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array:23 [ "pii" => "S1130147391709159" "issn" => "11301473" "doi" => "10.1016/S1130-1473(91)70915-9" "estado" => "S300" "fechaPublicacion" => "1991-01-01" "aid" => "70915" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1991" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1991;2:344-53" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 20275 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 3047 "PDF" => 17212 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147391709160" "issn" => "11301473" "doi" => "10.1016/S1130-1473(91)70916-0" "estado" => "S300" "fechaPublicacion" => "1991-01-01" "aid" => "70916" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1991;2:354-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1818 "formatos" => array:3 [ "EPUB" => 13 "HTML" => 957 "PDF" => 848 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Reacción lipofibromatosa epidural secundaria a autoinjerto de grasa tras hemilaminectomia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "354" "paginaFinal" => "357" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. 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"apellidos" => "Martín-Ferrer" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147391709160?idApp=UINPBA00004B" "url" => "/11301473/0000000200000004/v1_201305151330/S1130147391709160/v1_201305151330/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147391709147" "issn" => "11301473" "doi" => "10.1016/S1130-1473(91)70914-7" "estado" => "S300" "fechaPublicacion" => "1991-01-01" "aid" => "70914" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1991;2:337-43" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2153 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 1140 "PDF" => 1002 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Aplicación clínica y experimental de un monitor de presión intracraneal on line. Desarrollo de un nuevo prototipo" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "337" "paginaFinal" => "343" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "R. García Sola, P. Pulido" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "García Sola" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Pulido" ] ] ] 1 => array:2 [ "autoresLista" => "M.A. González, C. Hemández" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "González" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Hemández" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147391709147?idApp=UINPBA00004B" "url" => "/11301473/0000000200000004/v1_201305151330/S1130147391709147/v1_201305151330/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Hidrocefalia crónica del adulto (hidrocefalia “normotensiva”) y macrocefalia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "344" "paginaFinal" => "353" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J. Sahuquillo, M.A. Poca, A. Chasampi, E. Gabas, E. Rubio" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Sahuquillo" ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "Poca" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Chasampi" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Gabas" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Rubio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Neurocirugía. Hospital Vall d’Hebron. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "A. Molins, A. Rovira" "autores" => array:2 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Molins" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Rovira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">+</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Neurología. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Neuroradiología. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">+</span>" "identificador" => "aff0015" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec160513" "palabras" => array:5 [ 0 => "Hidrocefalia" 1 => "Estenosis de acueducto" 2 => "Macrocefalia" 3 => "Demencia" 4 => "TC cerebral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec160512" "palabras" => array:5 [ 0 => "Hydrocephalus" 1 => "Aqueduct stenosis" 2 => "Macrocephalia" 3 => "Dementia" 4 => "CT scan" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos 12 casos seleccionados de una serie de 71 pacientes incluidos en un estudio prospectivo e intervenidos con el diagnóstico de hidrocefalia crónica del adulto (HCA). Estos doce pacientes fueron seleccionados por presentar una macrocefalia (perímetro craneal igualo superior al percentil 98). Once casos presentaban transtoroos de la marcha a su ingreso. El patrón tomodensitométrico se caracterizó de una forma uniforme por la presencia de una ventriculomegalia masiva, con una media en el Indice de Evans de 0.48 (Intervalo de confianza al 95% de 0.42 a 0.54), una dilatación