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        "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 diagn&#243;stico de hidrocefalia cr&#243;nica del adulto &#40;HCA&#41;&#46; Estos doce pacientes fueron seleccionados por presentar una macrocefalia &#40;per&#237;metro craneal igualo superior al percentil 98&#41;&#46; Once casos presentaban transtoroos de la marcha a su ingreso&#46; El patr&#243;n tomodensitom&#233;trico se caracteriz&#243; de una forma uniforme por la presencia de una ventriculomegalia masiva&#44; con una media en el Indice de Evans de 0&#46;48 &#40;Intervalo de confianza al 95&#37; de 0&#46;42 a 0&#46;54&#41;&#44; una dilataci&#243;n marcada de las astas temporales y ausencia de atrofia cortical&#46; Los estudios de PIC e hidrodin&#225;micos demostraron en 8 casos la existencia de una hidrocefalia compensada &#40;PIC media inferior o igual a 12<span class="elsevierStyleHsp" style=""></span>mmHg&#41; y en 4 de una hidrocefalia activa &#40;PIC media superior a los 12<span class="elsevierStyleHsp" style=""></span>mmHg&#41;&#46; Se discute la cl&#237;nica&#44; la respuesta al shunt y las caracter&#237;sticas diferenciales respecto a otros grupos con un s&#237;ndrome de HCA&#46; La macrocefalia y otros hallazgos clinicoradiol&#243;gicos sugieren en este grupo particular de pacientes la existencia de una hidrocefalia cong&#233;nita oculta&#44; descompensada de forma tard&#237;a&#46; Se discuten los posibles mecanismos fisiopatol&#243;gicos responsables de la descompensaci&#243;n&#44; los probables factores etiol&#243;gicos y la importancia cl&#237;nica de este tipo particular de hidrocefalia dentro del contexto de la HCA&#46;</p>"
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                      "Revista" => array:6 [
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                        "paginaInicial" => "797"
                        "paginaFinal" => "811"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5662937"
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                        "tituloSerie" => "J Am Geriatr Soc"
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                        "paginaFinal" => "706"
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                        "tituloSerie" => "J Psychiatr Res"
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                        "paginaFinal" => "198"
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                        "paginaFinal" => "281"
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                          0 => array:2 [
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                            "web" => "Medline"
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                        "paginaInicial" => "96"
                        "paginaFinal" => "99"
                      ]
                    ]
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                      "titulo" => "Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid system"
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                        "tituloSerie" => "J Neurosurg"
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                        "paginaInicial" => "523"
                        "paginaFinal" => "534"
                        "link" => array:1 [
                          0 => array:2 [
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                            "web" => "Medline"
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                  "contribucion" => array:1 [
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                      "titulo" => "Occult hydrocephalus"
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                    0 => array:1 [
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                        "paginaFinal" => "308"
                        "link" => array:1 [
                          0 => array:2 [
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                      "titulo" => "Head circumference form birth to eighteen years&#46; Practical composite intemational and interracial graphs"
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                        "paginaFinal" => "114"
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                      "titulo" => "A short portable mental status questionaire for the assesment of organic brain deficit in elderly patients"
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                        "paginaFinal" => "441"
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                    ]
                  ]
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Hidrocefalia crónica del adulto (hidrocefalia “normotensiva”) y macrocefalia
J. Sahuquillo, M.A. Poca, A. Chasampi, E. Gabas, E. Rubio
Servicios de Neurocirugía. Hospital Vall d’Hebron. Barcelona
A. Molins*, A. Rovira+
* Neurología. Hospital Vall d’Hebron. Barcelona
+ Neuroradiología. Hospital Vall d’Hebron. Barcelona
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            1 => "Estenosis de acueducto"
            2 => "Macrocefalia"
            3 => "Demencia"
            4 => "TC cerebral"
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          "titulo" => "Key words"
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            0 => "Hydrocephalus"
            1 => "Aqueduct stenosis"
            2 => "Macrocephalia"
            3 => "Dementia"
            4 => "CT scan"
