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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos revisado 170 pacientes con hemorragia subaracnoidea &#40;HSA&#41; de causa no traum&#225;tica atendidos en nuestro Servicio&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Setenta y dos de ellos ingresaron entre 1989 y 1991 &#40;Grupo A&#41; y 98 lo hicieron entre 1969 y 1979 &#40;Grupo B&#41;&#46; En 123 casos se confirm&#243; la existencia de aneurisma &#40;46 y 77 en los grupos A y B respectivamente&#41; y 103 pacientes fueron intervenidos&#46; En el Grupo A se us&#243; nimodipina en 44 casos&#46; Se ha comparado la aparici&#243;n de resangrado&#44; isquemia&#44; hidrocefalia y exitus en ambos grupos y&#44; dentro del Grupo A&#44; entre los tratados y no tratados con nimodipina&#44; obteniendo los siguientes resultados&#58; En el Grupo A&#44; en los 44 pacientes que recibieron nimodipina se observaron seis resangrados&#44; 7 isquemias y 3 exitus&#46; En los no tratados se registraron 2 resangrados&#44; 1 isquemia&#44; 4 hidrocefalias y 11 exitus&#46; En los 98 pacientes del Grupo B se registraron 12 resangrados&#44; 17 isquemias&#44; 5 hidrocefalias y 28 exitus&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los resultados han mejorado pese a seguir usando un tratamiento quir&#250;rgico diferido&#46; El papel de la nimodipina no queda suficientemente claro en este estudio&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A series of 170 patients with primary subarachnoid hemorrhage treated at our Unit is analyzed&#46; 72 patients were received between 1989 and 1991 &#40;Group A&#41;&#44; and 98 were admitted between 1969 and 1979 &#40;Group B&#41;&#46; Aneurysms were confirmed in 123 cases &#40;46 and 77 for each group&#41;&#44; and 103 were operated&#46; Nimodipine was employed in 44 patients belonging to Group A&#46; The presence of rebleeding&#44; ischemia&#44; hydrocephalus and exitus has been compared between both groups&#44; and into patients of Group A&#44; between those treated with nimodipine and those without nimodipine&#46; In patients of Group A treated with nimodipine there were 6 with rebleedings&#44; 7 with brain ischemia&#44; and 3 deaths&#46; In those who did not receive nimodipine we observed 2 patients with rebleeding&#44; 1 with brain ischemia&#44; 4 with hydrocephalus&#44; and 11 deaths&#46; In patients of Group B there were 12 with rebleeding&#44; 17 with brain ischemia&#44; five with hydrocephalus and 28 deaths&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">With the passage of time&#44; there has been an improvement in our results in spite of the use of delayed surgery&#46; The role played by nimodipine in preventing cerebral ischemia is not clear enough in our study&#46;</p>"
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Evolución en el tratamiento y resultados en la hemorragia subaracnoidea en un servicio de neurocirugía
J.M. Castilla, R. González-Rodrigálvarez, E. González, S. Sánchez-Alarcos, A. Zafra, J.M. Borrás, R. Carrillo
Servicio de Neurocirugía. Hospital General «Gregorio Marafión». Madrid
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos revisado 170 pacientes con hemorragia subaracnoidea &#40;HSA&#41; de causa no traum&#225;tica atendidos en nuestro Servicio&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Setenta y dos de ellos ingresaron entre 1989 y 1991 &#40;Grupo A&#41; y 98 lo hicieron entre 1969 y 1979 &#40;Grupo B&#41;&#46; En 123 casos se confirm&#243; la existencia de aneurisma &#40;46 y 77 en los grupos A y B respectivamente&#41; y 103 pacientes fueron intervenidos&#46; En el Grupo A se us&#243; nimodipina en 44 casos&#46; Se ha comparado la aparici&#243;n de resangrado&#44; isquemia&#44; hidrocefalia y exitus en ambos grupos y&#44; dentro del Grupo A&#44; entre los tratados y no tratados con nimodipina&#44; obteniendo los siguientes resultados&#58; En el Grupo A&#44; en los 44 pacientes que recibieron nimodipina se observaron seis resangrados&#44; 7 isquemias y 3 exitus&#46; En los no tratados se registraron 2 resangrados&#44; 1 isquemia&#44; 4 hidrocefalias y 11 exitus&#46; En los 98 pacientes del Grupo B se registraron 12 resangrados&#44; 17 isquemias&#44; 5 hidrocefalias y 28 exitus&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los resultados han mejorado pese a seguir usando un tratamiento quir&#250;rgico diferido&#46; El papel de la nimodipina no queda suficientemente claro en este estudio&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A series of 170 patients with primary subarachnoid hemorrhage treated at our Unit is analyzed&#46; 72 patients were received between 1989 and 1991 &#40;Group A&#41;&#44; and 98 were admitted between 1969 and 1979 &#40;Group B&#41;&#46; Aneurysms were confirmed in 123 cases &#40;46 and 77 for each group&#41;&#44; and 103 were operated&#46; Nimodipine was employed in 44 patients belonging to Group A&#46; The presence of rebleeding&#44; ischemia&#44; hydrocephalus and exitus has been compared between both groups&#44; and into patients of Group A&#44; between those treated with nimodipine and those without nimodipine&#46; In patients of Group A treated with nimodipine there were 6 with rebleedings&#44; 7 with brain ischemia&#44; and 3 deaths&#46; In those who did not receive nimodipine we observed 2 patients with rebleeding&#44; 1 with brain ischemia&#44; 4 with hydrocephalus&#44; and 11 deaths&#46; In patients of Group B there were 12 with rebleeding&#44; 17 with brain ischemia&#44; five with hydrocephalus and 28 deaths&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">With the passage of time&#44; there has been an improvement in our results in spite of the use of delayed surgery&#46; The role played by nimodipine in preventing cerebral ischemia is not clear enough in our study&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Castilla&#44; J&#46;M&#46;&#59; Gonz&#225;lez-Rodrig&#225;lvarez&#44; R&#46;&#59; Gonz&#225;lez&#44; E&#46;&#59; S&#225;nchez-Alarcos&#44; S&#46;&#59; Zafra&#44; A&#46;&#59; Borr&#225;s&#44; J&#46;M&#46; y Carrilo&#44; M&#46;&#58; Evoluci&#243;n en el tratamiento y resultados en la hemorragia subaracnoidea en un servicio de neurocirug&#237;a&#46; Neurocirug&#237;a 1994&#59; 5&#58; 98&#8211;106&#46;</p>"
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                        0 => array:2 [
                          "etal" => false
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                          "etal" => true
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                          "etal" => true
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                        0 => array:2 [
                          "etal" => true
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                        0 => array:2 [
                          "etal" => false
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                  ]
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                        0 => array:2 [
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "F&#46; Espinosa"
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                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
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                    0 => array:2 [
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                        0 => array:2 [
                          "etal" => true
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                            0 => "P&#46;A&#46; Gomez"
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                        0 => array:2 [
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Información del artículo
ISSN: 11301473
Idioma original: Español
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