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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se describen los casos de seis pacientes con ra&#237;z nerviosa conjunta diagnosticados todos ellos durante el acto quir&#250;rgico y que hab&#237;an sido diagnosticados preoperatoriamente de hernias discales&#46; En cinco casos se utiliz&#243; RMN en el diagn&#243;stico preoperatorio y en un caso la Tac-lumbar&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El tratamiento quir&#250;rgico fue realizado mediante fenestraci&#243;n y amplia foraminotom&#237;a en cinco casos y un caso fue tratado con laminectom&#237;a y foraminotom&#237;a&#46; Se realiz&#243; ex&#233;resis de hernia discal en cinco casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El seguimiento cl&#237;nico fue de 4 meses a 3 a&#241;os&#44; en cuatro casos el resultado fue excelente&#44; en un caso bueno y en otro el resultado fue regular&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se comenta la relativa rareza&#44; la patogenesis&#44; los aspectos diagn&#243;sticos y terap&#233;uticos&#46;</p>"
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Raíz nerviosa conjunta. Presentación de seis casos tratados quirúrgicamente
Conjoined nerve root. A presentation of six cases treated surgically
A. Faleh Tamimi
Departamento de Neurocirugía Hospital Universitario, Facultad de Medicina, Universidad Jordana. Amman, Jordania
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          "titulo" => "Key Words"
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          "palabras" => array:3 [
            0 => "Conjoined nerve root"
            1 => "Lumbar disk"
            2 => "Nerve root anomaly"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se describen los casos de seis pacientes con ra&#237;z nerviosa conjunta diagnosticados todos ellos durante el acto quir&#250;rgico y que hab&#237;an sido diagnosticados preoperatoriamente de hernias discales&#46; En cinco casos se utiliz&#243; RMN en el diagn&#243;stico preoperatorio y en un caso la Tac-lumbar&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El tratamiento quir&#250;rgico fue realizado mediante fenestraci&#243;n y amplia foraminotom&#237;a en cinco casos y un caso fue tratado con laminectom&#237;a y foraminotom&#237;a&#46; Se realiz&#243; ex&#233;resis de hernia discal en cinco casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El seguimiento cl&#237;nico fue de 4 meses a 3 a&#241;os&#44; en cuatro casos el resultado fue excelente&#44; en un caso bueno y en otro el resultado fue regular&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se comenta la relativa rareza&#44; la patogenesis&#44; los aspectos diagn&#243;sticos y terap&#233;uticos&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We describe six cases of conjoined nerve roots detected during the surgical procedure&#46; Preoperatively the patients were diagnosed of herniated disk&#46; In five cases MRI was performed&#44; and lumbar-CT as used in one case&#46; The surgical treatment consisted of fenestration and wide foraminotomy in five cases&#44; and laminectomy and foraminotomy in one case&#46; The excision of disk herniation was achived in five cases&#46; All patients were followed for a minimum of 4 months and some for three years&#46; The clinical result was excellent in four cases&#44; good in one case&#44; and poor in one case&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The relative rarety&#44; pathogenesis&#44; diagnosis and therapeutic aspects of this entity are discussed&#46;</p>"
      ]
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Faleh Tamimi&#44; A&#46;&#58; Ra&#237;z nerviosa conjunta&#46; Presentaci&#243;n de seis casos tratados quir&#250;rgicamente&#46; Neurocirug&#237;a 2000&#59; 11&#58; 110&#8211;114&#46;</p>"
      ]
    ]
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                    0 => array:2 [
                      "titulo" => "Anomalies of the pattern of lumbosacral nerve roots and its clinical significance"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "Al&#46; Agnoli"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurol"
                        "fecha" => "1976"
                        "volumen" => "211"
                        "paginaInicial" => "217"
                        "paginaFinal" => "228"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/55488"
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                    0 => array:2 [
                      "titulo" => "Metrizamide myelography and the identification of anomalous lumbosacral nerve roots"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;B&#46; Bernini"
                            1 => "S&#46;N&#46; Wiesel"
                            2 => "R&#46;B&#46; Rothman"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:5 [
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                        "fecha" => "1980"
                        "volumen" => "62"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Normal variants and pitfalls"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Bonafe"
                            1 => "B&#46; Escude"
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                  ]
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                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Imaging of the spine and spinal cord"
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                  "referenciaCompleta" => "Bonola&#44; A&#46;&#44; Bedeschi&#44; P&#46;&#58; Lombociatalgie e malformazioni radicolari&#46; Scritti Medici in Onore di P&#46; Del Torto&#46; 1965&#59; 371&#8211;382&#46;"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preoperative diagnosis of conjoined nerve root anomaly operated with herniated lumar disk"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46;I&#46; Bouchard"
                            1 => "M&#46; Cpty"
                            2 => "R&#46; Langelier"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1978"
                        "volumen" => "10"
                        "paginaInicial" => "229"
                        "paginaFinal" => "231"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/725722"
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                    0 => array:2 [
                      "titulo" => "Nerve root anomalies in lumbar disk surgery"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46;W&#46; Cannon"
                            1 => "S&#46;E&#46; Hunter"
                            2 => "J&#46;A&#46; Picaza"
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                    0 => array:2 [
                      "doi" => "10.3171/jns.1962.19.3.0208"
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1962"
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                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13876232"
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                    0 => array:2 [
                      "titulo" => "The lateral recess syndrome&#46; A variant of spinal stenosis"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "I&#46; Ciric"
                            1 => "M&#46;A&#46; Mikhael"
                            2 => "J&#46;A&#46; Takington"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.3171/jns.1980.53.4.0433"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1980"
                        "volumen" => "53"
                        "paginaInicial" => "433"
                        "paginaFinal" => "443"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7420163"
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              ]
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              "identificador" => "bib8"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anatomical abnormalities of the lumbosacral roots in surgery of compresion syndrome due to suspected hemiated of disk"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Dragonetti"
