Non-surgical management of intracranial subdural hematoma complicating spinal anesthesia
Manejo no quirúrgico de hematoma subdural intracraneal tras anestesia espinal complicada
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"apellidos" => "Martínez-Lage" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Services of Anesthesiology. Hospital Universitario Virgen de la Arrixaca. Murcia. Spain" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "autoresLista" => "M.T. Verdú, B. Alonso, J.L. Sánchez-Ortega, A. Garcia-Candel" "autores" => array:4 [ 0 => array:3 [ "nombre" => "M.T." "apellidos" => "Verdú" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Alonso" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Sánchez-Ortega" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Garcia-Candel" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Services of Neurosurgery. Hospital Universitario Virgen de la Arrixaca. Murcia. Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author: Plano San Francisco 10, 1°D. 30004, Murcia. Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manejo no quirúrgico de hematoma subdural intracraneal tras anestesia espinal complicada" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-09-19" "fechaAceptado" => "2006-02-16" "PalabrasClave" => array:2 [ "en" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159527" "palabras" => array:5 [ 0 => "Complications" 1 => "Epidural blood patch" 2 => "Magnetic resonance imaging" 3 => "Postdural puncture headache" 4 => "Subdural hematoma" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159529" "palabras" => array:4 [ 0 => "CSF" 1 => "EBP" 2 => "PDPH" 3 => "SDH" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159528" "palabras" => array:5 [ 0 => "Resonancia magnética" 1 => "Cefalea postural" 2 => "Hematoma subdural" 3 => "Complicación" 4 => "Parche epidural hemático" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We report the case of a 29 year-old woman who presented a symptomatic intracranial subdural hematoma developing shortly after spinal anesthesia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The patient was fully conscious at clinical onset, and thus we treated her conservatively with an epidural autologous blood patch and close neurological observation. Given the clinical improvement the possibility of surgery was discauded in agreement with the neurosurgical team.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Most cases of subdural hematoma appearing after spinal anesthesia are treated with surgery. In the present case the subdural hemorrhage was detected at our hospital 20 days after the anesthetic procedure, and given the excellent state of consciousness, we choosed a conservative management.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El hematoma subdural (SDH) es una complicación evolutiva rara, documentada y de riesgo vital en los cuadros de cefalea post punción subdural (PDPH). Presentamos un caso de esta rara complicación resuelto con un parche de sangre autóloga epidural y tratamiento conservador, sin precisar evacuación quirúrgica.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Verdú, M.T; Martínez-Lage, J.F.; Alonso, B.; Sánchez-Ortega, J.L.; Garcia-Candel, A.: Non-surgical management of intracranial subdural hematoma complicating spinal anesthesia. Neurocirugía 2007; 18: 40–43.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cranial subdural haematoma after spinal anaesthesia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Acharya" 1 => "S.S. Chabra" 2 => "M. Ratra" 3 => "A.D. 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