Estudio comparativo de los resultados quirúrgicos y los cambios en resonancia magnética en 29 pacientes con siringomielia
R. Sarabia, H. Sandoval, R.D. Lobato, J.J. Rivas, P.A. Gómez, A. Cabrera, R. Alday, J. Ayerbe
Servicio de Neurocirugía. Hospital «12 de Octubre», Madrid
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"apellidos" => "Rivas" ] 4 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 7 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] ] "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" => "xpalclavsec162639" "palabras" => array:4 [ 0 => "Siringomielia" 1 => "Arnold-Chiari" 2 => "Descompresión craneovertebral" 3 => "Resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162638" "palabras" => array:4 [ 0 => "Syringomyelia" 1 => "Arnold-Chiari" 2 => "Craniovertebral decompression" 3 => "Magnetic resonance imaging" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores presentan una serie de 29 pacientes con siringomielia tratados quirúrgicamente mediante descompresión craneovertebral (DCV) (19 casos), derivación quistoperitoneal (DQP) (9 casos) y derivación ventriculoperitoneal (DVP) (1 caso), en la que se comparan los resultados clínicos y de control por resonancia magnética.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La presentación clínica más frecuente consistió en alteraciones sensitivas, dolor ocdpitocervical y paraparesia. El tratamiento quirúrgico es más efectivo para resolver el dolor y el defecto motor (50% con DCV y 30% con DQP), que las alteraciones de sensibilidad.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La cavidad quística se resolvió en un 90% de los casos existiendo una disociación entre los porcentajes de mejoría clínica y los de imagen, especialmente en los sometidos a DQP.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La DVP fue efectiva clínica y radiológicamente en el paciente con complejo siringomielia-Chiari-hidrocefalia comunicante.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La cirugía DCV puede ser usada como primera elección en pacientes con siringomielia, reservando la DQP para los casos en los que no se consigue reducir la cavidad medular.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The authors present the clinical and control MRI results in 29 patients with syringomyelia surgically treated by craniovertebral decompression (CVD) (19 cases), syringoperitoneal shunt (SPS) (9 cases) and ventriculoperitoneal shunt (VPS) (1 case).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Sensory impairment, occipito-cervical pain and paraparesis were the most frequent clinical features. Surgical procedures were more effective on pain control and motor deficit restoration (50% with CVD and 30% with SPS), than on controlling sensory disturbanees.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The syringeal cavity disappeared in 90% of the cases on MRI control after surgery, but there was not correlation between clinical improvement and syrinx coIlapse, specially after SPS.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Syringomyelia-Chiari-Comunicating hydrocephalus complex was successfully treated with VPS.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Craniovertebral decompression should be used as the first surgical technic for syringomyelia, while SPS may be performed in cases in which the syringeal cavity is still large.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Sarabia, R.; Sandoval, H.; Lobato, R.D.; Rivas, J.J.; Gómez, P.A.; Cabrera, A.; Alday, R. y Ayerbe, J.: Estudio comparativo de los resultados quirúrgicos y los cambios en resonancia magnética en 29 pacientes con siringomielia. 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Fahy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1983.58.2.0188" "Revista" => array:6 [ "tituloSerie" => "J Neurosurg" "fecha" => "1983" "volumen" => "58" "paginaInicial" => "188" "paginaFinal" => "197" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6848675" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000000500000002/v1_201305151434/S1130147394708174/v1_201305151434/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000500000002/v1_201305151434/S1130147394708174/v1_201305151434/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147394708174?idApp=UINPBA00004B" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Julio | 0 | 1 | 1 |
| 2023 Marzo | 3 | 1 | 4 |
| 2019 Marzo | 0 | 2 | 2 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 13 | 0 | 13 |
| 2018 Enero | 16 | 48 | 64 |
| 2017 Diciembre | 15 | 20 | 35 |
| 2017 Noviembre | 39 | 34 | 73 |
| 2017 Octubre | 5 | 6 | 11 |
| 2017 Septiembre | 11 | 8 | 19 |
| 2017 Agosto | 12 | 6 | 18 |
| 2017 Julio | 8 | 7 | 15 |
| 2017 Junio | 18 | 24 | 42 |
| 2017 Mayo | 21 | 11 | 32 |
| 2017 Abril | 12 | 20 | 32 |
| 2017 Marzo | 4 | 11 | 15 |
| 2017 Febrero | 3 | 2 | 5 |
| 2017 Enero | 14 | 5 | 19 |
| 2016 Diciembre | 22 | 16 | 38 |
| 2016 Noviembre | 22 | 19 | 41 |
| 2016 Octubre | 25 | 20 | 45 |
| 2016 Septiembre | 37 | 22 | 59 |
| 2016 Agosto | 41 | 18 | 59 |
| 2016 Julio | 28 | 114 | 142 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Febrero | 3 | 0 | 3 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 4 | 5 |
| 2015 Junio | 4 | 7 | 11 |
| 2015 Mayo | 22 | 15 | 37 |
| 2015 Abril | 12 | 14 | 26 |
| 2015 Marzo | 20 | 17 | 37 |
| 2015 Febrero | 10 | 15 | 25 |
| 2015 Enero | 14 | 20 | 34 |
| 2014 Diciembre | 12 | 19 | 31 |
| 2014 Noviembre | 12 | 17 | 29 |
| 2014 Octubre | 15 | 23 | 38 |
| 2014 Septiembre | 11 | 21 | 32 |
| 2014 Agosto | 15 | 15 | 30 |
| 2014 Julio | 10 | 21 | 31 |
| 2014 Junio | 21 | 17 | 38 |
| 2014 Mayo | 10 | 28 | 38 |
| 2014 Abril | 8 | 14 | 22 |
| 2014 Marzo | 8 | 21 | 29 |
| 2014 Febrero | 19 | 14 | 33 |
| 2014 Enero | 9 | 15 | 24 |
| 2013 Diciembre | 9 | 8 | 17 |
| 2013 Noviembre | 13 | 14 | 27 |
| 2013 Octubre | 17 | 15 | 32 |
| 2013 Septiembre | 17 | 13 | 30 |
| 2013 Agosto | 17 | 12 | 29 |
| 2013 Julio | 17 | 7 | 24 |
| 2013 Junio | 18 | 12 | 30 |
| 2013 Mayo | 5 | 9 | 14 |
| 2013 Abril | 5 | 4 | 9 |
| 2013 Marzo | 9 | 8 | 17 |
| 2013 Febrero | 11 | 1 | 12 |
| 2013 Enero | 11 | 8 | 19 |
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| 2012 Noviembre | 0 | 8 | 8 |
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