Malformaciones vasculares cerebrales angiograficamente ocultas. Informe sobre cinco casos
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"apellidos" => "Ortega" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390709335?idApp=UINPBA00004B" "url" => "/11301473/0000000100000006/v1_201305151002/S1130147390709335/v1_201305151002/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Malformaciones vasculares cerebrales angiograficamente ocultas. Informe sobre cinco casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "367" "paginaFinal" => "374" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "A. Bárcena Orbe, C. Mestre Moreiro, J.M. Cañizal García, J. Rodríguez Hernández" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Bárcena Orbe" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Mestre Moreiro" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Cañizal García" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Rodríguez Hernández" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital del Aire. Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "F. Esteban Alonso" "autores" => array:1 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Esteban Alonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Neurorradiología. Hospital del Aire. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156575" "palabras" => array:5 [ 0 => "Malformación cerebrovascular oculta" 1 => "angioma" 2 => "resonancia magnética nuclear" 3 => "hematoma" 4 => "epilepsia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156574" "palabras" => array:5 [ 0 => "Occult cerebral vascular malformation" 1 => "angioma" 2 => "magnetic resonance images" 3 => "hematoma" 4 => "epilepsy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las malformaciones vasculares cerebrales ocultas o crípticas, (MVC), constituyen una entidad patológica, cuya certeza diagnóstica mejora progresivamente gracias al uso combinado de la Tomografía Axial Computada, (TAC), y la Resonancia Magnética Nuclear, (RMN), de alto campo magnético.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La apariencia de ciertas áreas lesionales con encendido postcontraste, que pasan desapercibidas con frecuencia en la TAC simple, asociadas a imágenes de RMN, sugerentes de hemorragias de diferente edad, rodeadas de halos hipointensos, sobre todo en secuencias T2, en relación a su vez con depósitos de hemosiderina, constituyen las características de estas lesiones. Sin embargo las imágenes otenidas son tan sólo fenómenos indirectos de la presencia de las MVC; por lo que es posible encontrar hallazgos TAC que dan lugar a falsos negativos, sobre todo en la fase de reabsorción del hematoma. De igual modo, en los exámenes RMN pueden aparecer diagnósticos falsamente positivos, (tumor hemorrágico, granuloma, etc…).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se describen en este trabajo cinco casos de MVC. Tres de ellas intervenidas quirúrgicamente, con la correspondiente corroboración histológica. Otra fue tratada mediante la unidad gamma, y finalmente es descrito el seguimiento del último paciente, no tratado, durante tres años de evolución.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Discutimos los cambios sufridos por la hemoglobina extravasada, tras los tratamientos aplicados, así como su evolución espontánea en el caso no sometido a terapia, en relación a los hallazgos obtenidos por las imágenes RMN de control.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Finalmente se cuestiona el valor de la RMN, como procedimiento diagnóstico de seguimiento y de valor pronóstico, tras la aplicación del tratamiento quirúrgico o radioterápico.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Occult cerebral vascular malformation, (OCVM) is a condition in which the diagnostic specifity day to day improves by using both the Computed Tomography, (CT), and High-Field Magnetic Resonance, (MR), images in combination. The appearance of CT enhanced postcontrast areas, perhaps irrelevant on plain CT films, associated to multiple hemorrhages of varying ages sourrounded by a hypointense zone, most prominent on T2 weighted MR sequences and representing hemosiderin deposits, are characteristic but indirect findings of OCVM. However, CT Scans show false-negative suspicious images in the solving hematoma phase, while MR procedures are capable of false positive diagnosis (bleeding tumor, granuloma, etc…).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Five cases of OCVMs are described here, three of them were operated upon and histological assesment being obtained; another one was managed with highenergy stereotactic radiotherapy; and a 3-years followup period of the fifth, a non-treated patient, is also showed. Secondary biochemical-induced changes on the extravasated hemoglobin and its magnetic behaviour correlations are discussed in sorne detail. Finally, the rol of postherapy MR is questioned on the basis of its nonspecific hematological subproducts-related images.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Bárcena Orbe, J.; Mestre Moreiro, C.; Cañizal García, J. M.; Rodríguez Hernández, J.; Esteban Alonso, F.: Malformaciones vasculares cerebrales angiograficamente ocultas. Informe sobre cinco casos. Neurocirugía, 1990; 1: 367–374.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blood flow effects in magnetic resonance imaging" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 7 | 3 | 10 |
| 2020 Noviembre | 2 | 5 | 7 |
| 2018 Noviembre | 0 | 2 | 2 |
| 2018 Marzo | 0 | 6 | 6 |
| 2018 Febrero | 10 | 1 | 11 |
| 2018 Enero | 14 | 20 | 34 |
| 2017 Diciembre | 20 | 12 | 32 |
| 2017 Noviembre | 11 | 34 | 45 |
| 2017 Octubre | 22 | 24 | 46 |
| 2017 Septiembre | 23 | 28 | 51 |
| 2017 Agosto | 15 | 24 | 39 |
| 2017 Julio | 24 | 20 | 44 |
| 2017 Junio | 27 | 24 | 51 |
| 2017 Mayo | 20 | 23 | 43 |
| 2017 Abril | 29 | 11 | 40 |
| 2017 Marzo | 13 | 13 | 26 |
| 2017 Febrero | 8 | 13 | 21 |
| 2017 Enero | 14 | 7 | 21 |
| 2016 Diciembre | 36 | 19 | 55 |
| 2016 Noviembre | 45 | 30 | 75 |
| 2016 Octubre | 50 | 19 | 69 |
| 2016 Septiembre | 50 | 23 | 73 |
| 2016 Agosto | 55 | 21 | 76 |
| 2016 Julio | 41 | 27 | 68 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 0 | 5 | 5 |
| 2015 Junio | 10 | 23 | 33 |
| 2015 Mayo | 19 | 33 | 52 |
| 2015 Abril | 15 | 18 | 33 |
| 2015 Marzo | 14 | 22 | 36 |
| 2015 Febrero | 11 | 34 | 45 |
| 2015 Enero | 13 | 21 | 34 |
| 2014 Diciembre | 17 | 30 | 47 |
| 2014 Noviembre | 12 | 24 | 36 |
| 2014 Octubre | 18 | 41 | 59 |
| 2014 Septiembre | 13 | 52 | 65 |
| 2014 Agosto | 17 | 49 | 66 |
| 2014 Julio | 13 | 32 | 45 |
| 2014 Junio | 10 | 36 | 46 |
| 2014 Mayo | 15 | 36 | 51 |
| 2014 Abril | 7 | 52 | 59 |
| 2014 Marzo | 11 | 49 | 60 |
| 2014 Febrero | 13 | 65 | 78 |
| 2014 Enero | 11 | 56 | 67 |
| 2013 Diciembre | 12 | 66 | 78 |
| 2013 Noviembre | 13 | 95 | 108 |
| 2013 Octubre | 15 | 53 | 68 |
| 2013 Septiembre | 18 | 69 | 87 |
| 2013 Agosto | 13 | 51 | 64 |
| 2013 Julio | 18 | 49 | 67 |
| 2013 Junio | 17 | 32 | 49 |
| 2013 Mayo | 16 | 28 | 44 |
| 2013 Abril | 17 | 28 | 45 |
| 2013 Marzo | 10 | 25 | 35 |
| 2013 Febrero | 7 | 12 | 19 |
| 2013 Enero | 13 | 16 | 29 |
| 2012 Diciembre | 14 | 17 | 31 |
| 2012 Noviembre | 2 | 4 | 6 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
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