Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literatura
Spinal subarachnoid hematoma after lumbar puncture in a patient with leukemia. Report of a case and review of the literature
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array:22 [ "pii" => "S1130147305703936" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70393-6" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70393" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:447-52" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1859 "formatos" => array:3 [ "EPUB" => 15 "HTML" => 1242 "PDF" => 602 ] ] "itemAnterior" => array:18 [ "pii" => "S1130147305703924" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70392-4" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70392" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:441-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2397 "formatos" => array:3 [ "EPUB" => 14 "HTML" => 1350 "PDF" => 1033 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Anatomía topográfica del asterion" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "441" "paginaFinal" => "446" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Topographyc anatomy of the asterion" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Martínez, A. Laxague, L. Vida, H. Prinzo, N. Sgarbi, V.R. Soria, C. Bianchí" "autores" => array:7 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Martínez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Laxague" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Vida" ] 3 => array:2 [ "nombre" => "H." "apellidos" => "Prinzo" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "Sgarbi" ] 5 => array:2 [ "nombre" => "V.R." "apellidos" => "Soria" ] 6 => array:2 [ "nombre" => "C." "apellidos" => "Bianchí" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305703924?idApp=UINPBA00004B" "url" => "/11301473/0000001600000005/v1_201305151245/S1130147305703924/v1_201305151245/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literatura" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "447" "paginaFinal" => "452" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "J. Ayerbe, P. Sousa" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Ayerbe" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Sousa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Neurocirugía. Fundación Jiménez Díaz. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio de Neurocirugía. Fundación “Jiménez Díaz”. Avda. Reyes Católicos, 2. 28040 Madrid." ] ] ] 1 => array:3 [ "autoresLista" => "D. Quiñones, E. Prieto" "autores" => array:2 [ 0 => array:3 [ "nombre" => "D." "apellidos" => "Quiñones" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Prieto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Neurorradiología. Fundación Jiménez Díaz. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Hematología. Fundación Jiménez Díaz. Madrid" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spinal subarachnoid hematoma after lumbar puncture in a patient with leukemia. Report of a case and review of the literature" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-11-15" "fechaAceptado" => "2004-12-03" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159056" "palabras" => array:2 [ 0 => "Hematoma subaracnoideo espinal" 1 => "Punción lumbar" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159054" "palabras" => array:4 [ 0 => "HSAE" 1 => "LP" 2 => "PL" 3 => "SSAH" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159055" "palabras" => array:2 [ 0 => "Spinal subarachnoid hematoma" 1 => "Lumbar puncture" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La compresión mielo-radicular aguda secundaria a un hematoma subaracnoideo espinal (HSAE) es una complicación extremadamente rara tras una punción lumbar (PL). En el mecanismo de producción de estos hematomas han sido implicados diversos factores de riesgo, principalmente la presencia de trastornos de la hemostasia en el paciente.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un varón de 20 años con leucemia aguda y trombocitopenia (26.000 plaquetas/mm<span class="elsevierStyleSup">3</span>) que, tras ser sometido a una PL, desarrolló una paraparesia con imposibilidad para la bipedestación. La resonancia magnética (RM) demostró la presencia de un hematoma intradural ventral desde D12 hasta L4. Se realizó una laminectomía descompresiva de urgencia y se pudo evacuar parcialmente un hematoma localizado en el espacio subaracnoideo. Al cuarto día postoperatorio, el paciente consiguió caminar sin ayuda, pero falleció un mes después debido a complicaciones sistémicas de su enfermedad.