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array:23 [ "pii" => "S1130147306703529" "issn" => "11301473" "doi" => "10.1016/S1130-1473(06)70352-9" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "70352" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2006" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2006;17:119-24" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1945 "formatos" => array:3 [ "EPUB" => 14 "HTML" => 1049 "PDF" => 882 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147306703530" "issn" => "11301473" "doi" => "10.1016/S1130-1473(06)70353-0" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "70353" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2006;17:125-31" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2254 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 1554 "PDF" => 682 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Meningiomas espinales" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "125" "paginaFinal" => "131" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. 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"apellidos" => "Martínez-Rumbo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703530?idApp=UINPBA00004B" "url" => "/11301473/0000001700000002/v1_201305151252/S1130147306703530/v1_201305151252/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147306703517" "issn" => "11301473" "doi" => "10.1016/S1130-1473(06)70351-7" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "70351" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2006;17:105-18" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1633 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 914 "PDF" => 701 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Resonancia magnética en trauma craneal moderado y grave: estudio comparativo de hallazgos en TC y RM. Características relacionadas con la presencia y localización de lesión axonal difusa en RM" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "105" "paginaFinal" => "118" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Magnetic Resonance in moderate and severe head injury: comparative study of CT and MR findings. Characteristics related to the presence and location of diffuse axonal injury in MR" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "A. Lagares, R. Alday, A. Pérez-Núñez, I. Arrese, J.F. Alén, B. Pascual, A. Kaen, P.A. Gómez, R.D. Lobato" "autores" => array:9 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Lagares" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Pérez-Núñez" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Arrese" ] 4 => array:2 [ "nombre" => "J.F." "apellidos" => "Alén" ] 5 => array:2 [ "nombre" => "B." "apellidos" => "Pascual" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Kaen" ] 7 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 8 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] ] ] 1 => array:2 [ "autoresLista" => "A. Ramos, F. Ballenilla" "autores" => array:2 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Ramos" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Ballenilla" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703517?idApp=UINPBA00004B" "url" => "/11301473/0000001700000002/v1_201305151252/S1130147306703517/v1_201305151252/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Delirio postoperatorio en pacientes neuroquirúrgicos: evaluación mediante el Test Mental Abreviado" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "119" "paginaFinal" => "124" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "J. Hernández-Palazón, P. Doménech-Asensi, S. Burguillos-López" "autores" => array:3 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Hernández-Palazón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Doménech-Asensi" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Burguillos-López" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Anestesiología y Reanimación. Hospital Universitario Virgen de la Arrixaca. Murcia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: San Ignacio de Loyola, 4 - 2°B. 30001 Murcia." ] ] ] 1 => array:3 [ "autoresLista" => "M.A. Pérez-Espejo, F. López-Hernández, J.F. Martínez-Lage" "autores" => array:3 [ 0 => array:3 [ "nombre" => "M.A." "apellidos" => "Pérez-Espejo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "López-Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.F." "apellidos" => "Martínez-Lage" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio Regional de Neurocirugía. Hospital Universitario Virgen de la Arrixaca. Murcia" "etiqueta" => "<span class="elsevierStyleSup">*.</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Postoperative delirium in patient neurosurgical: evaluation by means of the Abbreviated Mental Test" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-02-28" "fechaAceptado" => "2005-05-17" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159201" "palabras" => array:5 [ 0 => "<span class="elsevierStyleItalic">Delirium</span> postoperatorio" 1 => "Test Mental Abreviado" 2 => "Anestesia general" 3 => "Neurocirugía" 4 => "Craneotomía" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159199" "palabras" => array:2 [ 0 => "ASA" 1 => "AMT" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159200" "palabras" => array:5 [ 0 => "Postoperative <span class="elsevierStyleItalic">delirium</span>" 1 => "Abbreviated mental test" 2 => "General anesthesia" 3 => "Neurosurgery" 4 => "Craniotomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la incidencia y características de la alteración postoperatoria de las funciones cerebrales superiores en los pacientes sometidos a cirugía intracraneal electiva bajo anestesia general.