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array:22 [ "pii" => "S1130147306703311" "issn" => "11301473" "doi" => "10.1016/S1130-1473(06)70331-1" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "70331" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2006" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2006;17:303-16" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2344 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 1564 "PDF" => 763 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147306703323" "issn" => "11301473" "doi" => "10.1016/S1130-1473(06)70332-3" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "70332" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2006;17:317-23" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1552 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 856 "PDF" => 678 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Malformaciones arteriovenosas intracraneales y radiocirugía con LINAC: artículo de revisión" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "317" "paginaFinal" => "323" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intracranial arteriovenous malformations and radiosurgery with LINAC: review article" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "S. Moreno-Jiménez, M.A. Celis-López, L. Herrera-Gómez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Moreno-Jiménez" ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "Celis-López" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Herrera-Gómez" ] ] ] 1 => array:2 [ "autoresLista" => "J.M. Lárraga-Gutiérrez, J.J. Suárez-Campos, A. García-Garduño, M. Hernández-Bojórquez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Lárraga-Gutiérrez" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Suárez-Campos" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "García-Garduño" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Hernández-Bojórquez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703323?idApp=UINPBA00004B" "url" => "/11301473/0000001700000004/v1_201305151256/S1130147306703323/v1_201305151256/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Aneurismas de la región de la arteria oftálmica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "303" "paginaFinal" => "316" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S.D. Vega-Basulto, F.G. Gutiérrez-Muñoz, G. Mosquera-Betancourt, F. Rivero-Truit, S.A. Vega-Trenado" "autores" => array:5 [ 0 => array:3 [ "nombre" => "S.D." "apellidos" => "Vega-Basulto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F.G." "apellidos" => "Gutiérrez-Muñoz" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Mosquera-Betancourt" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Rivero-Truit" ] 4 => array:2 [ "nombre" => "S.A." "apellidos" => "Vega-Trenado" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Manuel Ascunce Doménech. Camagüey. Cuba" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Domingo Puentes 5, La Caridad, Camagüey 70300, Cuba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ophthalmic artery aneurysms" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-06-06" "fechaAceptado" => "2005-11-22" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159323" "palabras" => array:5 [ 0 => "Aneurismas intracraneales" 1 => "Aneurismas de la arteria oftálmica" 2 => "Arteria carótida interna" 3 => "Aneurismas gigantes" 4 => "Técnica de descompresión succión retrógrada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159324" "palabras" => array:5 [ 0 => "Intracranial aneurysms" 1 => "Ophthalmic aneurysms" 2 => "Internal carotid artery" 3 => "Giant aneurysms" 4 => "Retrograde decompression-suction technique" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los aneurismas de la arteria oftálmica son lesiones poco frecuentes y con particularidades específicas.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentar las características anatomoclínicas, quirúrgicas y los resultados del tratamiento microquirúrgico de nuestros pacientes con aneurismas de esta región.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">604 pacientes con aneurismas intracraneales fueron llevados al quirófano entre enero de 1982 y diciembre del 2004. Hubo 50 pacientes con aneurismas de la región de la arteria oftálmica. El promedio de edad fue de 52 años, el 80% fueron mujeres, el 60% presentaban aneurismas múltiples y un 20% gigantes. El 12% poseían lesiones aneurismáticas bilaterales. El 20% de los aneurismas fueron incidentales. El 50% tenían manifestaciones oftalmológicas y la frecuencia se elevó al 100% en los aneurismas grandes y gigantes. El 16% de los trastornos visuales fueron ignorados o confundidos inicialmente. En aneurismas múltiples empleamos la ruta pterional uni o bilateral asociada a otros abordajes. En los aneurismas oftálmicos grandes o gigantes utilizamos la técnica de descompresión-succión retrógrada modificada.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Treinta pacientes (60%) obtuvieron una recuperación completa, catorce pacientes (28%) una recuperación incompleta y dos incapacidad grave. No hubo pacientes en estado vegetativo. Hubo cuatro fallecidos (8%). El 50% de los déficit postoperatorios desaparecieron y el 64% de los trastornos visuales mejoraron a los tres meses.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El método microquirúrgico permitió tratar aneurismas de la región de la arteria oftálmica únicos, múltiples, bilaterales, grandes y gigantes con buena recuperación de los déficit neurológicos y de los trastornos visuales.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Ophthalmic artery aneurysms are infrequent lesions and they have very specific particularities.</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">to present the anatomoclinical and surgical characteristic of our patients with ophthalmic aneurysms and to analyze our surgical results.</p> <span class="elsevierStyleSectionTitle">Patient and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">604 patients with intracranial aneurysms were operated on between January 1982 and December 2004. There were 50 patients with ophthalmic artery aneurysms. Average age was 52 years, 80% were women, 60% harbored multiple aneurysms and 20% were giant lesions. 12% had bilateral ophthalmic aneurysms. 20% of ophthalmic aneurysms were incidental. 50% had ophthalmological manifestations; howewer, this presentation occurred in 100% of the patients with large and giant aneurysms. Initially, 12% of ophthalmologic disorders were missed. We utilized unilateral or bilateral pterional approach associated to others in multiple aneurysms. We performed retrograde decompression- suction technique modified for large and giant aneurysms.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Thirty patients (60%) obtained a complete recovery, fourteen patients (28%) an incomplete recovery and two were seriously disabled. There were not patients in vegetative state. There were four deaths (8%). 50% of postoperatory deficits disappeared and 64% of ophthalmologic disorders improved three months later.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Microsurgical method allowed to treat unique, multiple, bilateral, large and giant ophthalmic aneurysms with good recovery of neurological and visual deficits.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vega-Basulto, S.D.; Gutiérrez-Muñoz, F.G.; Mosquera- Betancourt, G.; Rivero-Truit, F.; Vega-Trenado, S.A.: Aneurismas de la región de la arteria oftálmica. Neurocirugía 2006; 17: 303–316.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:62 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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