Anatomía quirúrgica de la porción cisternal del IV par craneal
Surgical anatomy of the cisternal segment of the trochlear nerve
E. Urculo Bareño
Sección de Neurocirugía. Hospital de Guipúzcoa. San Sebastián
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Bini" "autores" => array:1 [ 0 => array:2 [ "nombre" => "W." "apellidos" => "Bini" ] ] ] 1 => array:2 [ "autoresLista" => "O. Speck, Th. Thiel, J. Hennig" "autores" => array:3 [ 0 => array:2 [ "nombre" => "O." "apellidos" => "Speck" ] 1 => array:2 [ "nombre" => "Th." "apellidos" => "Thiel" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Hennig" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147397710273?idApp=UINPBA00004B" "url" => "/11301473/0000000800000003/v1_201305151502/S1130147397710273/v1_201305151502/en/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Anatomía quirúrgica de la porción cisternal del IV par craneal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "163" "paginaFinal" => "170" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "E. Urculo Bareño" "autores" => array:1 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Urculo Bareño" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Neurocirugía. Hospital de Guipúzcoa. San Sebastián" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical anatomy of the cisternal segment of the trochlear nerve" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163153" "palabras" => array:4 [ 0 => "Nervio craneal" 1 => "Nervio troclear" 2 => "Abordaje subtemporal transtentorial" 3 => "Anatomía quirúrgica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163152" "palabras" => array:4 [ 0 => "Cranial nerve" 1 => "Trochlear nerve" 2 => "Subtemporal transtentorial approach" 3 => "Surgical anatomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En este artículo se presentan los resultados de un estudio anatómico de la porción cisternal del nervio troclear, realizado sobre 10 cadáveres de adultos. Se destacan los aspectos anatómicos de interés quirúrgico en relación a la trayectoria cisternal del IV par craneal, dividiéndolo en dos segmentos: un segmento inicial o cerebelo-mesencefálico y un segmento distal o tentorial.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El largo recorrido cisternal del nervio troclear (35 s.d. 5<span class="elsevierStyleHsp" style=""></span>mm), sus adherencias aracnoideas, su delgadez (0.7-1<span class="elsevierStyleHsp" style=""></span>mm de grosor) y su localización infratentorial (en estrecha relación con la cara inferior de la tienda del cerebelo), son características anatómicas que le hacen ser un nervio potencialmente frágil y de inadvertida lesión durante las maniobras quirúrgicas de acceso a la amplia región de la incisura tentorial, especialmente durante los abordajes subtemporales transtentoriales.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In this paper the author describes the results of an anatomical study of the cisternal segment of the trochlear nerve, performed on 10 adults cadavers. The anatomical aspects of surgical interest are emphasized in relation to the cisternal course of the 4 th cranial nerve, dividing it into two segments: an initial or cerebellomesencephalic segment and a distal or tentorial segmento</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The long cisternal course of the trochlear nerve (35 s.d. 5<span class="elsevierStyleHsp" style=""></span>mm), its arachnoidal attachments, its thinness (0.7–1<span class="elsevierStyleHsp" style=""></span>mm thick) and its infratentorial position (in close relationship with the inner face of the tentorium cerebelli), are anatomical features that make it a potentially fragile nerve which may be inadvertently damaged during surgical manipulation to the region of the tentorial incisure, especially during transtentorial subtemporal approaches.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Urculo Bareño, E.: Anatomía quirúrgica de la porción cisternal del IV par craneal. Neurocirugía 1997; 8: 163–170.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:50 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trochlear nerve neurinoma associated with a giant thrombosed dissecting aneurysm of the contralateral vertebral artery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Abe" 1 => "T. Iwata" 2 => "M. Shimazu" 3 => "K. Matsumoto" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg Neurol" "fecha" => "1994" "volumen" => "42" "paginaInicial" => "438" "paginaFinal" => "441" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7974152" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 4 | 2 | 6 |
| 2021 Febrero | 0 | 1 | 1 |
| 2018 Febrero | 21 | 14 | 35 |
| 2018 Enero | 10 | 17 | 27 |
| 2017 Diciembre | 11 | 20 | 31 |
| 2017 Noviembre | 17 | 25 | 42 |
| 2017 Octubre | 10 | 25 | 35 |
| 2017 Septiembre | 9 | 21 | 30 |
| 2017 Agosto | 13 | 28 | 41 |
| 2017 Julio | 13 | 34 | 47 |
| 2017 Junio | 21 | 51 | 72 |
| 2017 Mayo | 24 | 32 | 56 |
| 2017 Abril | 21 | 33 | 54 |
| 2017 Marzo | 26 | 43 | 69 |
| 2017 Febrero | 10 | 21 | 31 |
| 2017 Enero | 11 | 16 | 27 |
| 2016 Diciembre | 29 | 26 | 55 |
| 2016 Noviembre | 22 | 42 | 64 |
| 2016 Octubre | 17 | 40 | 57 |
| 2016 Septiembre | 46 | 45 | 91 |
| 2016 Agosto | 46 | 32 | 78 |
| 2016 Julio | 25 | 23 | 48 |
| 2016 Mayo | 3 | 0 | 3 |
| 2016 Marzo | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 2 | 12 | 14 |
| 2015 Junio | 31 | 26 | 57 |
| 2015 Mayo | 53 | 40 | 93 |
| 2015 Abril | 36 | 35 | 71 |
| 2015 Marzo | 38 | 25 | 63 |
| 2015 Febrero | 30 | 38 | 68 |
| 2015 Enero | 38 | 24 | 62 |
| 2014 Diciembre | 36 | 24 | 60 |
| 2014 Noviembre | 27 | 39 | 66 |
| 2014 Octubre | 35 | 39 | 74 |
| 2014 Septiembre | 14 | 37 | 51 |
| 2014 Agosto | 21 | 45 | 66 |
| 2014 Julio | 17 | 39 | 56 |
| 2014 Junio | 29 | 41 | 70 |
| 2014 Mayo | 31 | 43 | 74 |
| 2014 Abril | 34 | 33 | 67 |
| 2014 Marzo | 56 | 46 | 102 |
| 2014 Febrero | 20 | 34 | 54 |
| 2014 Enero | 22 | 48 | 70 |
| 2013 Diciembre | 19 | 31 | 50 |
| 2013 Noviembre | 17 | 25 | 42 |
| 2013 Octubre | 19 | 29 | 48 |
| 2013 Septiembre | 23 | 33 | 56 |
| 2013 Agosto | 31 | 49 | 80 |
| 2013 Julio | 24 | 36 | 60 |
| 2013 Junio | 18 | 30 | 48 |
| 2013 Mayo | 21 | 27 | 48 |
| 2013 Abril | 17 | 28 | 45 |
| 2013 Marzo | 14 | 39 | 53 |
| 2013 Febrero | 10 | 27 | 37 |
| 2013 Enero | 23 | 21 | 44 |
| 2012 Diciembre | 4 | 17 | 21 |
| 2012 Noviembre | 1 | 18 | 19 |
| 2012 Octubre | 0 | 6 | 6 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 9 | 0 | 9 |
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