
| 2014 March | 47 | 33 | 80 |
| 2014 February | 52 | 34 | 86 |
| 2014 January | 56 | 32 | 88 |
| 2013 December | 62 | 40 | 102 |
| 2013 November | 78 | 26 | 104 |
| 2013 October | 38 | 30 | 68 |
| 2013 September | 40 | 33 | 73 |
| 2013 August | 28 | 28 | 56 |
| 2013 July | 36 | 29 | 65 |
| 2013 June | 27 | 22 | 49 |
| 2013 May | 32 | 28 | 60 |
| 2013 April | 28 | 27 | 55 |
| 2013 March | 29 | 20 | 49 |
| 2013 February | 33 | 12 | 45 |
| 2013 January | 17 | 7 | 24 |
| 2012 December | 12 | 15 | 27 |
| 2012 November | 2 | 12 | 14 |
| 2012 October | 0 | 2 | 2 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 10 | 0 | 10 |
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