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      "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 diagn&#243;stico de hidrocefalia cr&#243;nica del adulto &#40;HCA&#41;&#46; Estos doce pacientes fueron seleccionados por presentar una macrocefalia &#40;per&#237;metro craneal igualo superior al percentil 98&#41;&#46; Once casos presentaban transtoroos de la marcha a su ingreso&#46; El patr&#243;n tomodensitom&#233;trico se caracteriz&#243; de una forma uniforme por la presencia de una ventriculomegalia masiva&#44; con una media en el Indice de Evans de 0&#46;48 &#40;Intervalo de confianza al 95&#37; de 0&#46;42 a 0&#46;54&#41;&#44; una dilataci&#243;n marcada de las astas temporales y ausencia de atrofia cortical&#46; Los estudios de PIC e hidrodin&#225;micos demostraron en 8 casos la existencia de una hidrocefalia compensada &#40;PIC media inferior o igual a 12<span class="elsevierStyleHsp" style=""></span>mmHg&#41; y en 4 de una hidrocefalia activa &#40;PIC media superior a los 12<span class="elsevierStyleHsp" style=""></span>mmHg&#41;&#46; Se discute la cl&#237;nica&#44; la respuesta al shunt y las caracter&#237;sticas diferenciales respecto a otros grupos con un s&#237;ndrome de HCA&#46; La macrocefalia y otros hallazgos clinicoradiol&#243;gicos sugieren en este grupo particular de pacientes la existencia de una hidrocefalia cong&#233;nita oculta&#44; descompensada de forma tard&#237;a&#46; Se discuten los posibles mecanismos fisiopatol&#243;gicos responsables de la descompensaci&#243;n&#44; los probables factores etiol&#243;gicos y la importancia cl&#237;nica de este tipo particular de hidrocefalia dentro del contexto de la HCA&#46;</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&#46; These twelve patients were selected because they had a head circumference at or greater than the 98th percentile&#46; Eleven patients had gait disturbances on admission&#46; CT scan findings were characterized by the presence of a severe ventricular dilatation with an average in the Evans Index of 0&#46;48 &#40;confidence interval at 95&#37; of 0&#46;42 to 0&#46;54&#41;&#46; A very important dilatation of the III ventricle &#40;CI 0&#46;116 to 0&#46;160&#41; and the temporal horos were found&#46; Cortical hydrodynamic studies showed the existence of a compensated hydrocephalus in 8 cases &#40;mean ICP equal or less than 12<span class="elsevierStyleHsp" style=""></span>mmHg&#41;&#46; Four patients were considered to have an active hydrocephalus &#40;mean ICP above 12<span class="elsevierStyleHsp" style=""></span>mmHg&#41;&#46; Clinical findings&#44; improvement after shunt and specific characteristics of these patients compared with other cases with ACHS are discussed&#46; 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&#46; The physiopathological mechanisms responsible for decompensation&#44; etiological factors and the clinical importance of this type of hydrocephalus&#44; are discussed&#46;</p>"
      ]
    ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Normal pressure hydrocephalus"
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                          "autores" => array:1 [
                            0 => "M&#46; Anderson"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Brit Med J"
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                        "volumen" => "293"
                        "paginaInicial" => "837"
                        "paginaFinal" => "838"
                      ]
                    ]
                  ]
                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Communicating triventricular hydrocephalus and its treatment with a lumboperitoneal shunt"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N&#46; Aoki"
                            1 => "H&#46; Mizutani"
                          ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1985"
                        "volumen" => "16"
                        "paginaInicial" => "557"
                        "paginaFinal" => "561"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3990936"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib3"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CSF shunts for dementia&#44; incontinence and gait disturbance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;M&#46; Black"
                            1 => "R&#46;G&#46; Ojemann"
                            2 => "A&#46; Tzouras"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1985"
                        "editorial" => "Williams and Wilkins"
                        "editorialLocalizacion" => "Baltimore"
                      ]
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                  ]
                ]
              ]
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              "identificador" => "bib4"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Blessed"
                            1 => "B&#46;E&#46; Tomlinson"
                            2 => "M&#46; Roth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brit J Psychiat"
                        "fecha" => "1968"
                        "volumen" => "114"
                        "paginaInicial" => "797"
                        "paginaFinal" => "811"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5662937"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conductance to outflow of CSF in Normal Pressure Hydrocephalus"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46;E&#46; Borgesen"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "1984"
                        "volumen" => "71"
                        "paginaInicial" => "1"
                        "paginaFinal" => "45"
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                    0 => array:2 [
                      "titulo" => "L&#8217;Hydroc&#233;phalie chronique de l&#8217;adulte"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;H&#46; Bret"
                            1 => "J&#46; Chazal"
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                        "editorial" => "Masson Editors"
                        "editorialLocalizacion" => "Par&#237;s"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Screening the elderly&#46; A brief instrumental activities of daily living measure"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Fillenbaum"