marcada de las astas temporales y ausencia de atrofia cortical. Los estudios de PIC e hidrodinámicos demostraron en 8 casos la existencia de una hidrocefalia compensada (PIC media inferior o igual a 12<span class="elsevierStyleHsp" style=""></span>mmHg) y en 4 de una hidrocefalia activa (PIC media superior a los 12<span class="elsevierStyleHsp" style=""></span>mmHg). Se discute la clínica, la respuesta al shunt y las características diferenciales respecto a otros grupos con un síndrome de HCA. La macrocefalia y otros hallazgos clinicoradiológicos sugieren en este grupo particular de pacientes la existencia de una hidrocefalia congénita oculta, descompensada de forma tardía. Se discuten los posibles mecanismos fisiopatológicos responsables de la descompensación, los probables factores etiológicos y la importancia clínica de este tipo particular de hidrocefalia dentro del contexto de la HCA.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We are reporting 12 selected cases from a series of 71 patients included in a prospective study with the diagnosis of ACHS and in whom a cerebrospinal shunt was implanted. These twelve patients were selected because they had a head circumference at or greater than the 98th percentile. Eleven patients had gait disturbances on admission. CT scan findings were characterized by the presence of a severe ventricular dilatation with an average in the Evans Index of 0.48 (confidence interval at 95% of 0.42 to 0.54). A very important dilatation of the III ventricle (CI 0.116 to 0.160) and the temporal horos were found. Cortical hydrodynamic studies showed the existence of a compensated hydrocephalus in 8 cases (mean ICP equal or less than 12<span class="elsevierStyleHsp" style=""></span>mmHg). Four patients were considered to have an active hydrocephalus (mean ICP above 12<span class="elsevierStyleHsp" style=""></span>mmHg). Clinical findings, improvement after shunt and specific characteristics of these patients compared with other cases with ACHS are discussed. An increased head circumference and other clinical findings suggest the existence of an occult congenital hydrocephalus that becomes symptomatic later in life in this particular group of cases. The physiopathological mechanisms responsible for decompensation, etiological factors and the clinical importance of this type of hydrocephalus, are discussed.</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" => "Normal pressure hydrocephalus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Anderson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Brit Med J" "fecha" => "1986" "volumen" => "293" "paginaInicial" => "837" "paginaFinal" => "838" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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año/Mes | Html | Total | |
---|---|---|---|
2023 Marzo | 3 | 4 | 7 |
2021 Septiembre | 0 | 2 | 2 |
2020 Mayo | 1 | 0 | 1 |
2019 Agosto | 1 | 0 | 1 |
2019 Mayo | 2 | 0 | 2 |
2018 Noviembre | 1 | 0 | 1 |
2018 Febrero | 40 | 41 | 81 |
2018 Enero | 23 | 125 | 148 |
2017 Diciembre | 32 | 139 | 171 |
2017 Noviembre | 57 | 175 | 232 |
2017 Octubre | 38 | 168 | 206 |
2017 Septiembre | 53 | 203 | 256 |
2017 Agosto | 46 | 191 | 237 |
2017 Julio | 50 | 196 | 246 |
2017 Junio | 56 | 244 | 300 |
2017 Mayo | 74 | 201 | 275 |
2017 Abril | 64 | 166 | 230 |
2017 Marzo | 56 | 235 | 291 |
2017 Febrero | 81 | 220 | 301 |
2017 Enero | 65 | 140 | 205 |
2016 Diciembre | 53 | 135 | 188 |
2016 Noviembre | 84 | 217 | 301 |
2016 Octubre | 72 | 161 | 233 |
2016 Septiembre | 248 | 420 | 668 |
2016 Agosto | 511 | 650 | 1161 |
2016 Julio | 243 | 411 | 654 |
2015 Diciembre | 2 | 484 | 486 |
2015 Noviembre | 0 | 310 | 310 |
2015 Octubre | 0 | 69 | 69 |
2015 Agosto | 2 | 54 | 56 |
2015 Julio | 1 | 26 | 27 |
2015 Junio | 27 | 303 | 330 |
2015 Mayo | 59 | 435 | 494 |
2015 Abril | 31 | 512 | 543 |
2015 Marzo | 36 | 526 | 562 |
2015 Febrero | 26 | 460 | 486 |
2015 Enero | 39 | 374 | 413 |
2014 Diciembre | 23 | 327 | 350 |
2014 Noviembre | 27 | 401 | 428 |
2014 Octubre | 30 | 486 | 516 |
2014 Septiembre | 32 | 546 | 578 |
2014 Agosto | 43 | 487 | 530 |
2014 Julio | 38 | 367 | 405 |
2014 Junio | 51 | 308 | 359 |
2014 Mayo | 41 | 418 | 459 |
2014 Abril | 36 | 414 | 450 |
2014 Marzo | 35 | 331 | 366 |
2014 Febrero | 33 | 301 | 334 |
2014 Enero | 35 | 335 | 370 |
2013 Diciembre | 30 | 275 | 305 |
2013 Noviembre | 50 | 305 | 355 |
2013 Octubre | 35 | 334 | 369 |
2013 Septiembre | 46 | 455 | 501 |
2013 Agosto | 37 | 504 | 541 |
2013 Julio | 42 | 405 | 447 |
2013 Junio | 22 | 453 | 475 |
2013 Mayo | 36 | 526 | 562 |
2013 Abril | 43 | 535 | 578 |
2013 Marzo | 42 | 343 | 385 |
2013 Febrero | 27 | 148 | 175 |
2013 Enero | 29 | 71 | 100 |
2012 Diciembre | 11 | 60 | 71 |
2012 Noviembre | 0 | 63 | 63 |
2012 Octubre | 0 | 12 | 12 |
2012 Septiembre | 0 | 11 | 11 |