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo de 60 pacientes ASA I-III, de edades comprendidas entre los 18 y 81 años, intervenidos quirúrgicamente por el Servicio de Neurocirugía de nuestro Hospital, distribuidos en dos grupos de 30 pacientes cada uno: grupo cirugía intracraneal, pacientes sometidos a cirugía por procesos intracraneales, y grupo cirugía extracraneal o grupo control, pacientes intervenidos de columna cervical o lumbar. Se registraron los datos demográficos de edad, sexo, peso, talla, así como hábitos, enfermedades coexistentes y medicación habitual. A todos los pacientes se les realizó el test mental abreviado (AMT) el día previo a la intervención quirúrgica y a las 2 y 24 horas del periodo postoperatorio. Todos los pacientes fueron sometidos a la misma técnica anestésica. Fueron excluidos los pacientes que presentaron un AMT preoperatorio ≤ 8.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No hubo diferencias en los datos demográficos, duración de la cirugía, estado físico ASA y consumo de alcohol y tabaco. No se hallaron diferencias significativas entre grupos en la puntuación media obtenida en el AMT realizado el día antes de la cirugía, que fue de 9,87<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0,35 para los pacientes sometidos a cirugía intracraneal y de 9,80<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.41 para los pacientes intervenidos de columna. Así mismo, no se observaron diferencias significativas entre los dos grupos en el AMT realizado a la 2 y 24 horas del postoperatorio: 4 de los pacientes sometidos a cirugía intracraneal presentaron una puntuación en el AMT ≤ 8 a las 2 horas de finalizada la cirugía, y 3 pacientes del mismo grupo, a las 24 horas del postoperatorio; tan solo 2 pacientes intervenidos de columna presentaron una puntuación en el AMT ≤ 8 a las 2 horas de finalizada la cirugía y ninguno a las 24 horas del postoperatorio.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Según los resultados obtenidos en este estudio podemos concluir que los pacientes sometidos a cirugía intracraneal no sufren alteraciones de la función cognitiva ni de la atención durante las primeras 24 horas del postoperatorio, evaluados mediante el AMT.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the incidence and characteristics of postoperative changes in the higher cerebral functions after elective intracranial surgery under general anesthesia.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This is a prospective study of 60 patients, aged 18–81 years, submitted to neurosurgical operations, allocated into two groups of 30 patients each: intracranial surgery group, patients submitted to craniotomy, and extracranial surgery group or control group, patients submitted to spinal procedures. All patients were given the Abbreviated Mental Test (AMT) on the day before to the operation, and then 2 and 24 hours after the end of the procedure. All individuals were managed with the same anesthetic technique.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">No differences in regard to demographics, duration of the operation, ASA physical state, and habits were found between the two groups. No differences in the pre-surgical and post-surgical AMT mean score were encountered between patients submitted to intracranial 9.87<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.35 or to spinal surgeries 9.80<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.41. Similarly, there were no significant differences between the two groups in the results of the AMT performed at 2 and 24 hours after the end of the surgeries. Only two subjects undergoing spinal procedures had a score of ≤ 8 in the AMT performed 2-hours after the operation, while none showed a decrease in the 24-hour test score.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Patients submitted to intracranial surgery did not show any changes in cognitive or attention functions during the first postoperative 24 hours as assessed by the AMT.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Hernández-Palazón, J.; Doménech-Asensi, P.; Pérez-Espejo, M.A.; López-Hernández, F.; Burguillos-López, S.; Martínez-Lage, J.F.: Delirio postoperatorio en pacientes neuroquirúrgicos: evaluación mediante el Test Mental Abreviado. Neurocirugía 2006; 17: 119–124.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Use of the abbreviated mental test to detect postoperative delirium in elderly people" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.Ní. Chonchubhair" 1 => "R. Valacio" 2 => "J. Kelly" 3 => "S. O’Keeffe" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Anaesth" "fecha" => "1995" "volumen" => "75" "paginaInicial" => "481" "paginaFinal" => "482" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7488492" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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