Tratamiento quirúrgico de la siringomielia mediante derivación siringosubaracnoidea
J.V. Pesudo, J.L. Llácer, F. Talamantes, G. García-March, P. Roldán, V. Bordes, G. Masbout, J.L. Barcia-Salorio
Departamento de Neurocirugía. Hospital Clínico Universitario de Valencia
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"apellidos" => "García-March" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Roldán" ] 5 => array:2 [ "nombre" => "V." "apellidos" => "Bordes" ] 6 => array:2 [ "nombre" => "G." "apellidos" => "Masbout" ] 7 => array:2 [ "nombre" => "J.L." "apellidos" => "Barcia-Salorio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Neurocirugía. Hospital Clínico Universitario de Valencia" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162995" "palabras" => array:3 [ 0 => "Malformación de Chiari" 1 => "Siringomielia" 2 => "Derivación siringo-subaracnoidea" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162996" "palabras" => array:3 [ 0 => "Chiari malformation" 1 => "Syringomyelia" 2 => "Syringo-subarachnoid shunt" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El uso de la derivación siringo-subaracnoidea en el tratamiento de la siringomielia ha sido ampliamente realizado. Presentamos nuestros resultados en una serie de 9 pacientes en quienes se utilizó dicho método. En 7 de ellos se encontró también malformación de Chiari. El seguimiento postoperatorio osciló de 1 a 6,3 años, siendo tanto la media como la mediana de 3,4. Los síntomas se estabilizaron en 4 pacientes, mejoraron en 3 y empeoraron en 2. El seguimiento mediante RNM mostró completa desaparición o reducción importante de la siringomielia en 6 pacientes, y cambios no significativos en 3. Los resultados clínicos no fueron absolutamente concordantes con los morfológicos, encontrándose casos con mejoría clínica sin cambios en la RNM y otros en los que la disminución de la cavidad siringomiélica no se correspondió con mejoría en los síntomas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The use of syringosubarachnoid shunt in the treatment of syringomyelia has been widely practiced. We report our surgical results with this method in a series of 9 patients. In 7 of them, Chiari malformation was also found. The postoperative follow-up ranged from 1 to 6,3 years, the average and the median being of 3,4. Symptoms stabilized in 4 patients, improved in 3 and worsened in 2. The follow-up MRI examinations showed complete resolution or considerable shrinkage of the syrinx in 7 patients, and no significant changes in 3. The clinical results were not absolutely congruent with the morphological, as there were cases with clinical improvement without changes in the MRI, and others in wich the shrinkage of de syrinx was not associated with improvement of the symptoms.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Pesudo, J.V.; Llácer, J.L.; Talamantes, F.; García-March, G.; Roldán, P.; Bordes, V.; Masbout, G.; Barcia-Salorio, J.L.: Tratamiento quirúrgico de la siringomielia mediante drerivación siringo-subaracnoidea. Neurocirugía 1996; 7: 199–207.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:46 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Syringomyelia, operation; exploration of cord; withdrawal of fluid; exhibition of patient" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Abbe" 1 => "W. Cooley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "J. Nerv. Ment. Dis." "fecha" => "1892" "volumen" => "19" "paginaInicial" => "512" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resultados en el tratamiento quirúrgico de la siringomielia. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Junio | 2 | 3 | 5 |
| 2023 Julio | 2 | 3 | 5 |
| 2023 Mayo | 2 | 1 | 3 |
| 2023 Marzo | 2 | 3 | 5 |
| 2022 Noviembre | 0 | 2 | 2 |
| 2021 Agosto | 1 | 0 | 1 |
| 2021 Febrero | 2 | 0 | 2 |
| 2020 Octubre | 1 | 0 | 1 |
| 2019 Abril | 1 | 2 | 3 |
| 2019 Marzo | 0 | 4 | 4 |
| 2019 Enero | 1 | 0 | 1 |
| 2018 Noviembre | 3 | 2 | 5 |
| 2018 Octubre | 1 | 4 | 5 |
| 2018 Marzo | 41 | 64 | 105 |
| 2018 Febrero | 44 | 68 | 112 |
| 2018 Enero | 42 | 63 | 105 |
| 2017 Diciembre | 27 | 107 | 134 |
| 2017 Noviembre | 96 | 128 | 224 |
| 2017 Octubre | 46 | 87 | 133 |
| 2017 Septiembre | 63 | 102 | 165 |
| 2017 Agosto | 44 | 84 | 128 |
| 2017 Julio | 53 | 80 | 133 |
| 2017 Junio | 40 | 106 | 146 |
| 2017 Mayo | 51 | 69 | 120 |
| 2017 Abril | 40 | 109 | 149 |
| 2017 Marzo | 43 | 153 | 196 |
| 2017 Febrero | 35 | 147 | 182 |
| 2017 Enero | 15 | 60 | 75 |
| 2016 Diciembre | 49 | 82 | 131 |
| 2016 Noviembre | 40 | 106 | 146 |
| 2016 Octubre | 47 | 107 | 154 |
| 2016 Septiembre | 120 | 195 | 315 |
| 2016 Agosto | 176 | 203 | 379 |
| 2016 Julio | 74 | 163 | 237 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 4 | 9 | 13 |
| 2015 Junio | 24 | 41 | 65 |
| 2015 Mayo | 33 | 67 | 100 |
| 2015 Abril | 32 | 82 | 114 |
| 2015 Marzo | 39 | 101 | 140 |
| 2015 Febrero | 31 | 78 | 109 |
| 2015 Enero | 31 | 78 | 109 |
| 2014 Diciembre | 38 | 81 | 119 |
| 2014 Noviembre | 44 | 62 | 106 |
| 2014 Octubre | 44 | 95 | 139 |
| 2014 Septiembre | 40 | 110 | 150 |
| 2014 Agosto | 37 | 116 | 153 |
| 2014 Julio | 42 | 62 | 104 |
| 2014 Junio | 61 | 81 | 142 |
| 2014 Mayo | 38 | 61 | 99 |
| 2014 Abril | 28 | 61 | 89 |
| 2014 Marzo | 28 | 62 | 90 |
| 2014 Febrero | 32 | 92 | 124 |
| 2014 Enero | 30 | 61 | 91 |
| 2013 Diciembre | 27 | 51 | 78 |
| 2013 Noviembre | 34 | 60 | 94 |
| 2013 Octubre | 21 | 58 | 79 |
| 2013 Septiembre | 23 | 85 | 108 |
| 2013 Agosto | 25 | 63 | 88 |
| 2013 Julio | 30 | 101 | 131 |
| 2013 Junio | 24 | 37 | 61 |
| 2013 Mayo | 17 | 56 | 73 |
| 2013 Abril | 19 | 72 | 91 |
| 2013 Marzo | 17 | 43 | 60 |
| 2013 Febrero | 12 | 30 | 42 |
| 2013 Enero | 14 | 25 | 39 |
| 2012 Diciembre | 10 | 37 | 47 |
| 2012 Noviembre | 0 | 45 | 45 |
| 2012 Octubre | 0 | 8 | 8 |
| 2012 Septiembre | 0 | 4 | 4 |
| 2012 Enero | 6 | 0 | 6 |
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