Aneurismas de la región de la arteria oftálmica
Ophthalmic artery aneurysms
S.D. Vega-Basulto
, F.G. Gutiérrez-Muñoz, G. Mosquera-Betancourt, F. Rivero-Truit, S.A. Vega-Trenado
Servicio de Neurocirugía. Hospital Manuel Ascunce Doménech. Camagüey. Cuba
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"apellidos" => "Mosquera-Betancourt" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Rivero-Truit" ] 4 => array:2 [ "nombre" => "S.A." "apellidos" => "Vega-Trenado" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Manuel Ascunce Doménech. Camagüey. Cuba" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Domingo Puentes 5, La Caridad, Camagüey 70300, Cuba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ophthalmic artery aneurysms" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-06-06" "fechaAceptado" => "2005-11-22" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159323" "palabras" => array:5 [ 0 => "Aneurismas intracraneales" 1 => "Aneurismas de la arteria oftálmica" 2 => "Arteria carótida interna" 3 => "Aneurismas gigantes" 4 => "Técnica de descompresión succión retrógrada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159324" "palabras" => array:5 [ 0 => "Intracranial aneurysms" 1 => "Ophthalmic aneurysms" 2 => "Internal carotid artery" 3 => "Giant aneurysms" 4 => "Retrograde decompression-suction technique" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los aneurismas de la arteria oftálmica son lesiones poco frecuentes y con particularidades específicas.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentar las características anatomoclínicas, quirúrgicas y los resultados del tratamiento microquirúrgico de nuestros pacientes con aneurismas de esta región.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">604 pacientes con aneurismas intracraneales fueron llevados al quirófano entre enero de 1982 y diciembre del 2004. Hubo 50 pacientes con aneurismas de la región de la arteria oftálmica. El promedio de edad fue de 52 años, el 80% fueron mujeres, el 60% presentaban aneurismas múltiples y un 20% gigantes. El 12% poseían lesiones aneurismáticas bilaterales. El 20% de los aneurismas fueron incidentales. El 50% tenían manifestaciones oftalmológicas y la frecuencia se elevó al 100% en los aneurismas grandes y gigantes. El 16% de los trastornos visuales fueron ignorados o confundidos inicialmente. En aneurismas múltiples empleamos la ruta pterional uni o bilateral asociada a otros abordajes. En los aneurismas oftálmicos grandes o gigantes utilizamos la técnica de descompresión-succión retrógrada modificada.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Treinta pacientes (60%) obtuvieron una recuperación completa, catorce pacientes (28%) una recuperación incompleta y dos incapacidad grave. No hubo pacientes en estado vegetativo. Hubo cuatro fallecidos (8%). El 50% de los déficit postoperatorios desaparecieron y el 64% de los trastornos visuales mejoraron a los tres meses.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El método microquirúrgico permitió tratar aneurismas de la región de la arteria oftálmica únicos, múltiples, bilaterales, grandes y gigantes con buena recuperación de los déficit neurológicos y de los trastornos visuales.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Ophthalmic artery aneurysms are infrequent lesions and they have very specific particularities.</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">to present the anatomoclinical and surgical characteristic of our patients with ophthalmic aneurysms and to analyze our surgical results.</p> <span class="elsevierStyleSectionTitle">Patient and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">604 patients with intracranial aneurysms were operated on between January 1982 and December 2004. There were 50 patients with ophthalmic artery aneurysms. Average age was 52 years, 80% were women, 60% harbored multiple aneurysms and 20% were giant lesions. 12% had bilateral ophthalmic aneurysms. 20% of ophthalmic aneurysms were incidental. 50% had ophthalmological manifestations; howewer, this presentation occurred in 100% of the patients with large and giant aneurysms. Initially, 12% of ophthalmologic disorders were missed. We utilized unilateral or bilateral pterional approach associated to others in multiple aneurysms. We performed retrograde decompression- suction technique modified for large and giant aneurysms.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Thirty patients (60%) obtained a complete recovery, fourteen patients (28%) an incomplete recovery and two were seriously disabled. There were not patients in vegetative state. There were four deaths (8%). 50% of postoperatory deficits disappeared and 64% of ophthalmologic disorders improved three months later.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Microsurgical method allowed to treat unique, multiple, bilateral, large and giant ophthalmic aneurysms with good recovery of neurological and visual deficits.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vega-Basulto, S.D.; Gutiérrez-Muñoz, F.G.; Mosquera- Betancourt, G.; Rivero-Truit, F.; Vega-Trenado, S.A.: Aneurismas de la región de la arteria oftálmica. Neurocirugía 2006; 17: 303–316.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:62 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 55 | 2 | 57 |
| 2019 Mayo | 3 | 0 | 3 |
| 2019 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 43 | 6 | 49 |
| 2018 Enero | 36 | 5 | 41 |
| 2017 Diciembre | 31 | 9 | 40 |
| 2017 Noviembre | 94 | 13 | 107 |
| 2017 Octubre | 54 | 7 | 61 |
| 2017 Septiembre | 31 | 5 | 36 |
| 2017 Agosto | 61 | 7 | 68 |
| 2017 Julio | 40 | 7 | 47 |
| 2017 Junio | 34 | 11 | 45 |
| 2017 Mayo | 40 | 7 | 47 |
| 2017 Abril | 30 | 6 | 36 |
| 2017 Marzo | 37 | 10 | 47 |
| 2017 Febrero | 21 | 6 | 27 |
| 2017 Enero | 30 | 11 | 41 |
| 2016 Diciembre | 36 | 13 | 49 |
| 2016 Noviembre | 37 | 6 | 43 |
| 2016 Octubre | 40 | 23 | 63 |
| 2016 Septiembre | 42 | 10 | 52 |
| 2016 Agosto | 42 | 15 | 57 |
| 2016 Julio | 23 | 14 | 37 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Junio | 29 | 10 | 39 |
| 2015 Mayo | 34 | 15 | 49 |
| 2015 Abril | 29 | 9 | 38 |
| 2015 Marzo | 25 | 17 | 42 |
| 2015 Febrero | 22 | 14 | 36 |
| 2015 Enero | 22 | 16 | 38 |
| 2014 Diciembre | 27 | 23 | 50 |
| 2014 Noviembre | 28 | 14 | 42 |
| 2014 Octubre | 29 | 27 | 56 |
| 2014 Septiembre | 24 | 20 | 44 |
| 2014 Agosto | 30 | 27 | 57 |
| 2014 Julio | 17 | 15 | 32 |
| 2014 Junio | 33 | 27 | 60 |
| 2014 Mayo | 29 | 26 | 55 |
| 2014 Abril | 20 | 19 | 39 |
| 2014 Marzo | 28 | 18 | 46 |
| 2014 Febrero | 21 | 21 | 42 |
| 2014 Enero | 27 | 20 | 47 |
| 2013 Diciembre | 19 | 14 | 33 |
| 2013 Noviembre | 17 | 25 | 42 |
| 2013 Octubre | 23 | 16 | 39 |
| 2013 Septiembre | 24 | 12 | 36 |
| 2013 Agosto | 34 | 18 | 52 |
| 2013 Julio | 29 | 22 | 51 |
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| 2013 Mayo | 27 | 18 | 45 |
| 2013 Abril | 16 | 16 | 32 |
| 2013 Marzo | 23 | 26 | 49 |
| 2013 Febrero | 15 | 17 | 32 |
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| 2012 Diciembre | 8 | 16 | 24 |
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