Daño axonal difuso: factores pronósticos clínico-epidemiológicos
Diffuse axonal injury: clinical and epidemiological prognostic factors
R. Prat Acín, V. Calatayud Maldonado
Hospital Clínico Universitario de Zaragoza. Servicio de Neurocirugía. Cátedra de Neurocirugía. Universidad de Zaragoza
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Universidad de Zaragoza" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Diffuse axonal injury: clinical and epidemiological prognostic factors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163173" "palabras" => array:3 [ 0 => "DAD" 1 => "Lesión cerebral difusa" 2 => "Traumatismo craneoencefálico cerrado" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163172" "palabras" => array:3 [ 0 => "Diffuse axonal injury" 1 => "Diffuse brain injury" 2 => "Closed head injury" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Un total de 140 pacientes con criterios clínico radiológicos de DAD fueron estudiados durante el período 1990–1994. Analizamos en esta población las características clínicas y epidemiológicas más relevantes y su significación pronóstica en este cuadro patológico. Predominaron los pacientes de sexo masculino y de edades comprendidas entre los 35 y los 60 años que sufrieron un accidente de tráfico, aspectos que no se relacionaron con un peor pronóstico. La existencia de anormalidades pupilares, una menor puntuación en la Escala de coma de Glasgow (E.C.G.), o la no percepción de signos de déficit neurológico se asociaron con una peor evolución clínica. Se discute la relación de los distintos factores con la E.C.G. y con el estado clínico final.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors report the clinical and radiological presentation in 140 head injury patients diagnosed of diffuse axonal injury during the period 1990–1994. The clinical and epidemiological aspects and their influence on the final outcome are described. Most patients were males of ages between 35 and 60 years, who had suffered traffic road accidents. Nevertheless, the age of the patient and the mechanism of trauma were not associated with a poorer outcome, while pupillary ubnormalities and the worst G.C.S. score, did. A variety of clinical and epidemiological factors and their relationship with G.C.S. and with the final outcome were studied.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Prat Acín, R.; Calatayud Maldonado, V.: Daño axonal difuso: factores pronósticos clínico-epidemiológicos. Neurocirugía 1997; 8: 199–204.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
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