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sólo se han encontrado 26 casos de HSAE tras PL en la revisión de la literatura que hemos realizado. Se han observado las siguientes características comunes a la mayoría de ellos: asociación con tratamientos anticoagulantes, asociación con trombocitopenia, aparición de síndrome compresivo mielo-radicular de forma retardada, necesidad de tratamiento quirúrgico, buen resultado funcional en la mitad de los pacientes, y corta esperanza de vida en aquellos con enfermedad previa grave. En pacientes leucémicos con tendencia a tener marcada trombocitopenia (quizás por debajo de 25.000 plaquetas/mm<span class="elsevierStyleSup">s</span>), el riesgo de desarrollar un HSAE tras PL puede ser elevado.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Acute myeloradicular compression due to a spinal subarachnoid hematoma (SSAH) after lumbar puncture (LP) is an extremely rare complication. Several risk factors have been involved in the production of these hematomas, mainly the presence of hemostasis disorders in the patient.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We report the case of a 20-year-old man with leukemia and thrombocytopenia (26.000 platelets/mm<span class="elsevierStyleSup">3</span>) who, after undergoing a LP, developed paraparesis and became unable to stand. A magnetic resonance disclosed the presence of a ventral intradural hematoma from D12 to L4. An emergency decompressive laminectomy was performed and an hematoma located in the subarachnoid space was partially removed. On the fourth postoperative day, the patient was able to walk without assistance, but one month later, he died because of systemic complications of his disease.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Only 26 cases of SSAH after LP have been found in the literature review we have performed. In most of them, the following common features have been observed: association with anticoagulant therapies, association with thrombocytopenia, delayed onset of compressive myeloradicular syndrome, need of surgical treatment, good functional outcome in half of patients, and short life expectancy for patients with previous serious illness. Risk for developing a SSAH after LP could be high in leukemia patients with a tendency to have severe thrombocytopenia (perhaps less than 25.000 platelets/mm<span class="elsevierStyleSup">3</span>).</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Ayerbe, J.; Quiñones, D.; Prieto, E.; Sousa, P.: Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literarura. Neurocirugía 2005; 16: 447–452.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 1 | 3 |
| 2021 Octubre | 1 | 0 | 1 |
| 2018 Febrero | 13 | 2 | 15 |
| 2018 Enero | 20 | 5 | 25 |
| 2017 Diciembre | 17 | 10 | 27 |
| 2017 Noviembre | 44 | 17 | 61 |
| 2017 Octubre | 11 | 9 | 20 |
| 2017 Septiembre | 9 | 9 | 18 |
| 2017 Agosto | 15 | 5 | 20 |
| 2017 Julio | 13 | 5 | 18 |
| 2017 Junio | 18 | 10 | 28 |
| 2017 Mayo | 20 | 6 | 26 |
| 2017 Abril | 16 | 9 | 25 |
| 2017 Marzo | 17 | 1 | 18 |
| 2017 Febrero | 13 | 0 | 13 |
| 2017 Enero | 15 | 3 | 18 |
| 2016 Diciembre | 49 | 7 | 56 |
| 2016 Noviembre | 41 | 11 | 52 |
| 2016 Octubre | 62 | 15 | 77 |
| 2016 Septiembre | 43 | 9 | 52 |
| 2016 Agosto | 68 | 19 | 87 |
| 2016 Julio | 25 | 8 | 33 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Abril | 3 | 0 | 3 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 0 | 8 | 8 |
| 2015 Junio | 14 | 6 | 20 |
| 2015 Mayo | 32 | 10 | 42 |
| 2015 Abril | 20 | 9 | 29 |
| 2015 Marzo | 18 | 14 | 32 |
| 2015 Febrero | 14 | 10 | 24 |
| 2015 Enero | 23 | 11 | 34 |
| 2014 Diciembre | 21 | 9 | 30 |
| 2014 Noviembre | 20 | 11 | 31 |
| 2014 Octubre | 26 | 10 | 36 |
| 2014 Septiembre | 19 | 15 | 34 |
| 2014 Agosto | 17 | 14 | 31 |
| 2014 Julio | 25 | 11 | 36 |
| 2014 Junio | 30 | 25 | 55 |
| 2014 Mayo | 26 | 18 | 44 |
| 2014 Abril | 17 | 13 | 30 |
| 2014 Marzo | 31 | 18 | 49 |
| 2014 Febrero | 23 | 19 | 42 |
| 2014 Enero | 17 | 13 | 30 |
| 2013 Diciembre | 21 | 15 | 36 |
| 2013 Noviembre | 21 | 15 | 36 |
| 2013 Octubre | 26 | 8 | 34 |
| 2013 Septiembre | 29 | 17 | 46 |
| 2013 Agosto | 32 | 14 | 46 |
| 2013 Julio | 35 | 15 | 50 |
| 2013 Junio | 21 | 21 | 42 |
| 2013 Mayo | 19 | 10 | 29 |
| 2013 Abril | 27 | 11 | 38 |
| 2013 Marzo | 24 | 13 | 37 |
| 2013 Febrero | 11 | 12 | 23 |
| 2013 Enero | 14 | 19 | 33 |
| 2012 Diciembre | 23 | 19 | 42 |
| 2012 Noviembre | 0 | 6 | 6 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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