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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A pesar de los progresos en la terapia antibi&#243;tica y las t&#233;cnicas radiol&#243;gicas&#44; la mortalidad del absceso cerebral es todav&#237;a importante&#44; y su incidencia&#44; lejos de disminuir&#44; parece estar aumentando&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizamos 60 casos de absceso cerebral recogidos en nuestro Servicio entre 1974 y 1990&#46; Las infecciones &#243;ticas y pulmonares fueron identificadas como factores predisponentes en el 30&#37; y 12&#37; de los casos&#44; respectivamente&#46; El origen de la infecci&#243;n no se encontr&#243; en el 35&#37; de los pacientes&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La cefalea&#44; la fiebre&#44; el defecto focal y las alteraciones del nivel de conciencia fueron los s&#237;ntomas de presentaci&#243;n m&#225;s frecuentes&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El 75&#37; de los pacientes se trataron despu&#233;s de la introducci&#243;n de la tomografia computadorizada &#40;TC&#41;&#44; con un 80&#37; de aciertos en la sospecha diagn&#243;stica y dos d&#237;as de demora entre ingreso y tratamiento&#46; El 25&#37; restante se manejaron antes de la era Tc&#44; con un 50&#37; de aciertos y ocho d&#237;as de demora&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las localizaciones m&#225;s frecuentes fueron la temporal y la frontal&#46; En el 10&#37; de los casos los abscesos fueron m&#250;ltiples&#46; Los cultivos del pus obtenido resultaron positivos en un 75&#37; de los casos&#44; y los anaerobios fueron los g&#233;rmenes hallados con m&#225;s frecuencia&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La mortalidad con la t&#233;cnica de punci&#243;n-aspiraci&#243;n&#44; introducida despu&#233;s de la llegada de la TC&#44; fue del 15&#37;&#44; mientras que con la extirpaci&#243;n mediante craneotom&#237;a&#44; utilizada fundamentalmente antes de la d&#233;cada de los ochenta&#44; la mortalidad fue del 50&#37;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Los factores pron&#243;sticos m&#225;s importantes fueron la alteraci&#243;n del nivel de conciencia previo a la cirug&#237;a y el n&#250;mero de abscesos&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Despite improvements in antibiotic therapy and radiologic diagnosis&#44; mortality caused by brain abscesses is still high&#44; and its incidence&#44; far from decreasing&#44; may be rising&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We analyze 60 cases of brain abscess treated between 1974 and 1990&#46; Otic and lung infections were identified as predisposing factors in 30&#37; and 12&#37; of the cases respectively&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The origin of the infection was not found in the remaining 35&#37; of the cases&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Headache&#44; fever&#44; focal deficit and alterations in the level of consciousness were most frequent initial symptoms&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Seventy five per cent of our patients were treated after computerized tomography &#40;CT&#41; introduction&#44; when correct diagnosis was made in 80&#37; of the cases and the average delay between admission and treatment was two days&#46; The reamining 25&#37; of the cases were managed during the pre-CT period&#44; when preoperative diagnosis was made in 50&#37; of these cases and the average delay between admission and treatment reached eight days&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Temporal and frontal locations were the most frequent and in 10&#37; of the cases the abscesses were multiple&#46; Pus cultures were positive in 75&#37; of the total sample&#44; and anaerobes were the most commonly found germs&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">The mortality rate with the aspiration surgical technique&#44; which was introduced after CT available&#44; was 15&#37;&#44; whereas it was 50&#37; with conventional surgical excision&#44; which was mainly used before the 1980s&#46;</p><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">The most significant prognostic factars were the level of consciousness before the operation and the number of abscesses&#46;</p>"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Ortega&#44; J&#46;M&#46;&#59; D&#237;ez Lobato&#44; R&#46;&#59; Aguado&#44; J&#46;M&#46;&#59; Dom&#237;nguez&#44; J&#46;&#59; Ayerbe&#44; J&#46;&#59; Sandoval&#44; H&#46;&#59; Rivas&#44; J&#46;J&#46;&#58; Absceso cerebral&#46; Revisi&#243;n de 60 casos&#46; Neurocirug&#237;a 1992&#59; 3&#58; 125&#8211;130&#46;</p>"
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                            0 => "A&#46;J&#46; Bellar"
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Absceso cerebral. Revisión de 60 casos
J.M. Ortega, R. Díez Lobato, J.M. Aguado, J. Domínguez, J. Ayerbe, H. Sandoval, J.J. Rívas
Servicio de Neurocirugía. Hospital «12 de Octubre». Madrid
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A pesar de los progresos en la terapia antibi&#243;tica y las t&#233;cnicas radiol&#243;gicas&#44; la mortalidad del absceso cerebral es todav&#237;a importante&#44; y su incidencia&#44; lejos de disminuir&#44; parece estar aumentando&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizamos 60 casos de absceso cerebral recogidos en nuestro Servicio entre 1974 y 1990&#46; Las infecciones &#243;ticas y pulmonares fueron identificadas como factores predisponentes en el 30&#37; y 12&#37; de los casos&#44; respectivamente&#46; El origen de la infecci&#243;n no se encontr&#243; en el 35&#37; de los pacientes&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La cefalea&#44; la fiebre&#44; el defecto focal y las alteraciones del nivel de conciencia fueron los s&#237;ntomas de presentaci&#243;n m&#225;s frecuentes&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El 75&#37; de los pacientes se trataron despu&#233;s de la introducci&#243;n de la tomografia computadorizada &#40;TC&#41;&#44; con un 80&#37; de aciertos en la sospecha diagn&#243;stica y dos d&#237;as de demora entre ingreso y tratamiento&#46; El 25&#37; restante se manejaron antes de la era Tc&#44; con un 50&#37; de aciertos y ocho d&#237;as de demora&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las localizaciones m&#225;s frecuentes fueron la temporal y la frontal&#46; En el 10&#37; de los casos los abscesos fueron m&#250;ltiples&#46; Los cultivos del pus obtenido resultaron positivos en un 75&#37; de los casos&#44; y los anaerobios fueron los g&#233;rmenes hallados con m&#225;s frecuencia&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La mortalidad con la t&#233;cnica de punci&#243;n-aspiraci&#243;n&#44; introducida despu&#233;s de la llegada de la TC&#44; fue del 15&#37;&#44; mientras que con la extirpaci&#243;n mediante craneotom&#237;a&#44; utilizada fundamentalmente antes de la d&#233;cada de los ochenta&#44; la mortalidad fue del 50&#37;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Los factores pron&#243;sticos m&#225;s importantes fueron la alteraci&#243;n del nivel de conciencia previo a la cirug&#237;a y el n&#250;mero de abscesos&#46;</p>"
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