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array:22 [ "pii" => "S1130147397710261" "issn" => "11301473" "doi" => "10.1016/S1130-1473(97)71026-1" "estado" => "S300" "fechaPublicacion" => "1997-01-01" "aid" => "71026" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1997" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1997;8:163-70" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2920 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 1230 "PDF" => 1674 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147397710273" "issn" => "11301473" "doi" => "10.1016/S1130-1473(97)71027-3" "estado" => "S300" "fechaPublicacion" => "1997-01-01" "aid" => "71027" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1997;8:171-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1576 "formatos" => array:3 [ "EPUB" => 19 "HTML" => 1020 "PDF" => 537 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Grading and therapy monitoring of astrocytomas with 1H spectroscopy" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "171" "paginaFinal" => "177" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Grado de diferenciación y control terapéutico de astrocitomas mediante lH espectroscopía" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "W. 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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