Disección traumática de la arteria carótida interna cervical
A. García Allut, A. Bollar Zabala, A. Prieto González, M. Gelabert González, J. Bandín Diéguez
Servicio de Neurocirugía. Hospital General de Galicia. Santiago de Compostela
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"apellidos" => "Homedo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739270904X?idApp=UINPBA00004B" "url" => "/11301473/0000000300000001/v1_201305151416/S113014739270904X/v1_201305151416/en/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Disección traumática de la arteria carótida interna cervical" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "30" "paginaFinal" => "34" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. García Allut, A. Bollar Zabala, A. Prieto González, M. Gelabert González, J. Bandín Diéguez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "García Allut" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Bollar Zabala" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Prieto González" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Gelabert González" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Bandín Diéguez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital General de Galicia. Santiago de Compostela" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162146" "palabras" => array:3 [ 0 => "Arteria carótida" 1 => "Aneurisma disecante" 2 => "Traumatismo arterial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162145" "palabras" => array:3 [ 0 => "Aneurysm" 1 => "Blunt Trauma" 2 => "Carotid Artery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores presentan dos casos de disección carotidea tras un traumatismo sin lesión penetrante en el cuello, que cursaron con un cuadro clínico de deterioro neurológico tras un periodo libre de síntomas, como suele ocurrir en este tipo de lesiones. Los estudios de tomografía computada TC iniciales fueron normales y la angiografía descubrió las lesiones disecantes, una trombosis “en punta de lápiz” de la arteria carótida interna en un caso y una dilatación aneurismática de la carótida interna cervical que embolizó distalmente en la arteria cerebral media del mismo lado en el segundo caso.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisa la etiopatogenia de esta entidad así como las diversas actitudes terapéuticas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Two cases of blunt traumatic carotid artery dissection are described, presenting delayed neurological impairment. On both cases initial (CT) were normal. In the first patient angiography showed internal carotid artery obliteration with a “pencil tip” shape and in the second an internal carotid artery aneurysm embolizing in the ipsilateral middle cerebral artery.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The etiopathogenesis and the medical and surgical treatments are reviewed.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Syndrome de Raeder du à une dissection carotidienne. (Letter)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Brandel" 1 => "F. Chapon" 2 => "F. Viader" 3 => "B. 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