Paraplejia en lactante por hematoma extradural debido a sangrado de cavernoma espinal
A case of paraplegia in a twenty month old child
C. Alvarez Sastre, A. Pascual Martín-Gamero, F. Villarejo Ortega
Servicio de Neurocirugía. Hospital Infantil Niño Jesús. Madrid
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Alvarez Sastre, A. Pascual Martín-Gamero, F. Villarejo Ortega" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Alvarez Sastre" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Pascual Martín-Gamero" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Villarejo Ortega" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Infantil Niño Jesús. Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "P. Colomar Palmer, A.M. Serrano González, A. Martínez de Azagra Garde" "autores" => array:3 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Colomar Palmer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A.M." "apellidos" => "Serrano González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Martínez de Azagra Garde" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anatomía Patológica. Hospital Infantil Niño Jesús. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Cuidados Intensivos. Hospital Infantil Niño Jesús. Madrid" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "A case of paraplegia in a twenty month old child" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156778" "palabras" => array:5 [ 0 => "Compresión medular" 1 => "Hematoma epidural espinal" 2 => "Cavernoma" 3 => "Paraplejia" 4 => "Malformación arteria-venosa" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156779" "palabras" => array:5 [ 0 => "Spinal cord compression" 1 => "Spinal epidural hematoma" 2 => "Cavernoma" 3 => "Paraplegia" 4 => "Arteriovenous malformation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso excepcional de angioma cavernoso dural en una lactante con una historia de quince días de pérdida de fuerza progresiva y generalizada en los cuatro miembros. Ocho horas antes de su diagnóstico se estableció una parálisis completa en miembros inferiores y una paresia de los superiores. Tras realizar una R.N.M. y comprobarse lesión compresiva medular dorsal alta fue intervenida de urgencia y tras laminotomía se evacuó un hematoma epidural que se extendía longitudinalmente desde C7 a D4, apreciándose al quedar visible la duramadre un ovillo vascular en región dorso-lateral derecha de la misma. Estos vasos anómalos se cliparon, coagularon y extirparon, remitiendo el tejido a anatomía patológica. El resultado del estudio fue de cavernoma. Tres semanas después de la operación la niña se había recuperado totalmente de su paraplegía.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors describe an exceptional case of a child with a thoracic extradural cavernoma. A twenty month old girl presented progressive tetraparesis and a established paraplegia eigth hours before the diagnosis. Magnetic Resonance Imaging showed medullary compression caused by an intraspinal mass adjacent to the intravertebral spaces C7–D4. A laminotomy DI–D4 was performed as an emergency procedure.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">An organized epidural hematoma was removed followed by resection of a vascular nidus on the duramater at the level of D1. Three weeks after surgery the patient fully recovered from paraplegia.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Alvarez Sastre, C.; Pascual Martín-Gamero, A.; Villarejo Ortega, F.; Calamar Palmer, P.; Serrano González, A.M.; Martínez de Azagra Garde, A: Paraplejia en lactante por hematoma extradural debido a sangrado de cavemoma espinal. Neurocirugía 1999; 10: 367–371.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical Features of Spinal vascular malformation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.J. Aminoff" 1 => "V. Loge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brain" "fecha" => "1974" "volumen" => "97" "paginaInicial" => "197" "paginaFinal" => "210" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4373119" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 3 | 4 |
| 2018 Marzo | 1 | 3 | 4 |
| 2018 Febrero | 11 | 7 | 18 |
| 2018 Enero | 10 | 7 | 17 |
| 2017 Diciembre | 11 | 6 | 17 |
| 2017 Noviembre | 36 | 36 | 72 |
| 2017 Octubre | 9 | 8 | 17 |
| 2017 Septiembre | 14 | 8 | 22 |
| 2017 Agosto | 11 | 7 | 18 |
| 2017 Julio | 13 | 22 | 35 |
| 2017 Junio | 29 | 3 | 32 |
| 2017 Mayo | 19 | 4 | 23 |
| 2017 Abril | 16 | 6 | 22 |
| 2017 Marzo | 12 | 20 | 32 |
| 2017 Febrero | 3 | 2 | 5 |
| 2017 Enero | 8 | 3 | 11 |
| 2016 Diciembre | 30 | 19 | 49 |
| 2016 Noviembre | 15 | 13 | 28 |
| 2016 Octubre | 30 | 18 | 48 |
| 2016 Septiembre | 33 | 9 | 42 |
| 2016 Agosto | 44 | 8 | 52 |
| 2016 Julio | 31 | 16 | 47 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 2 | 0 | 2 |
| 2015 Junio | 12 | 3 | 15 |
| 2015 Mayo | 19 | 17 | 36 |
| 2015 Abril | 11 | 8 | 19 |
| 2015 Marzo | 14 | 12 | 26 |
| 2015 Febrero | 10 | 15 | 25 |
| 2015 Enero | 11 | 12 | 23 |
| 2014 Diciembre | 14 | 10 | 24 |
| 2014 Noviembre | 10 | 12 | 22 |
| 2014 Octubre | 18 | 20 | 38 |
| 2014 Septiembre | 14 | 13 | 27 |
| 2014 Agosto | 14 | 21 | 35 |
| 2014 Julio | 12 | 20 | 32 |
| 2014 Junio | 14 | 21 | 35 |
| 2014 Mayo | 13 | 28 | 41 |
| 2014 Abril | 12 | 16 | 28 |
| 2014 Marzo | 14 | 10 | 24 |
| 2014 Febrero | 14 | 17 | 31 |
| 2014 Enero | 12 | 19 | 31 |
| 2013 Diciembre | 9 | 7 | 16 |
| 2013 Noviembre | 13 | 10 | 23 |
| 2013 Octubre | 14 | 12 | 26 |
| 2013 Septiembre | 16 | 17 | 33 |
| 2013 Agosto | 13 | 10 | 23 |
| 2013 Julio | 15 | 11 | 26 |
| 2013 Junio | 15 | 16 | 31 |
| 2013 Mayo | 10 | 20 | 30 |
| 2013 Abril | 7 | 14 | 21 |
| 2013 Marzo | 16 | 21 | 37 |
| 2013 Febrero | 9 | 19 | 28 |
| 2013 Enero | 13 | 16 | 29 |
| 2012 Diciembre | 10 | 23 | 33 |
| 2012 Noviembre | 0 | 15 | 15 |
| 2012 Octubre | 0 | 4 | 4 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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