Abordaje lateral extremo transcondilar en el tratamiento quirúrgico de los aneurismas de la arteria vertebral - pica
Extreme lateral transcondylar approach for surgical treatment of vertebral-pica aneurysms
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"apellidos" => "Beltrán" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Cabanes" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Neurocirugía, Hospital Universitario «La Fé», Valencia" ] ] ] 1 => array:3 [ "autoresLista" => "H. Pérez-Garrigues, R. Villanueva" "autores" => array:2 [ 0 => array:3 [ "nombre" => "H." "apellidos" => "Pérez-Garrigues" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Villanueva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicios de ORL, Hospital Universitario «La Fé», Valencia" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "autoresLista" => "V. VázquezAñón" "autores" => array:1 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "VázquezAñón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicios de Radiodiagnóstico. Hospital Universitario «La Fé», Valencia" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Extreme lateral transcondylar approach for surgical treatment of vertebral-pica aneurysms" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec163183" "palabras" => array:4 [ 0 => "Aneurisma" 1 => "Arteria vertebral" 2 => "Arteria cerebelosa póstero-inferior" 3 => "Abordaje transcondilar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec163182" "palabras" => array:4 [ 0 => "Aneurysm" 1 => "Vertebral artery" 2 => "Posterior inferior cerebellar artery" 3 => "Transcondylar approach" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos cuatro casos de aneurismas de la arteria vertebral-PICA, intervenidos en nuestro Servicio mediante un abordaje lateral extremo transcondilar. Nuestros pacientes, tres hombres y una mujer, tenían edades comprendidas entre 28 y 64 años. La hemorragia subaracnoidea fue la manifestación clínica inicial en tres de los casos y los síntomas y signos de compresión de estructuras adyacentes lo fueron en el restante. En nuestra serie no hubo mortalidad quirúrgica. Tan sólo un paciente, portador de un aneurisma gigante de la AV-PICA, presentó morbilidad por lesión permanente de pares craneales bajos. El abordaje lateral extremo transcondilar está indicado en el tratamiento quirúrgico de lesiones que asientan en la cara anterior del agujero magno y área del clivus bajo. Esta técnica permite el abordaje quirúrgico a los aneurismas de la AV-PICA, con una excelente exposición y mínima retracción de las estructuras nerviosas, frente al tradicional abordaje mediante craniectomía suboccipital unilateral.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Four cases of vertebral artery-PICA (VA-PICA) aneurysms, operated in our department through an extreme lateral transcondylar approach, are presented. Our patients, three men and one woman, were aged 28 to 64 years at presentation. Three of the cases presented with a subarachnoid haemorrage. Signs of brain stem compression were observed in one patient. There was no sugical related mortality in this series. Only one patient with a giant VA-PICA aneurysm suffered surgical morbidity from definitive lesion of lower cranial nerves. The extreme lateral transcondylar approach is indicated in the surgical treatment of lesions located in the lower clivus and anterior aspect of the foramen magnum. This technique allows an excellent exposure of VA-PICA aneurysms and reduces the retraction of nervous structures in comparison to the conventional suboccipital approach.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Riesgo, P.; Bataller, G.; Piquer, J.; Cortés, F.; Beltrán, A.; Pérez-Garrigues, H.; Villanueva, R; Vázquez-Añón, V.; Cabanes, J.: Abordaje lateral extremo transcondilar en el tratamiento quirúrgico de los aneurismas de la arteria vertebral- pica. Neurocirugía 1997; 8: 221–229.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 3 | 1 | 4 |
| 2018 Febrero | 10 | 5 | 15 |
| 2018 Enero | 14 | 10 | 24 |
| 2017 Diciembre | 11 | 18 | 29 |
| 2017 Noviembre | 37 | 9 | 46 |
| 2017 Octubre | 9 | 11 | 20 |
| 2017 Septiembre | 15 | 18 | 33 |
| 2017 Agosto | 7 | 7 | 14 |
| 2017 Julio | 15 | 18 | 33 |
| 2017 Junio | 20 | 15 | 35 |
| 2017 Mayo | 14 | 32 | 46 |
| 2017 Abril | 15 | 7 | 22 |
| 2017 Marzo | 8 | 12 | 20 |
| 2017 Febrero | 4 | 14 | 18 |
| 2017 Enero | 9 | 9 | 18 |
| 2016 Diciembre | 17 | 24 | 41 |
| 2016 Noviembre | 18 | 21 | 39 |
| 2016 Octubre | 31 | 42 | 73 |
| 2016 Septiembre | 35 | 45 | 80 |
| 2016 Agosto | 49 | 24 | 73 |
| 2016 Julio | 31 | 31 | 62 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 3 | 0 | 3 |
| 2015 Junio | 22 | 43 | 65 |
| 2015 Mayo | 29 | 25 | 54 |
| 2015 Abril | 33 | 32 | 65 |
| 2015 Marzo | 30 | 39 | 69 |
| 2015 Febrero | 24 | 39 | 63 |
| 2015 Enero | 31 | 28 | 59 |
| 2014 Diciembre | 22 | 25 | 47 |
| 2014 Noviembre | 16 | 32 | 48 |
| 2014 Octubre | 29 | 31 | 60 |
| 2014 Septiembre | 20 | 28 | 48 |
| 2014 Agosto | 16 | 32 | 48 |
| 2014 Julio | 20 | 18 | 38 |
| 2014 Junio | 35 | 21 | 56 |
| 2014 Mayo | 26 | 29 | 55 |
| 2014 Abril | 35 | 21 | 56 |
| 2014 Marzo | 27 | 24 | 51 |
| 2014 Febrero | 29 | 22 | 51 |
| 2014 Enero | 25 | 18 | 43 |
| 2013 Diciembre | 34 | 18 | 52 |
| 2013 Noviembre | 23 | 10 | 33 |
| 2013 Octubre | 37 | 17 | 54 |
| 2013 Septiembre | 27 | 22 | 49 |
| 2013 Agosto | 26 | 34 | 60 |
| 2013 Julio | 27 | 19 | 46 |
| 2013 Junio | 18 | 27 | 45 |
| 2013 Mayo | 14 | 22 | 36 |
| 2013 Abril | 13 | 24 | 37 |
| 2013 Marzo | 8 | 19 | 27 |
| 2013 Febrero | 8 | 16 | 24 |
| 2013 Enero | 16 | 13 | 29 |
| 2012 Diciembre | 10 | 20 | 30 |
| 2012 Noviembre | 0 | 11 | 11 |
| 2012 Octubre | 0 | 2 | 2 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 9 | 0 | 9 |
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