Malformación de Chiari tipo I: evolución postoperatoria a dos años. Análisis de 10 casos
Chiari I malformation: postsurgical evolution after 2 years. Report of ten cases
L. Alvarez-Betancourt
, J.A. García-Rentaría, S.J. López-Ortega, A. Caldera-Duarte
Autor para correspondencia
azbtlo@hotmail.com
Correspondencia postal: Departamento de Neurocirugía del Hospital de Especialidades CMN La Raza. Seris y Zaachila S/N Col. La Raza, 6° piso, Deleg. Azcapo-tzalco C.P. 02990 México DF.
Correspondencia postal: Departamento de Neurocirugía del Hospital de Especialidades CMN La Raza. Seris y Zaachila S/N Col. La Raza, 6° piso, Deleg. Azcapo-tzalco C.P. 02990 México DF.
Departamento de Neurocirugía. Hospital de Especialidades Centro Médico Nacional La Raza IMSS. México
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Análisis de 10 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "34" "paginaFinal" => "38" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L. Alvarez-Betancourt, J.A. García-Rentaría, S.J. López-Ortega, A. Caldera-Duarte" "autores" => array:4 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Alvarez-Betancourt" "email" => array:1 [ 0 => "azbtlo@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "García-Rentaría" ] 2 => array:2 [ "nombre" => "S.J." "apellidos" => "López-Ortega" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Caldera-Duarte" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Neurocirugía. Hospital de Especialidades Centro Médico Nacional La Raza IMSS. México" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Departamento de Neurocirugía del Hospital de Especialidades CMN La Raza. Seris y Zaachila S/N Col. La Raza, 6° piso, Deleg. Azcapo-tzalco C.P. 02990 México DF." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chiari I malformation: postsurgical evolution after 2 years. Report of ten cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-03-06" "fechaAceptado" => "2004-07-13" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158725" "palabras" => array:2 [ 0 => "Malformación de Chiari 1" 1 => "Craniectomía suboccipital" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec158726" "palabras" => array:2 [ 0 => "IRM" 1 => "MCI" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158727" "palabras" => array:2 [ 0 => "Chiari I malformation" 1 => "Suboccipital craniectom" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir la evolución de 10 pacientes con Malformación de Chiari tipo I (MCI), desde el punto de vista clínico y de imagen mediante resonancia magnética (RM).</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A 10 pacientes con Malformación de Chiari se les realizó craniectomía suboccipital media, resección de arco posterior de Cl y plastia dural. A todos se les hizo un seguimiento clínico de dos años, y se hizo evaluación mediante RM a los seis meses del postoperatorio. Se correlaciona el tiempo de evolución preoperatoria, hallazgos de imagen mediante RM y la evolución clínica postoperatoria.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La evolución clínica postoperatoria mostró una mejoría importante en cuanto a función sensitiva, correlacionándose con la involución de la siringohidromielia que acompañaba a esos casos, mejoría parcial de sus funciones cerebelosas y, en menor grado, mejoría de la alteración motora. Las manifestaciones de atrofia muscular no tuvieron modificaciones en el seguimiento a dos años.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La MCI es una enfermedad congé-nita con múltiples manifestaciones clínicas que se van agravando conforme pasa el tiempo. Un diagnóstico oportuno y un tratamiento adecuado son indispensables para obtener los mejores resultado posibles desde el punto de vista neurológico.