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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Generally&#44; high-grade gliomas and head and neck tumors have decreased loco-regional blood flow resulting in reduced delivery of chemotherapy and oxygen&#44; as well as an increases in radiation resistance to radiotherapy&#46; The aim of this study was to analyze the effect of cervical spinal cord electrical stimulation &#40;cSCS&#41; on cerebral blood flow in patients with those tumors&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We have evaluated 27 cancer patients with 12 with high grade gliomas and 15 with advanced head and neck tumors&#44; who had cSCS devices placed after tumor diagnoses and before the commencementinitiating of radio-chemotherapy&#46; They were 12 high grade gliomas and 15 advanced head and neck tumors&#46; Before and after cSCS&#44; cerebral blood flow was assessed bilaterally by transcranial Doppler&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">During cSCS there was a significant &#40;p&#60;0&#46;001&#41; increase in systolic &#40;mean &#62;22&#37;&#41; and diastolic &#40;&#62;29&#37;&#41; blood-flow velocities in both&#44; healthy and tumor middle cerebral arteries&#46; The analyses by subgroup of tumors showed similarly significant outcomesfindings&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results suggest that neuro-stimulationspinal cord electrical stimulation can increase cerebral blood flow in cancer patients&#46; The implication is that this technique could be useful in modifying locoregional ischemia in brain tumors thus improveing the outcomes of after radio-chemotherapy&#46; Further research is in progress to confirm the advantages of the technique&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los gliomas de alto grado y los tumores avanzados de cabeza y cuello generalmente tienen un flujo sangu&#237;neo disminuido&#46; Esto produce una disminuci&#243;n de la llegada de quimioterapia agentes quimioter&#225;picos y ox&#237;geno&#44; lo que lleva a un aumento de la resistencia a la radioterapia y a la quimioterapia&#46; El objetivo de este estudio fue analizar el efecto de la electroestimulaci&#243;n epidural de la m&#233;dula espinal cervical &#40;EME&#41; sobre el flujo cerebral en pacientes con esos tumores&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Hemos evaluado 27 pacientes oncol&#243;gicos portando dispositivos de EME&#44; que fueron colocados despu&#233;s del diagn&#243;stico y antes de empezar el tratamiento con radio-quimioterapia&#46; Se trata de 12 pacientes con gliomas de alto grado y 15 pacientes con tumores avanzados de cabeza y cuello&#46; Antes y despu&#233;s de la EME se determin&#243; bilateralmente el flujo sangu&#237;neo en las arterias cerebrales medias mediante Doppler transcraneal&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Durante la EME se produjo un aumento significativo &#40;p&#60;0&#46;001&#41; de la velocidad sist&#243;lica &#40;mean media &#8805;22&#37;&#41; y diast&#243;lica &#40;&#8805;29&#37;&#41; del flujo en la arteria cerebral media&#44; tanto del hemisferio ipsilateral al tumor como del hemisferio sano&#46; El an&#225;lisis por subgrupos de tumores mostr&#243; tambi&#233;n resultados semejantes&#46;</p> <span class="elsevierStyleSectionTitle">Discusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Los resultados sugieren que la EME es capaz de aumentar el flujo sangu&#237;neo cerebral en pacientes oncol&#243;gicos&#46; La principal implicaci&#243;n de este hallazgo ser&#237;a su potencial utilidad para modificar la isquemia local y regional de los tumores cerebrales&#44; y as&#237; intentar mejorar el efecto de la radioterapia y quimioterapia&#46; Est&#225;n en marcha estudios adicionales para confirmar los potenciales efectos beneficiosos de la t&#233;cnica&#46;</p>"
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