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                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Ortop&#46;"
                        "fecha" => "1967"
                        "volumen" => "80"
                        "paginaInicial" => "265"
                        "paginaFinal" => "282"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5610220"
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                          ]
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                      ]
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                  ]
                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed tomography of the lumbosacral spine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Dorwart"
                            1 => "J&#46; de Groot"
                            2 => "K&#46; Saunderland"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Computed Tomography of the lumbar spine"
                        "paginaInicial" => "1"
                        "paginaFinal" => "42"
                        "serieFecha" => "1982"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conjoined nerve roots&#46; Management of herniated discs and lateral recess stenosis in patients with this anomaly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Epstein"
                            1 => "R&#46; Carras"
                            2 => "J&#46; Ferrer"
                            3 => "R&#46;A&#46; Hyman"
                            4 => "K&#46; Khan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1981.55.4.0585"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1981"
                        "volumen" => "55"
                        "paginaInicial" => "585"
                        "paginaFinal" => "589"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7277006"
                            "web" => "Medline"
                          ]
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                    ]
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                ]
              ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malformation of lumbar spinal roots and sheaths in the causation of low backache and sciatica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Ethelberg"
                            1 => "J&#46; Riishede"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Bone Joint Surg &#40;Br&#41;"
                        "fecha" => "1952"
                        "volumen" => "34"
                        "paginaInicial" => "442"
                        "paginaFinal" => "446"
                      ]
                    ]
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                ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Myelographic cervical nerve root deformities"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Aj&#46; Fox"
                            1 => "J&#46;P&#46; Lin"
                            2 => "R&#46;S&#46; Pinto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/116.2.355"
                      "Revista" => array:6 [
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                        "fecha" => "1975"
                        "volumen" => "116"
                        "paginaInicial" => "355"
                        "paginaFinal" => "361"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/168615"
                            "web" => "Medline"
                          ]
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              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "High resolution computed tomography in the difirential diagnosis of soft -tissue pathology of the lumbar spine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46;B&#46; Heithoof"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Computed Tomography of the lumbar spine"
                        "paginaInicial" => "147"
                        "paginaFinal" => "171"
                        "serieFecha" => "1982"
                      ]
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              ]
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              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
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                      "titulo" => "Computed tomography &#40;CT&#41; endenhanced CT of the spine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;B&#46; Heithoff"
                            1 => "R&#46;J&#46; Herzog"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "The Adult Spine&#44; principles and Practice"
                        "paginaInicial" => "335"
                        "paginaFinal" => "339"
                        "serieFecha" => "1991"
                      ]
                    ]
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                ]
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                      "titulo" => "The CT appearance of conjoined nerve roots and differentiation from a herniated nucleous pulposds"
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;A&#46; Helms"
                            1 => "R&#46;H&#46; Dorwart"
                            2 => "M&#46; Gray"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.144.4.7111728"
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                        "tituloSerie" => "Radiology"
                        "fecha" => "1982"
                        "volumen" => "144"
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                        "paginaFinal" => "807"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7111728"
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                ]
              ]
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                      "titulo" => "Incidence des malformations radiculares lombaires lors de la chirurgie discale lombaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Heon"
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                        ]
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                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
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                        "fecha" => "1972"
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                        "paginaInicial" => "1146"
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                      "titulo" => "The management of treatment failures after decompressive surgery"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Gill"
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                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "The Adult Spine&#44; principles and practice"
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                        "serieFecha" => "1991"
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                    0 => array:2 [
                      "titulo" => "Pitfalls in computed tomography of the lumbar spine"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;A&#46; Kaiser"
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                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Computed Tomography of the lumbar spine"
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                      "titulo" => "Multiple meningeal diverticula and cysts associated with duplications of the sheaths of spinal nerve posterior roots"
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                          "autores" => array:2 [
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                      "doi" => "10.3171/jns.1977.47.1.0068"
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                          "etal" => false
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                            0 => "G&#46; Ober"
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                  "host" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "Nervenarzt"
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ISSN: 11301473
Idioma original: Español
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