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Bárcena Orbe, J.M. Cañizal García, C. Mestre Moreira, B. Rivera Martín, C. Rodríguez Arias" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Bárcena Orbe" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Cañizal García" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Mestre Moreira" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Rivera Martín" ] 4 => array:2 [ "nombre" => "C." 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Casalots" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Salas" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Sánchez" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "González" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Casalots" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707694?idApp=UINPBA00004B" "url" => "/11301473/0000001000000006/v1_201305151018/S1130147399707694/v1_201305151018/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Absceso bulbar: Presentación de un caso y revisión de la literatura" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "466" "paginaFinal" => "470" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Lloret García, P. Moreno López" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Lloret García" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Moreno López" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital General Universitario de Alicante Servicio de Neurocirugía" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Brain stem abcess. Case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156833" "palabras" => array:4 [ 0 => "Abscesos cerebrales" 1 => "Abscesos de tronco cerebral" 2 => "Infecciones cerebrales" 3 => "Absceso bulbar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156832" "palabras" => array:4 [ 0 => "Brain Abscess" 1 => "Brain stem abscess" 2 => "Brain infections" 3 => "Medulla Abscess" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un paciente de 61 años, quien tras tres semanas de una rinitis alérgica, desarrolla un cuadro neurológico agudo de afectación bulbar y vías largas</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El cuadro clínico neurológico y la resonancia nuclear magnética dieron el diagnóstico de presunción. La paciente fue intervenida de urgencia mediante una craniectomía suboccipital y acceso microquirúrgico. Se aspiró un contenido purulento de una cavidad quística alargada que se extendía desde el bulbo a la unión bulbo medular. La evolución fue muy favorable y la enferma fue dada de alta con un pequeño déficit del nervio glosofaríngeo derecho que está recuperando paulatinamente. Se revisa la bibliografia y se discuten las distintas opciones terapéuticas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A case of solitary brain stem abscess in a 61-year old woman is presented. The clinical picture and the magnetic resonance imaging allowed the presumptive diagnosis to be made. The abscess was located in the medullar pars of the brain stem and was aspirated using a infratentorial approach. The patient was discharged with only a mild glosofaringeal nerve deficit as a residual signo Early accurate diagnosis and appropriate surgical management are especially important for successful treatment of this potentially fatal condition.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The literature is reviewed, and the role of microsurgical approach, stereotaxy or medical treatment is discussed.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Lloret García, J.; Moreno López, P.: Absceso bulbar: presentación de un caso y revisión de la literatura. Neurocirugía 1999; 10: 466–470.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibiliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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