Estadísticas

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      "titulo" => "Seno dérmico occipital asociado a absceso cerebeloso. Caso clínico"
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          "autoresLista" => "J.M. Costa, A. Guillen, E. Claramunt"
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    "titulo" => "Hernia medular espontánea"
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        "titulo" => "Spontaneous spinal cord herniation"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La herniaci&#243;n espont&#225;nea o idiop&#225;tica de la m&#233;dula espinal&#44; a trav&#233;s de un defecto dural&#44; es una entidad cl&#237;nica muy rara&#44; aunque su frecuencia ha sido quiz&#225;s infravalorada antes del advenimiento de los estudios de imagen modernos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un var&#243;n de 49 a&#241;os de edad con una mielopat&#237;a progresiva&#44; consistente con un s&#237;ndrome de Brown-S&#232;quard&#46; En el estudio de RM y mielo-TC se pudo apreciar un desplazamiento llamativo de la m&#233;dula&#44; anterior y lateral&#44; a nivel de D6-D7&#44; con aumento del espacio subaracnoideo posterior&#44; compatible con el diagn&#243;stico de hernia medular&#46; El enfermo fue intervenido a trav&#233;s de una laminectom&#237;a y la hernia medular fue recolocada en el espacio intradural&#44; siendo el defecto dural reparado con una plastia de duramadre lio&#241;lizada&#46; El paciente mejor&#243; de su defecto motor pero no del sensitivo&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Debe considerarse el diagn&#243;stico de hernia medular espont&#225;nea en enfermos de edad media con mielopat&#237;a progresiva&#44; en los que no se aprecian causas de compresi&#243;n medular&#44; y que muestran los hallazgos t&#237;picos en los estudios de imagen&#46; El tratamiento quir&#250;rgico consigue la mejor&#237;a cl&#237;nica en muchos casos o al menos la detenci&#243;n en la progresi&#243;n de la enfermedad&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Spontaneous spinal cord herniation through a dural defect is an unusual condition&#46; This entity has been pro-bably underestimated before the introduction of MRI&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We report a case of a 49-year-old man with a progressive Brown-S&#232;quard syndrome&#46; MRI and CT myelogram showed a ventrally displaced spinal cord at level T6&#8211;T7 and expansion of the posterior subarach-noid space&#46; Through a laminectomy&#44; a spinal cord herniation was identifled and reduced&#46; The anterior dural defect was repaired with a patch of lyophilized dura&#46; The patient recovered muscle power but there was no improvement of the sensory disturbance&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The diagnosis of spontaneous spinal cord herniation must be considered when progressive myelopathy occurs in middle-aged patients&#44; without signs of spinal cord compression and typical radiological findings&#46; Surgical treatment may halt the progressive deficits and even yield improvement in many cases&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Rivas&#44; J&#46;J&#46;&#59; de la Lama&#44; A&#46;&#44; Gonz&#225;lez&#44; R&#59; Ramos&#44; A&#46;&#44; Zurdo&#44; M&#46;&#44; Alday&#44; R&#46;&#58; Hernia medular espont&#225;nea&#46; Neurocirug&#237;a 2004&#59; 15&#58; 484&#8211;489&#46;</p>"
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                      "titulo" => "Idiopathic spinal cord herniation&#58; A treatable cause of the BrownSequard syndrome Case report"
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                      "titulo" => "Idiopathic spinal cord herniation&#58; Valu&#233; of MR phase-contrast imaging"
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                            2 => "H&#46; Adle-Biassette"
                            3 => "F&#46; Fuerxer"
                            4 => "M&#46; Djindjian"
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;E&#46; Dix"
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