Quistes espinales meníngeos extradurales gigantes: Consideraciones etiológicas y quirúrgicas
A. Maillo, P. Díaz, I. Onzaín, J. Hernández, J. Gómez-Moreta, F. Morales
Servicio de Neurocirugía. Hospital de la Seguridad Social Virgen de la Vega. Salamanca
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"apellidos" => "Hernández" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Gómez-Moreta" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Morales" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital de la Seguridad Social Virgen de la Vega. Salamanca" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156565" "palabras" => array:4 [ 0 => "Quistes meníngeos" 1 => "Quistes aracnoideos" 2 => "Quistes espinales" 3 => "Malformaciones congénitas" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156564" "palabras" => array:4 [ 0 => "Meningeal cysts" 1 => "Arachnoid cysts" 2 => "Spinal cord cysts" 3 => "Congenital malformations" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los quistes espinales meníngeos que den lugar a alteraciones neurológicas no se observan con frecuencia y es menos habitual que estos quistes adquieran grandes proporciones; sin embargo es interesante conocerlos en tanto en cuanto son procesos absolutamente benignos que pueden determinar graves trastornos neurológicos. Su origen y mecanismo de producción, aunque incierto en algunos casos, parece estar ligado a un trastorno del desarrollo embrionario y habitualmente se asocian a otras malformaciones congénitas.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Uno de los problemas diagnósticos es determinar si comunican o no con el espacio subaracnoideo. Para ello es de mayor utilidad el estudio con mielo-TAC que los datos proporcionados por la RNM. El tratamiento debe ser quirúrgico con extirpación total del quiste y cierre del defecto dural si se quiere llegar a resultados satisfactorios.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Apoyando la teoría congénita se describe el caso de un quiste espinal meníngeo extradural gigante con otras anormalidades congénitas, del que se hizo resección total.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Spinal meningeal cysts that give rise to neurological alterations are not observed frequently. It is not common that these cysts get to great proportions. Nevertheless, it is interesting to study these sort of cysts since they represent beningn processes that can determine severe neurological disturbances. Their origin and mechanism of production, although uncertain in some cases, seems to be linked to disturbances in embryonic development; they are also associated to other congenital malformations.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">One of the diagnostic problems that these cysts arise is whether they communicate or not with the subarachnoid space. In order to give light to this point it is more useful to use metrizamide myelography-CT scanning than NMR. Surgical treatment is suggested with total excision of the cyst and closure of the dural deffect, if satisfactory results are to be achieved.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In this work the congenital theory is backed describing a case of a giant extradural spinal cyst that is accompanied by others congenital abnormalities.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Maillo, A.; Díaz, P.; Onzaín, I.; Hernández, J.; Gómez-Moreta, J.; Morales, F.: Quistes espinales meníngeos extradurales gigantes: Consideraciones etiológicas y quirúrgicas. Neurocirugía 1990; 1: 289–292.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| 2013 Agosto | 17 | 28 | 45 |
| 2013 Julio | 18 | 15 | 33 |
| 2013 Junio | 23 | 33 | 56 |
| 2013 Mayo | 17 | 32 | 49 |
| 2013 Abril | 13 | 25 | 38 |
| 2013 Marzo | 10 | 40 | 50 |
| 2013 Febrero | 8 | 20 | 28 |
| 2013 Enero | 11 | 14 | 25 |
| 2012 Diciembre | 10 | 19 | 29 |
| 2012 Noviembre | 0 | 15 | 15 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 1 | 1 |
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