Hemorragia subaracnoidea aneurismática. Estudio de una serie clínica de 412 casos
P.A. Gómez, R.D. Lobato, J.J. Rivas, A. Cabrera, R. Alday, J. Domínguez, J. Ayerbe, E. Lamas
Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid
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Estudio de una serie clínica de 412 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "186" "paginaFinal" => "196" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P.A. Gómez, R.D. Lobato, J.J. Rivas, A. Cabrera, R. Alday, J. Domínguez, J. Ayerbe, E. Lamas" "autores" => array:8 [ 0 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 1 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 2 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Lamas" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162248" "palabras" => array:5 [ 0 => "Hemorragia subaracnoidea" 1 => "aneurisma" 2 => "hallazgos TC" 3 => "vasoespasmo" 4 => "evolución final" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162249" "palabras" => array:5 [ 0 => "Subarachnoid hemorrhage" 1 => "aneurysm" 2 => "CT findings" 3 => "vasospasm" 4 => "outcome" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizan retrospectivamente 412 casos consecutivos de hemorragia subaracnoidea aneurismática, tratados durante los años 1974–1991. El 79% de los pacientes ingresaron en los tres primeros días del sangrado. El 63% de los pacientes ingresaron en buen grado clínico (Botterell I y II). Se apreció vasoespasmo angiográfico en el 38% de los casos. Se intervinieron 336 pacientes (81,6%), la mayoría pasados siete días. Del total de la serie fallecieron 132 pacientes (32%), 69 de éstos (16,7%) después de haber sido intervenidos. Las complicaciones que más influyeron en la mortalidad fueron la isquemia cerebral y el resangrado. Apreciamos una estrecha correlación entre el depósito de sangre cisternal, la aparición de vasoespasmo angiográfico y el desarrollo de isquemia cerebral, lo que apoya la teoría que imputa a la sangre, o a alguno de sus componentes o productos de degradación un papel fundamental en la producción de vasoespasmo. Es muy importante reconocer precozmente esta enfermedad con el fin de instaurar lo antes posible el tratamiento adecuado.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A series of 412 consecutive cases of aneurysmal subarachnoid hemorrhage are analyzed. Nearly 80% of the patients were admitted within three days after bleeding. At admission, 63% of the patients were in good neurological condition (Botterell I-II). Cerebral vasospasm was appreciated in 38% of the preoperative angiographies. A total of 336 (81,6%) patients were operated on, most after seven days of initial hemorrhage. The overall mortality was 32% (132 patients); of these, 69 died after surgery (16,7%). Vasospasm and rebleeding were the leading causes of morbidity and mortality. A close correlation was found between the amount of subarachnoid bleeding and the development of vasospasm and brain ischemia, supporting the concept that the extravasated blood plays an essential role in the pathogenesis of vasospasmo The early diagnosis of this clinical entity is an important step in order to apply adecuate treatment as soon as possible.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez, P.A.; Lobato, R.D.; Rivas, J.J.; Cabrera, A.; Alday, R.; Domínguez, J.; Ayerbe, J.; Lamas, E.: Hemorragia subaracnoidea aneurismática. Estudio clínico de una serie de 412 casos. Neurocirugía 1992; 3: 186–196.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:74 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 0 | 1 | 1 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 10 | 13 | 23 |
| 2018 Enero | 17 | 11 | 28 |
| 2017 Diciembre | 14 | 16 | 30 |
| 2017 Noviembre | 44 | 23 | 67 |
| 2017 Octubre | 15 | 19 | 34 |
| 2017 Septiembre | 12 | 46 | 58 |
| 2017 Agosto | 13 | 34 | 47 |
| 2017 Julio | 11 | 24 | 35 |
| 2017 Junio | 20 | 38 | 58 |
| 2017 Mayo | 20 | 30 | 50 |
| 2017 Abril | 13 | 29 | 42 |
| 2017 Marzo | 9 | 27 | 36 |
| 2017 Febrero | 4 | 18 | 22 |
| 2017 Enero | 14 | 14 | 28 |
| 2016 Diciembre | 38 | 20 | 58 |
| 2016 Noviembre | 34 | 25 | 59 |
| 2016 Octubre | 49 | 28 | 77 |
| 2016 Septiembre | 45 | 27 | 72 |
| 2016 Agosto | 68 | 30 | 98 |
| 2016 Julio | 43 | 25 | 68 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 0 | 5 | 5 |
| 2015 Junio | 8 | 12 | 20 |
| 2015 Mayo | 27 | 22 | 49 |
| 2015 Abril | 11 | 24 | 35 |
| 2015 Marzo | 20 | 21 | 41 |
| 2015 Febrero | 19 | 19 | 38 |
| 2015 Enero | 9 | 17 | 26 |
| 2014 Diciembre | 15 | 29 | 44 |
| 2014 Noviembre | 6 | 19 | 25 |
| 2014 Octubre | 17 | 26 | 43 |
| 2014 Septiembre | 13 | 24 | 37 |
| 2014 Agosto | 13 | 34 | 47 |
| 2014 Julio | 14 | 17 | 31 |
| 2014 Junio | 17 | 20 | 37 |
| 2014 Mayo | 12 | 26 | 38 |
| 2014 Abril | 14 | 16 | 30 |
| 2014 Marzo | 19 | 20 | 39 |
| 2014 Febrero | 11 | 17 | 28 |
| 2014 Enero | 11 | 19 | 30 |
| 2013 Diciembre | 14 | 16 | 30 |
| 2013 Noviembre | 14 | 17 | 31 |
| 2013 Octubre | 18 | 15 | 33 |
| 2013 Septiembre | 14 | 20 | 34 |
| 2013 Agosto | 18 | 18 | 36 |
| 2013 Julio | 13 | 20 | 33 |
| 2013 Junio | 17 | 23 | 40 |
| 2013 Mayo | 17 | 23 | 40 |
| 2013 Abril | 9 | 16 | 25 |
| 2013 Marzo | 11 | 18 | 29 |
| 2013 Febrero | 11 | 13 | 24 |
| 2013 Enero | 10 | 3 | 13 |
| 2012 Diciembre | 8 | 13 | 21 |
| 2012 Noviembre | 0 | 9 | 9 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
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