                          ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Geriatr Soc"
                        "fecha" => "1985"
                        "volumen" => "33"
                        "paginaInicial" => "698"
                        "paginaFinal" => "706"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4045087"
                            "web" => "Medline"
                          ]
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                          "pii" => "S0213005X11001868"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mini-Mental State"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;F&#46; Folstetn"
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                            2 => "P&#46;R&#46; McHugh"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Psychiatr Res"
                        "fecha" => "1975"
                        "volumen" => "12"
                        "paginaInicial" => "189"
                        "paginaFinal" => "198"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1202204"
                            "web" => "Medline"
                          ]
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                  ]
                ]
              ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Symptomatic congenital hydrocephalus in Ihe elderly simulating normal pressure hydrocephalus"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "N&#46;R&#46; Graff-Radford"
                            1 => "J&#46;C&#46; Godersky"
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                    ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "Neurology"
                        "fecha" => "1989"
                        "volumen" => "39"
                        "paginaInicial" => "1596"
                        "paginaFinal" => "1600"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2586776"
                            "web" => "Medline"
                          ]
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                    0 => array:2 [
                      "titulo" => "Experimental hydrocephalus&#46; Changes in cerebrospinal fluid dynamics as a function of time"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "G&#46;M&#46; Hochwald"
                            1 => "W&#46;E&#46; Lux Jr&#46;"
                            2 => "A&#46; Sahar"
                            3 => "J&#46; Ransohoff"
                          ]
                        ]
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                    ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Neurol"
                        "fecha" => "1972"
                        "volumen" => "26"
                        "paginaInicial" => "120"
                        "paginaFinal" => "129"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5008316"
                            "web" => "Medline"
                          ]
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                      "titulo" => "Craniofacial surgery"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;J&#46; Hoffman"
                            1 => "C&#46; Raffel"
                          ]
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                  "host" => array:1 [
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                      "LibroEditado" => array:5 [
                        "titulo" => "Pediatric Neurosurgery"
                        "paginaInicial" => "120"
                        "paginaFinal" => "141"
                        "edicion" => "2nd Ed&#46;"
                        "serieFecha" => "1989"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Normal Pressure Hydrocephalus"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Katzman"
                          ]
                        ]
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                    ]
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                      "LibroEditado" => array:5 [
                        "titulo" => "Dementia"
                        "paginaInicial" => "69"
                        "paginaFinal" => "92"
                        "edicion" => "2nd Ed&#46;"
                        "serieFecha" => "1977"
                      ]
                    ]
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                ]
              ]
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              "referencia" => array:1 [
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leukoaraiosis&#58; correlation of MR and CT findings with blood flow&#44; atrophy&#44; and cognition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Kobari"
                            1 => "J&#46;S&#46; Meyer"
                            2 => "M&#46; Ichijo"
                            3 => "W&#46;T&#46; Oravez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "AJNR"
                        "fecha" => "1990"
                        "volumen" => "11"
                        "paginaInicial" => "273"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2107711"
                            "web" => "Medline"
                          ]
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              ]
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              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebral hemodynamics in the diagnosis of normal pressure hydrocephalus"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Kushner"
                            1 => "D&#46; Younktn"
                            2 => "J&#46; Weinberger"
                            3 => "H&#46; Hurtig"
                            4 => "H&#46; Goldberg"
                            5 => "M&#46; Reivich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurology &#40;Cleveland&#41;"
                        "fecha" => "1984"
                        "volumen" => "34"
                        "paginaInicial" => "96"
                        "paginaFinal" => "99"
