Hernias discales calcificadas en la infancia
Calcified disc herniation in childhood
M. Ortega-Martínez
, J.M. Cabezudo, I. Fernández-Portales, L. Gómez-Perals, L.M. Bernal-García
Servicio de Neurocirugía. Hospital Regional Universitario Infanta Cristina. Badajoz
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"apellidos" => "Fernández-Portales" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Gómez-Perals" ] 4 => array:2 [ "nombre" => "L.M." "apellidos" => "Bernal-García" ] ] "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: Servicio de Neurocirugía. Hospital Infanta Cristina. Avda de Elvas s/n. Badajoz." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Calcified disc herniation in childhood" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-08-18" "fechaAceptado" => "2005-08-23" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159347" "palabras" => array:4 [ 0 => "Calcificación del disco intervertebral" 1 => "Discectomía cervical" 2 => "Hernia de disco calcificada" 3 => "Hernia de disco en la infancia" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159345" "palabras" => array:1 [ 0 => "CIII" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159346" "palabras" => array:4 [ 0 => "Anterior discectomy" 1 => "Calcified herniated disc" 2 => "Calcified intervertebral discs" 3 => "Herniated disc in childhood" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las calcificaciones de los discos intervertebrales son muy infrecuentes en la infancia. Aunque su etiología no está clara, se sabe que no se relacionan con procesos degenerativos. Cursan con clínica inespecífica de raquialgias, contracturas musculares y, a veces, febrícula. Aunque ocasionalmente estos discos se hernian, causando dolor radicular o, mucho más raramente, déficits neurológicos o disfagia, la clínica desaparece en la mayor parte de los casos con tratamiento conservador, y sólo excepcionalmente se precisan tratamientos más agresivos. En nuestra revisión de la literatura hemos encontrado solamente 17 casos que requirieron tratamiento quirúrgico. En dos de estos casos el paciente estaba previamente diagnosticado de calcificaciones intervertebrales idiopáticas, pero no se habían descartado hernias preexistentes mediante resonancia magnética (RM). Presentamos un nuevo caso de una paciente diagnosticada a la edad de 10 años de calcificaciones discales idiopáticas, sin hernias discales en la RM, en la que 4 años después uno de los discos cervicales calcificados se hernió presentando un cuadro de radiculopatía cervical con déficit motor, precisando discectomía y artrodesis intersomática. Consideramos que este caso prueba definitivamente la teoría de Heinrich y cols., que considera la hernia calcificada en la infancia como la complicación de una patología previa, la calcificación del disco intervertebral. Se discuten los aspectos clínicos y terapéuticos de esta entidad.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Calcification of intervertebral discs is a rare occurrence in children. Although the etiology of the calcification remains uncertain, it is no related with degenerative diseases. The clinical picture is non specific with neck pain, muscle contractures and, sometimes, low-grade fever. These symptoms generally disappear spontaneously, and surgery rarely becomes necessary. In our review of the literature, we have found only seventeen cases requiring surgical management. Two of these children had been previously diagnosed with calcified intervertebral discs, but at the time no herniation had been ruled out with magnetic resonance imaging (MRI). We report the case of a girl who was diagnosed, when she was ten years old, with intervertebral idiopatic calcifications. Four years later she presented with radiculopathy caused by the posterolateral displacement of a calcified cervical disc, wich required operative management. We think that this case supports the theory of Heinrich et al. that considers that the calcified hernia is a complication of a previous pathology, namely intervertebral calcification. Clinical and therapeutic aspects of this entity are discussed.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Ortega-Martínez, M.; Cabezudo, J.M.; Fernández-Portales, I.; Gómez-Perals, L.; Bernal-García. L.M.: Hernias discales calcificadas en la infancia. Neurocirugía 2006; 17: 333–339.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lumbar nerve root walled by a calcified herniated mass in a young patient" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L. Aulisa" 1 => "L. Pitta" 2 => "A.G. Aulisa" 3 => "G. Mastantuoni" 4 => "E. Pola" 5 => "A. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Junio | 0 | 1 | 1 |
| 2023 Marzo | 5 | 1 | 6 |
| 2019 Enero | 0 | 2 | 2 |
| 2018 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 17 | 3 | 20 |
| 2018 Enero | 21 | 7 | 28 |
| 2017 Diciembre | 21 | 7 | 28 |
| 2017 Noviembre | 29 | 11 | 40 |
| 2017 Octubre | 26 | 10 | 36 |
| 2017 Septiembre | 21 | 6 | 27 |
| 2017 Agosto | 22 | 6 | 28 |
| 2017 Julio | 15 | 7 | 22 |
| 2017 Junio | 31 | 11 | 42 |
| 2017 Mayo | 31 | 7 | 38 |
| 2017 Abril | 28 | 7 | 35 |
| 2017 Marzo | 19 | 4 | 23 |
| 2017 Febrero | 24 | 1 | 25 |
| 2017 Enero | 18 | 4 | 22 |
| 2016 Diciembre | 33 | 7 | 40 |
| 2016 Noviembre | 48 | 8 | 56 |
| 2016 Octubre | 41 | 31 | 72 |
| 2016 Septiembre | 53 | 14 | 67 |
| 2016 Agosto | 59 | 16 | 75 |
| 2016 Julio | 35 | 24 | 59 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 0 | 8 | 8 |
| 2015 Junio | 25 | 5 | 30 |
| 2015 Mayo | 33 | 13 | 46 |
| 2015 Abril | 24 | 14 | 38 |
| 2015 Marzo | 33 | 9 | 42 |
| 2015 Febrero | 31 | 12 | 43 |
| 2015 Enero | 31 | 22 | 53 |
| 2014 Diciembre | 24 | 13 | 37 |
| 2014 Noviembre | 20 | 11 | 31 |
| 2014 Octubre | 29 | 24 | 53 |
| 2014 Septiembre | 22 | 18 | 40 |
| 2014 Agosto | 26 | 13 | 39 |
| 2014 Julio | 24 | 13 | 37 |
| 2014 Junio | 25 | 21 | 46 |
| 2014 Mayo | 27 | 25 | 52 |
| 2014 Abril | 21 | 19 | 40 |
| 2014 Marzo | 22 | 20 | 42 |
| 2014 Febrero | 20 | 20 | 40 |
| 2014 Enero | 30 | 29 | 59 |
| 2013 Diciembre | 16 | 22 | 38 |
| 2013 Noviembre | 28 | 26 | 54 |
| 2013 Octubre | 23 | 24 | 47 |
| 2013 Septiembre | 23 | 16 | 39 |
| 2013 Agosto | 28 | 23 | 51 |
| 2013 Julio | 28 | 26 | 54 |
| 2013 Junio | 21 | 23 | 44 |
| 2013 Mayo | 21 | 26 | 47 |
| 2013 Abril | 30 | 18 | 48 |
| 2013 Marzo | 21 | 19 | 40 |
| 2013 Febrero | 10 | 9 | 19 |
| 2013 Enero | 12 | 8 | 20 |
| 2012 Diciembre | 13 | 16 | 29 |
| 2012 Noviembre | 0 | 5 | 5 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 3 | 3 |
| 2012 Enero | 8 | 0 | 8 |
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