Experiencia anatomoclínica en pacientes con siringomielia tratados mediante derivación siringo-subaracnoidea
J. Vaquero, A. Arias, R. Martínez, P. Aragonés
Servicio de Neurocirugía. Clínica Puerta de Hierro. Madrid
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Bini, R.H. Prawitz, J. Rodríguez Díaz, M. Samii" "autores" => array:4 [ 0 => array:2 [ "nombre" => "W." "apellidos" => "Bini" ] 1 => array:2 [ "nombre" => "R.H." "apellidos" => "Prawitz" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Rodríguez Díaz" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Samii" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147391709214?idApp=UINPBA00004B" "url" => "/11301473/0000000200000001/v1_201305151322/S1130147391709214/v1_201305151322/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Experiencia anatomoclínica en pacientes con siringomielia tratados mediante derivación siringo-subaracnoidea" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "9" "paginaFinal" => "16" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Vaquero, A. Arias, R. Martínez, P. Aragonés" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Arias" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Martínez" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Aragonés" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Clínica Puerta de Hierro. Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec160211" "palabras" => array:3 [ 0 => "Siringomielia" 1 => "Malformación de Chiari" 2 => "Resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec160212" "palabras" => array:3 [ 0 => "Syringomyelia" 1 => "Chiari malformation" 2 => "Magnetic resonance imaging" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se recoge la experiencia de los autores en la evaluación anatomoclínica de 15 pacientes con siringomielia idiopática, asociada a una malformación de Chiari tipo I, y tratados quirúrgicamente mediante una derivación subaracnoidea (SSS). En todos los casos, el SSS logró una reducción notable y permanente de la cavidad intramedular y según una valoración subjetiva de los propios pacientes, el 80% de ellos refirió una clara mejoría o estabilización de síntomas, tras un período de seguimiento comprendido entre 2 y 5 años. La experiencia obtenida con la presente serie sugiere que el SSS es una técnica quirúrgica sencilla y recomendable en pacientes con siringomielia en los que que se aprecie un quiste intramedular ancho, y en los que no existan manifestaciones clínicas atribuibles a una malformación de Chiari asociada. Por otra parte, cuando sé correlacionaron, a partir de los datos preoperatorios, las diferentes dimensiones de los quistes siringomiélicos y los síntomas predominantes, no se obtuvo ninguna relación estadísticamente significativa, lo que debe ser tenido en cuenta a la hora de plantear una indicación quirúrgica en pacientes con esta enfermedad.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The anatomoclinical experience with a series of 15 patients with syringomyelia-Chiari complex, and treated by syringosubarachnoid shunt (SSS) is presented. All patients showed postoperative deflation of the syrinx at follow-up magnetic resonance imaging evaluation, 80% of the patients showed stabilization or improvement after operation. The present experience suggests that SSS is a safe technique for syringomyelic patients with wide syrinxes, when symptoms of posteriorfossa compression were absent. On the other hand, the present study suggests that the evaluation of syrinx dimensions cannot be brought into relation with the nature or distribution of clinical symptomatology. This finding should be born in mind when a surgical treatment is offered to syringomyelic patients.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vaquero, J.; Arias, A.; Martínez, R.; Aragonés, P.: Experiencia anatomoclínica en pacientes con siringomielia tratados mediante derivación siringo-subaracnoidea. Neurocirugía, 1991; 2: 9–16.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 1 | 3 |
| 2019 Marzo | 0 | 2 | 2 |
| 2018 Febrero | 10 | 9 | 19 |
| 2018 Enero | 20 | 11 | 31 |
| 2017 Diciembre | 12 | 9 | 21 |
| 2017 Noviembre | 45 | 22 | 67 |
| 2017 Octubre | 14 | 9 | 23 |
| 2017 Septiembre | 11 | 28 | 39 |
| 2017 Agosto | 21 | 11 | 32 |
| 2017 Julio | 9 | 8 | 17 |
| 2017 Junio | 21 | 18 | 39 |
| 2017 Mayo | 22 | 19 | 41 |
| 2017 Abril | 22 | 28 | 50 |
| 2017 Marzo | 19 | 21 | 40 |
| 2017 Febrero | 8 | 6 | 14 |
| 2017 Enero | 18 | 18 | 36 |
| 2016 Diciembre | 45 | 22 | 67 |
| 2016 Noviembre | 43 | 24 | 67 |
| 2016 Octubre | 56 | 33 | 89 |
| 2016 Septiembre | 64 | 46 | 110 |
| 2016 Agosto | 59 | 30 | 89 |
| 2016 Julio | 48 | 30 | 78 |
| 2016 Mayo | 2 | 0 | 2 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 2 | 5 | 7 |
| 2015 Junio | 13 | 14 | 27 |
| 2015 Mayo | 19 | 20 | 39 |
| 2015 Abril | 12 | 12 | 24 |
| 2015 Marzo | 15 | 43 | 58 |
| 2015 Febrero | 7 | 36 | 43 |
| 2015 Enero | 10 | 19 | 29 |
| 2014 Diciembre | 11 | 25 | 36 |
| 2014 Noviembre | 8 | 17 | 25 |
| 2014 Octubre | 13 | 28 | 41 |
| 2014 Septiembre | 11 | 20 | 31 |
| 2014 Agosto | 16 | 38 | 54 |
| 2014 Julio | 12 | 27 | 39 |
| 2014 Junio | 11 | 31 | 42 |
| 2014 Mayo | 13 | 24 | 37 |
| 2014 Abril | 9 | 27 | 36 |
| 2014 Marzo | 8 | 19 | 27 |
| 2014 Febrero | 13 | 28 | 41 |
| 2014 Enero | 8 | 20 | 28 |
| 2013 Diciembre | 9 | 21 | 30 |
| 2013 Noviembre | 12 | 19 | 31 |
| 2013 Octubre | 13 | 18 | 31 |
| 2013 Septiembre | 19 | 34 | 53 |
| 2013 Agosto | 14 | 41 | 55 |
| 2013 Julio | 21 | 21 | 42 |
| 2013 Junio | 12 | 28 | 40 |
| 2013 Mayo | 8 | 26 | 34 |
| 2013 Abril | 12 | 23 | 35 |
| 2013 Marzo | 8 | 32 | 40 |
| 2013 Febrero | 17 | 18 | 35 |
| 2013 Enero | 10 | 18 | 28 |
| 2012 Diciembre | 10 | 13 | 23 |
| 2012 Noviembre | 0 | 6 | 6 |
| 2012 Octubre | 0 | 5 | 5 |
| 2012 Septiembre | 0 | 2 | 2 |
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