Espasmo hemifacial como presentación clínica de meningiomas intracraneales. Presentación de 3 casos y revisión de la literatura
Hemifacial spasm as clinical presentation of intracra-nial meningiomas. Report of three cases and review of the literature
L.F. Gómez-Perals
, M. Ortega-Martínez, I. Fernández-Portales, J.M. Cabezudo-Artero
Servicio de Neurocirugía. Hospital Regional Universitario Infanta Cristina. Badajoz
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"apellidos" => "Ortega-Martínez" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Fernández-Portales" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Cabezudo-Artero" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Regional Universitario Infanta Cristina. Badajoz" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Apartado de correos 672. 06080 Badajoz." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hemifacial spasm as clinical presentation of intracra-nial meningiomas. Report of three cases and review of the literature" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-02-17" "fechaAceptado" => "2004-04-27" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158718" "palabras" => array:2 [ 0 => "Meningioma" 1 => "Espasmo hemifacial" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec158716" "palabras" => array:5 [ 0 => "APC" 1 => "EH" 2 => "HFS" 3 => "REZ" 4 => "TEP" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158717" "palabras" => array:2 [ 0 => "Meningioma" 1 => "Hemifacial spasm" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El espasmo hemifacial (EH) constituye una entidad clínica caracterizada por contracciones tónico-clónicas de carácter involuntario de la musculatura inervada por el nervio facial. Como forma de presentación de meningiomas intracraneales es excepcional. Presentamos tres casos de pacientes con meningiomas cuya presentación clínica fue en forma de EH, bien de forma aislada o asociado a sintomatología de hipertensión intracraneal o déficit neurológico focal. Se revisa la literatura y se discuten los posibles mecanismos fisiopatológicos que puedan intervenir en esta asociación.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hemifacial spasm (HFS) is a clinical entity consisting of brief clonic jerking movements of the facial muscula-ture, beginning in the orbicularis oculi with downward spreading to other facial muscles. Apart from vascular loop compression at the root exit zone of the facial nerve, other causes of HFS are rare. It is excepcional as a form of presentation of intracranial meningiomas We report three cases of patients with meningiomas who presented with HFS, either as an isolated sign or associated with symptoms of rise intracranial pressure or focal déficit. We review the literature and discuss the possible physiopathological mechanisms responsible for this association.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez-Perais, L.F.; Ortega-Martínez, M.; Fernández-Portales, I,; Cabezudo-Artero, J.M.: Espasmo hemifacial como presentación clínica de meningiomas intracraneales. Presentación de 3 casos y revisión de la literatura. Neurocirugía 2005; 16: 21–26.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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