Paraplejia secundaria a expansión vertebral metastásica. Caso clínico
M. Clavel Escribano, P. Clavel Laria
Servicio de Neurocirugía del Hospital General de Cataluña
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Caso clínico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "33" "paginaFinal" => "36" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Clavel Escribano, P. Clavel Laria" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Clavel Escribano" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Clavel Laria" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía del Hospital General de Cataluña" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162932" "palabras" => array:4 [ 0 => "Metástasis ósea" 1 => "Carcinoma de próstata" 2 => "Paraplejia" 3 => "Compresión medular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162931" "palabras" => array:4 [ 0 => "Bone metastasis" 1 => "Prostate carcinoma" 2 => "Paraplegia" 3 => "Spinal cord compression" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un paciente de 68 años de edad que ingresó con una paraparesia muy avanzada producida por una metástasis ósea de un carcinoma de próstata diseminado.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La lesión vertebral era puramente intraósea y el mecanismo de producción de la paraplejia fue la estenosis provocada por la expansión de la propia vértebra (cuerpo y arco neural) en el canal espinal. Pasados 5 años desde la intervención quirúrgica el paciente -recuperado totalmente de su paraplejia- se mantiene en buen estado clínico y activo.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Resulta lógico pensar que este mecanismo de afectación vertebral metastásica no se hubiera beneficiado del tratamiento radioterápico.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We are reporting the case of a 68 year-old white male admitted to our Hospital with a severe paraparesis caused by spinal metastasis of a prostatic carcinoma. As the tumor was purely intraosseous we think that the stenosis produced by the insuflation of the bone was the mechanism by which toe patient became paraplegic. Five years after surgery the patient has fully recovered from paraplegia and is doing well.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We think that radiotherapy has little to offer on this type of spinal cord compromise.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Clavel Escribano, M.; Clavel Laria, P.: Paraplejia secundaria a expansión vertebral metastásica. Caso clínico. Neurocirugía 1996; 7: 33–36.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metastases in carcinoma. Analysis of 1.000 autopsied cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.L. Abrams" 1 => "R. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 3 | 5 |
| 2018 Septiembre | 2 | 2 | 4 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 13 | 13 | 26 |
| 2018 Enero | 26 | 12 | 38 |
| 2017 Diciembre | 19 | 19 | 38 |
| 2017 Noviembre | 18 | 21 | 39 |
| 2017 Octubre | 28 | 28 | 56 |
| 2017 Septiembre | 26 | 26 | 52 |
| 2017 Agosto | 18 | 19 | 37 |
| 2017 Julio | 30 | 22 | 52 |
| 2017 Junio | 27 | 16 | 43 |
| 2017 Mayo | 36 | 30 | 66 |
| 2017 Abril | 27 | 35 | 62 |
| 2017 Marzo | 22 | 36 | 58 |
| 2017 Febrero | 12 | 20 | 32 |
| 2017 Enero | 8 | 16 | 24 |
| 2016 Diciembre | 25 | 20 | 45 |
| 2016 Noviembre | 33 | 25 | 58 |
| 2016 Octubre | 55 | 36 | 91 |
| 2016 Septiembre | 56 | 45 | 101 |
| 2016 Agosto | 47 | 11 | 58 |
| 2016 Julio | 41 | 20 | 61 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 7 | 8 |
| 2015 Junio | 13 | 30 | 43 |
| 2015 Mayo | 20 | 41 | 61 |
| 2015 Abril | 11 | 23 | 34 |
| 2015 Marzo | 21 | 25 | 46 |
| 2015 Febrero | 9 | 26 | 35 |
| 2015 Enero | 18 | 29 | 47 |
| 2014 Diciembre | 12 | 36 | 48 |
| 2014 Noviembre | 10 | 29 | 39 |
| 2014 Octubre | 19 | 50 | 69 |
| 2014 Septiembre | 13 | 43 | 56 |
| 2014 Agosto | 16 | 33 | 49 |
| 2014 Julio | 18 | 32 | 50 |
| 2014 Junio | 22 | 22 | 44 |
| 2014 Mayo | 27 | 35 | 62 |
| 2014 Abril | 10 | 29 | 39 |
| 2014 Marzo | 15 | 39 | 54 |
| 2014 Febrero | 15 | 37 | 52 |
| 2014 Enero | 17 | 34 | 51 |
| 2013 Diciembre | 14 | 21 | 35 |
| 2013 Noviembre | 18 | 30 | 48 |
| 2013 Octubre | 16 | 33 | 49 |
| 2013 Septiembre | 18 | 45 | 63 |
| 2013 Agosto | 23 | 33 | 56 |
| 2013 Julio | 15 | 33 | 48 |
| 2013 Junio | 18 | 38 | 56 |
| 2013 Mayo | 17 | 28 | 45 |
| 2013 Abril | 21 | 23 | 44 |
| 2013 Marzo | 16 | 31 | 47 |
| 2013 Febrero | 11 | 29 | 40 |
| 2013 Enero | 13 | 17 | 30 |
| 2012 Diciembre | 9 | 22 | 31 |
| 2012 Noviembre | 1 | 22 | 23 |
| 2012 Octubre | 0 | 9 | 9 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 5 | 0 | 5 |
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