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array:22 [ "pii" => "S1130147397710388" "issn" => "11301473" "doi" => "10.1016/S1130-1473(97)71038-8" "estado" => "S300" "fechaPublicacion" => "1997-01-01" "aid" => "71038" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1997" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1997;8:84-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3519 "formatos" => array:3 [ "EPUB" => 19 "HTML" => 891 "PDF" => 2609 ] ] "itemSiguiente" => array:18 [ "pii" => "S113014739771039X" "issn" => "11301473" "doi" => "10.1016/S1130-1473(97)71039-X" "estado" => "S300" "fechaPublicacion" => "1997-01-01" "aid" => "71039" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1997;8:90-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1853 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 853 "PDF" => 984 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Resultados de la estimulación eléctrica sobre los cordones dorsales medulares para el alivio del dolor neurogénico" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "90" "paginaFinal" => "94" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "F. Seijo, J. Moreno, C. Alvarez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Seijo" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Moreno" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Alvarez" ] ] ] 1 => array:2 [ "autoresLista" => "J.M. López" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "López" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739771039X?idApp=UINPBA00004B" "url" => "/11301473/0000000800000002/v1_201305151500/S113014739771039X/v1_201305151500/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Epilepsía asociada a cavernomas: Resultado quirúrgico a largo plazo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "84" "paginaFinal" => "89" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Vaquero, F. de Prado, M. Pedrosa, A. Parajón" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "de Prado" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Pedrosa" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Parajón" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía del Hospital Universitario Clínica Puerta de Hierro. Unidad de Investigación en Neurociencias de la Fundación Mapfre-Medicina. Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163103" "palabras" => array:3 [ 0 => "Epilepsía" 1 => "Cavernoma cerebral" 2 => "Angioma cavernoso" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163104" "palabras" => array:3 [ 0 => "Epilepsy" 1 => "Cerebral cavernoma" 2 => "Cavernous angioma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio retrospectivo sobre una serie de 21 pacientes sometidos a cirugía para extirpación de un cavernoma supratentorial, con la finalidad de establecer los factores clínicos relacionabies con el mejor o peor resultado en cuanto a resolución de las crisis. Tras un seguimiento mínimo de cinco años, el 57% de los pacientes se habían beneficiado del tratamiento quirúrgico (el 38% se encontraba libre de crisis y el 19% habían experimentado una clara reducción en su frecuencia). Sin embargo, al relacionar estos resultados con el tiempo transcurrido entre el comienzo de las crisis y el momento de la intervención, se apreció que el 73% de los pacientes que fueron intervenidos antes de un año tras el comienzo de las crisis se encontraba totalmente libre de epilepsía y sin medicación, el 9% había tenido una reducción significativa en la frecuencia de las crisis, pero continuaba aún con medicación y en el 18% de los casos la frecuencia de las crisis no se había modificado significativamente. Por el contrario, en el grupo de pacientes con una historia previa a la cirugía superior al año, ningún paciente estaba libre de epilepsía, aunque en el 30% de los casos se había obtenido una reducción en la frecuencia de las crisis. Estos datos sugieren que cuando se plantea la extirpación de un cavernoma cerebral para control de crisis epilépticas, el tiempo transcurrido entre el comienzo de las crisis y el momento de la cirugía representa el principal factor pronóstico del resultado funcional, independientemente de otros factores, tales como tamaño o localización del cavernoma.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective study of 21 patients that were submitted to surgery for removal of a supratentorial cavernoma is performed, in order to establish the clinical factors associated to a better or worse prognosis of the seizures after the surgery. After a clinical follow-up at least of five years, 57% of the patients showed a positive effect of the surgery (38% was free of epilepsy and 19% showed reduction in the frequency of their seizures). When the time elapsed among the beginning of the seizures and the moment of the surgery was considered, 73% of patients with seizure histories lasting lesser than one year previous to surgery was found totally free of epilepsy and without antiepileptic medication, and 9% showed a reduction in the frequency of their seizures, continuing with medication. On the contrary, in the group of patients with preoperative seizure histories lasting more than one year previous to the surgery, 30% of the patients was improved, but no patient was free of epilepsy. These data suggest that better results, with regard to seizure control, were associated with shorter duration of symptoms before surgery, independently of other factors, such as the size or location of the cavernoma.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vaquero, J.; De Prado, F.; Pedrosa, M.; Parajón, A.: Epilepsía asociada a cavernomas: resultado quirúrgico a largo plazo. Neurocirugía 1997; 8: 84–89.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cavernous malformations and epilepsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I.A. Awad" 1 => "J.R. 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