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the clinical and radiological evolution of ten patients with Chiari I malformation (CIM), treated surgically.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Ten patients with Chiari I malformation underwent suboccipital craniectomy, laminectomy of Cl and dural patch grafting. All of them were followed for at least two years. A magnetic resonance imaging was performed 6 months after surgery.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Clinical preoperative evolution and time of installa-tion, results of MRI and clinical postoperative evolution were correlated.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In postoperative clinical evolution, we noted an important improvement in sensitive function, decrease of the syringohydromielia and partial improvement of cerebellar functions. Improvement of the motor alteration was less marked. During the two years after treatment the muscular atrophy did not change.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Chiari I malformation is a congenital disease with many clinical manifestations which usually increase with time. A suitable diagnostic studies as well as an appropriate treatment are needed to improve the neurological results.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Alvarez-Betancourt, L.; García-Rentaría, J.A.; López-Ortega, S.J.; Caldera-Duarte, A.: Malformación de Chiari tipo I: evolución postoperatoria a dos años. Análisis de 10 casos. Neurocirugía 2005; 16: 34–38.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cerebrospinal fluid flow wave forms: analysis in patients with Chiari 1 malfonnation by means of gated phase-contrast MR imaging velocity meassurements" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 3 | 5 |
| 2020 Enero | 0 | 2 | 2 |
| 2018 Febrero | 9 | 11 | 20 |
| 2018 Enero | 13 | 13 | 26 |
| 2017 Diciembre | 14 | 23 | 37 |
| 2017 Noviembre | 46 | 24 | 70 |
| 2017 Octubre | 9 | 22 | 31 |
| 2017 Septiembre | 10 | 31 | 41 |
| 2017 Agosto | 13 | 25 | 38 |
| 2017 Julio | 10 | 13 | 23 |
| 2017 Junio | 14 | 22 | 36 |
| 2017 Mayo | 16 | 16 | 32 |
| 2017 Abril | 15 | 10 | 25 |
| 2017 Marzo | 7 | 5 | 12 |
| 2017 Febrero | 9 | 10 | 19 |
| 2017 Enero | 6 | 8 | 14 |
| 2016 Diciembre | 20 | 33 | 53 |
| 2016 Noviembre | 15 | 34 | 49 |
| 2016 Octubre | 20 | 11 | 31 |
| 2016 Septiembre | 42 | 21 | 63 |
| 2016 Agosto | 48 | 21 | 69 |
| 2016 Julio | 36 | 21 | 57 |
| 2016 Junio | 2 | 0 | 2 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 3 | 0 | 3 |
| 2016 Febrero | 3 | 0 | 3 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 5 | 9 | 14 |
| 2015 Junio | 17 | 8 | 25 |
| 2015 Mayo | 24 | 20 | 44 |
| 2015 Abril | 21 | 17 | 38 |
| 2015 Marzo | 12 | 15 | 27 |
| 2015 Febrero | 18 | 21 | 39 |
| 2015 Enero | 18 | 16 | 34 |
| 2014 Diciembre | 21 | 16 | 37 |
| 2014 Noviembre | 20 | 18 | 38 |
| 2014 Octubre | 46 | 35 | 81 |
| 2014 Septiembre | 98 | 29 | 127 |
| 2014 Agosto | 28 | 19 | 47 |
| 2014 Julio | 29 | 19 | 48 |
| 2014 Junio | 34 | 25 | 59 |
| 2014 Mayo | 25 | 34 | 59 |
| 2014 Abril | 21 | 28 | 49 |
| 2014 Marzo | 27 | 31 | 58 |
| 2014 Febrero | 25 | 25 | 50 |
| 2014 Enero | 33 | 25 | 58 |
| 2013 Diciembre | 24 | 16 | 40 |
| 2013 Noviembre | 28 | 21 | 49 |
| 2013 Octubre | 37 | 19 | 56 |
| 2013 Septiembre | 31 | 17 | 48 |
| 2013 Agosto | 50 | 29 | 79 |
| 2013 Julio | 35 | 27 | 62 |
| 2013 Junio | 30 | 35 | 65 |
| 2013 Mayo | 33 | 27 | 60 |
| 2013 Abril | 29 | 23 | 52 |
| 2013 Marzo | 15 | 34 | 49 |
| 2013 Febrero | 14 | 14 | 28 |
| 2013 Enero | 19 | 11 | 30 |
| 2012 Diciembre | 11 | 11 | 22 |
| 2012 Noviembre | 0 | 4 | 4 |
| 2012 Octubre | 0 | 2 | 2 |
| 2012 Septiembre | 0 | 3 | 3 |
| 2012 Enero | 23 | 0 | 23 |
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