Traumatismos por aplastamiento bitemporal de cráneo. Un cuadro clínico característico
J. González Tortosa, M. Martínez Pérez, J.F. Martínez Lage, M. Poza
Servicio Regional de Neurocirugía. Hospital Virgen de la Arrixaca. Murcia
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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" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147391709226?idApp=UINPBA00004B" "url" => "/11301473/0000000200000001/v1_201305151322/S1130147391709226/v1_201305151322/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Traumatismos por aplastamiento bitemporal de cráneo. Un cuadro clínico característico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "17" "paginaFinal" => "24" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. González Tortosa, M. Martínez Pérez, J.F. Martínez Lage, M. Poza" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "González Tortosa" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Martínez Pérez" ] 2 => array:2 [ "nombre" => "J.F." "apellidos" => "Martínez Lage" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Poza" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio Regional de Neurocirugía. Hospital Virgen de la Arrixaca. Murcia" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec160217" "palabras" => array:6 [ 0 => "Traumatismo de cráneo por aplastamiento" 1 => "Fractura de base de cráneo" 2 => "Pneumocéfalo" 3 => "VI par" 4 => "VII par" 5 => "Diabetes insípida" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec160218" "palabras" => array:6 [ 0 => "Crushing head injury" 1 => "Basal skull fracture" 2 => "Pneumocephalus" 3 => "Abducens nerve" 4 => "Facial nerve" 5 => "Diabetes insipidus" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La inmensa mayoría de los TCE que se atienden en la práctica diaria, son traumatismos por aceleración/desacelaración del cráneo. En este trabajo resumimos toda nuestra experiencia con otro tipo de lesión mucho más rara: aquélla que se produce por una compresión progresiva bitemporal de la cabeza, sin componente rotatorio y que origina un cuadro clínico muy característico: ausencia de conmoción cerebral, epistaxis y otorragia bilateral, parálisis periférica del VI y VII pares craneales, fracturas de la base de cráneo, neumocéfalo y alteraciones del eje hipotálamohipofisario. Presentamos siete observaciones clínicas y una experimental, comprimiendo un cráneo en un tornillo de banco. Se revisa la bibliografía y discutimos la patogenia del cuadro clave.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Most head injuries are due to an acceleration mechanism. However, sorne of them are caused by progresive eompression of the skull, without a rotatory eomponent. That kind of mechanism brings about a very characteristic clinical picture when the compression is lateral: absence of concussion, nose and ear bleeding, palsy of the sixth and seventh cranial nerves and hypophyseal and hypothalamie disturbances. X-ray shows fracture of skull base and pneumoencephalus. We present seven cases and an experimental study, compressing the skull with a carpenter's clamp. Pathogeny is diseussed with review of literature.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">González Tortosa, J.; Martínez Pérez, M.; Martínez Lage, J. F.; Poza, M.: Traumatismos por aplastamiento bitemporal de cráneo. Un cuadro clínico característico. Neurocirugía, 1991; 2: 17–24.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 14 | 2 | 16 |
| 2018 Marzo | 2 | 0 | 2 |
| 2018 Febrero | 37 | 17 | 54 |
| 2018 Enero | 26 | 24 | 50 |
| 2017 Diciembre | 53 | 23 | 76 |
| 2017 Noviembre | 51 | 34 | 85 |
| 2017 Octubre | 52 | 33 | 85 |
| 2017 Septiembre | 84 | 29 | 113 |
| 2017 Agosto | 42 | 24 | 66 |
| 2017 Julio | 38 | 20 | 58 |
| 2017 Junio | 49 | 32 | 81 |
| 2017 Mayo | 76 | 35 | 111 |
| 2017 Abril | 31 | 10 | 41 |
| 2017 Marzo | 41 | 22 | 63 |
| 2017 Febrero | 68 | 9 | 77 |
| 2017 Enero | 48 | 11 | 59 |
| 2016 Diciembre | 39 | 27 | 66 |
| 2016 Noviembre | 69 | 25 | 94 |
| 2016 Octubre | 45 | 41 | 86 |
| 2016 Septiembre | 92 | 33 | 125 |
| 2016 Agosto | 53 | 21 | 74 |
| 2016 Julio | 41 | 29 | 70 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Marzo | 3 | 0 | 3 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 4 | 5 |
| 2015 Junio | 30 | 19 | 49 |
| 2015 Mayo | 20 | 21 | 41 |
| 2015 Abril | 18 | 20 | 38 |
| 2015 Marzo | 13 | 22 | 35 |
| 2015 Febrero | 27 | 27 | 54 |
| 2015 Enero | 20 | 14 | 34 |
| 2014 Diciembre | 15 | 26 | 41 |
| 2014 Noviembre | 10 | 32 | 42 |
| 2014 Octubre | 20 | 34 | 54 |
| 2014 Septiembre | 12 | 32 | 44 |
| 2014 Agosto | 12 | 43 | 55 |
| 2014 Julio | 12 | 24 | 36 |
| 2014 Junio | 26 | 34 | 60 |
| 2014 Mayo | 28 | 38 | 66 |
| 2014 Abril | 21 | 26 | 47 |
| 2014 Marzo | 13 | 30 | 43 |
| 2014 Febrero | 15 | 33 | 48 |
| 2014 Enero | 13 | 22 | 35 |
| 2013 Diciembre | 10 | 18 | 28 |
| 2013 Noviembre | 13 | 23 | 36 |
| 2013 Octubre | 16 | 19 | 35 |
| 2013 Septiembre | 20 | 29 | 49 |
| 2013 Agosto | 15 | 29 | 44 |
| 2013 Julio | 16 | 18 | 34 |
| 2013 Junio | 12 | 19 | 31 |
| 2013 Mayo | 8 | 28 | 36 |
| 2013 Abril | 7 | 29 | 36 |
| 2013 Marzo | 11 | 14 | 25 |
| 2013 Febrero | 9 | 19 | 28 |
| 2013 Enero | 11 | 14 | 25 |
| 2012 Diciembre | 12 | 19 | 31 |
| 2012 Noviembre | 0 | 10 | 10 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 1 | 1 |
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