Valor del registro neurofisiológico en la cirugía de la enfermedad de Parkinson. Estudio preliminar
The significance of microelectrode recording in Parkinson's disease surgery
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Estudio preliminar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "226" "paginaFinal" => "232" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "F. Seijo, J.M. Moreno" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Seijo" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Moreno" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Central de Asturias. Oviedo" ] ] ] 1 => array:3 [ "autoresLista" => "F. Fernández González, C. Salvador, L. Menéndez-Guisasola" "autores" => array:3 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Fernández González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Salvador" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "L." "apellidos" => "Menéndez-Guisasola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neurofisiología Clínica. Hospital Central de Asturias. Oviedo" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Neurología I y II. Hospital Central de Asturias. Oviedo" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The significance of microelectrode recording in Parkinson's disease surgery" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156692" "palabras" => array:5 [ 0 => "Palidotomía" 1 => "Talamotomía" 2 => "Semiregistro cerebral" 3 => "Estereotaxia" 4 => "Enfermedad de Parkinson" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156693" "palabras" => array:5 [ 0 => "Pallidotomy" 1 => "Thalamotomy" 2 => "Microelectrode recording" 3 => "Stereotactic surgery" 4 => "Parkinson's disease" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Debido a que no existe un método radiológico que nos permita determinar con total seguridad el punto diana óptimo para la cirugía de la enfermedad de Parkinson y que por otro lado se sabe, que los mejores resultados en dicha cirugía se obtienen lesionando el conjunto celular del núcleo ventral intermedio del tálamo o del pálido medial, el objetivo de este trabajo, es valorar la exactitud de las coordenadas calculadas mediante la imagen radiológica de la tomografía axial computarizada craneal (TAC craneal) con respecto a las obtenidas mediante el registro intracerebral con semielectrodo. A 14 pacientes se les practicó 6 palidotomías, 4 talamotomías y 4 implantes de electrodo para estimulación cerebral profunda (DBS) mediante cirugía estereotáxica y monitorización con registros intracerebrales. Las diferencisa entre la∼ coordenadas estereotáxicas obtenidas mediante la imagen de la TAC craneal y las del registro neurofisiológico fueron para la palidotomía de X: 2<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm y Z: 1.1<span class="elsevierStyleHsp" style=""></span>mm y para la talamotomía/implante de DBS de X: 1.5<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm y Z: Omm. Las mayores diferencias se obtuvieron en la palidotomía, en especial, para la coordenada X, y las menores para la talamotomía, especialmente en la coordenada Z. La mayor diferencia individual se obtuvo en un paciente sometido a palidotomía en el que se evidenció una diferencia en las coordenadas de X: 3<span class="elsevierStyleHsp" style=""></span>mm, Y: 2.5<span class="elsevierStyleHsp" style=""></span>mm y Z: 5<span class="elsevierStyleHsp" style=""></span>mm. En otro paciente al que se le realizó una talamotomía no existió diferencia ninguna en las tres coordenadas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The aim of this work is to analyse the accuracy of the coordinates calculated by means of computed tomography (CT) as compared with those obtained by electrophysiological intracerebral recording with a semi- electrode. Fourteen stereotactic operations have been performed: six pallidotomies, four thalamotomies and four electrode implants for deep brain intracerebral stimulation (DBS) by using intraoperative neurophysiological monitorization. The differences between the stereotactic coordinates obtained by means of CT and by means of the neurophysiological search were, X: 2<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm, Z: 1.1<span class="elsevierStyleHsp" style=""></span>mm for pallidotomy, and X: 1.5<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm and Z: Omm for thalamotomy/DBS implanto The major differences were obtained in the X coordinate for pallidotomy, and the minor in the Z coordinate for thalamotomy/DBS implanto</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Seijo, F.; Fernández González, F.; Moreno, J.M.; Salvador, C.; Menéndez-Guisasola, L.: Valor del registro neurofisiológico en la cirugía de la enfermedad de Parkinson. Estudio preliminar. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 1 | 3 | 4 |
| 2018 September | 0 | 2 | 2 |
| 2018 February | 22 | 11 | 33 |
| 2018 January | 22 | 13 | 35 |
| 2017 December | 13 | 15 | 28 |
| 2017 November | 38 | 17 | 55 |
| 2017 October | 13 | 9 | 22 |
| 2017 September | 7 | 10 | 17 |
| 2017 August | 14 | 8 | 22 |
| 2017 July | 9 | 8 | 17 |
| 2017 June | 17 | 24 | 41 |
| 2017 May | 17 | 14 | 31 |
| 2017 April | 19 | 6 | 25 |
| 2017 March | 19 | 13 | 32 |
| 2017 February | 2 | 9 | 11 |
| 2017 January | 10 | 8 | 18 |
| 2016 December | 27 | 15 | 42 |
| 2016 November | 20 | 6 | 26 |
| 2016 October | 27 | 21 | 48 |
| 2016 September | 37 | 25 | 62 |
| 2016 August | 48 | 27 | 75 |
| 2016 July | 29 | 15 | 44 |
| 2016 June | 2 | 0 | 2 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 0 | 9 | 9 |
| 2015 September | 0 | 14 | 14 |
| 2015 August | 3 | 0 | 3 |
| 2015 July | 0 | 5 | 5 |
| 2015 June | 10 | 10 | 20 |
| 2015 May | 22 | 17 | 39 |
| 2015 April | 16 | 9 | 25 |
| 2015 March | 9 | 18 | 27 |
| 2015 February | 10 | 15 | 25 |
| 2015 January | 10 | 13 | 23 |
| 2014 December | 13 | 12 | 25 |
| 2014 November | 15 | 11 | 26 |
| 2014 October | 17 | 15 | 32 |
| 2014 September | 14 | 23 | 37 |
| 2014 August | 12 | 27 | 39 |
| 2014 July | 13 | 19 | 32 |
| 2014 June | 16 | 26 | 42 |
| 2014 May | 17 | 21 | 38 |
| 2014 April | 11 | 15 | 26 |
| 2014 March | 14 | 25 | 39 |
| 2014 February | 11 | 20 | 31 |
| 2014 January | 11 | 13 | 24 |
| 2013 December | 12 | 13 | 25 |
| 2013 November | 12 | 16 | 28 |
| 2013 October | 14 | 16 | 30 |
| 2013 September | 24 | 16 | 40 |
| 2013 August | 28 | 23 | 51 |
| 2013 July | 18 | 16 | 34 |
| 2013 June | 18 | 15 | 33 |
| 2013 May | 12 | 20 | 32 |
| 2013 April | 12 | 12 | 24 |
| 2013 March | 21 | 14 | 35 |
| 2013 February | 8 | 10 | 18 |
| 2013 January | 17 | 9 | 26 |
| 2012 December | 14 | 15 | 29 |
| 2012 November | 1 | 11 | 12 |
| 2012 October | 0 | 5 | 5 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 8 | 0 | 8 |
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