                      ]
                    ]
                  ]
                ]
              ]
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            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid system"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Marmarou"
                            1 => "K&#46; Shulman"
                            2 => "J&#46; Lamorgese"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1975.43.5.0523"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1975"
                        "volumen" => "43"
                        "paginaInicial" => "523"
                        "paginaFinal" => "534"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1181384"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib16"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Occult hydrocephalus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;R&#46; McHugh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Quarterly Journal of Medicine"
                        "fecha" => "1964"
                        "volumen" => "33"
                        "paginaInicial" => "297"
                        "paginaFinal" => "308"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14152976"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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                    0 => array:2 [
                      "titulo" => "The investigation of hydrocephalus by computed tomography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;G&#46; McLone"
                            1 => "T&#46;P&#46; Naidich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "The Congress of Neurological Surgeons&#44; ed Clinical Neurosurgery 32"
                        "fecha" => "1985"
                        "editorial" => "Williams and Wilkins"
                        "editorialLocalizacion" => "Baltimore"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebospinal fluid and the brain edemas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;H&#46; Milhorat"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1987"
                        "editorial" => "Neuroscience Society of New York"
                        "editorialLocalizacion" => "New York"
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                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Head circumference form birth to eighteen years&#46; Practical composite intemational and interracial graphs"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Nellhaus"
                          ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1968"
                        "volumen" => "41"
                        "paginaInicial" => "106"
                        "paginaFinal" => "114"
                        "link" => array:1 [
                          0 => array:2 [
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                ]
              ]
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                    0 => array:2 [
                      "titulo" => "A short portable mental status questionaire for the assesment of organic brain deficit in elderly patients"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46; Pfeiffer"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Geriat Sc"
                        "fecha" => "1975"
                        "volumen" => "23"
                        "paginaInicial" => "433"
                        "paginaFinal" => "441"
                      ]
                    ]
                  ]
                ]
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                    0 => array:2 [
                      "titulo" => "Normal Pressure Hydrocephalus-To shunt or Not to shunt&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:1 [
                            0 => "J&#46;D&#46; Plckard"
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                    ]
                  ]
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                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Dilemmas in the management of the neurological patient"
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                        "paginaFinal" => "214"
                        "serieFecha" => "1984"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Experimental hydrocephalus&#58; Cerebospinal fluid forrnation and ventricular size as a function of intraventricular pressure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Sahar"
                            1 => "G&#46;M&#46; Hochwald"
                            2 => "J&#46; Ransohoff"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Journal of Neurological Sciences"
                        "fecha" => "1970"
                        "volumen" => "11"
                        "paginaInicial" => "81"
                        "paginaFinal" => "91"
                        "itemHostRev" => array:3 [
                          "pii" => "S0213005X10001965"
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                ]
              ]
            ]
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                    0 => array:2 [
                      "titulo" => "Non-tumoural aqueduct stenosis and normal pressure hydrocephalus in the elderly&#44; Journal of Neurology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Vanneste"
                            1 => "R&#46; Hyman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurosurgery and Psychiatry"
                        "fecha" => "1986"
                        "volumen" => "49"
                        "paginaInicial" => "529"
                        "paginaFinal" => "535"
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                    ]
                  ]
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Información del artículo
ISSN: 11301473
Idioma original: Español
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