Lesiones traumáticas de la carótida interna en la infancia. Revisión de tres casos
Traumatic carotid injury in childhood. Review of three cases
J.M. Coca, R. Sarabia, J.I. Díaz de Tuesta, F. San Emeterio
Servicio de Neurocirugía. Hospital Univeróiitario. Valladolid
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"apellidos" => "de la Lama" ] ] ] 1 => array:2 [ "autoresLista" => "E.J. de la Cruz" "autores" => array:1 [ 0 => array:2 [ "nombre" => "E.J." "apellidos" => "de la Cruz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707931?idApp=UINPBA00004B" "url" => "/11301473/0000001000000004/v1_201305151014/S1130147399707931/v1_201305151014/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Lesiones traumáticas de la carótida interna en la infancia. Revisión de tres casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "309" "paginaFinal" => "312" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.M. Coca, R. Sarabia, J.I. Díaz de Tuesta, F. San Emeterio" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Coca" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Sarabia" ] 2 => array:2 [ "nombre" => "J.I." "apellidos" => "Díaz de Tuesta" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "San Emeterio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Univeróiitario. Valladolid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Traumatic carotid injury in childhood. Review of three cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156746" "palabras" => array:3 [ 0 => "Lesión carotídea traumática en infancia" 1 => "Traumatismo craneoencefálico" 2 => "Complicaciones del traumatismo craneoencefálico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156747" "palabras" => array:3 [ 0 => "Traumatic carotid injury in childhood" 1 => "Cranial trauma" 2 => "Complications of cranial trauma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan tres pacientes de 2, 14 y 15 años de edad que fueron diagnosticados de una lesión traumática de la carótida interna. Los tres casos fueron estudiados con Tomografía Computarizada (TC) y arteriografía cerebral, así como Resonancia Magnética (RM) en el más reciente.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El hecho de que la TC sea el estudio complementario más empleado en el estudio del trauma craneal, dificulta el diagnóstico de lesiones vasculares carotídeas con el consiguiente retraso en la aplicación de medidas terapéuticas y empeoramiento del pronóstico. Tan sólo si se mantiene la sospecha de lesión vascular y se realizan arteriografías precoces, antes de que se instauren las lesiones por infarto, se podrían tratar estas lesiones con alguna garantía de éxito. En nuestros casos el diagnóstico se efectuó ante cuadros clínicos ya instaurados, y aunque las medidas terapéuticas que se adoptaron fueron diferentes en los tres casos, su aplicación fue tardía. Los cuadros de déficit neurológico que condujeron al diagnóstico no se modificaron, si bien no hubo mortalidad entre los pacientes.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El seguimiento de los pacientes ha sido de 10, 8 y 3 años, respectivamente, persistiendo la imagen de infarto en la TC y RM, a pesar de asistir en algún caso a una revascularización arteriográfica progresiva.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We present three patients aged 2, 14 and 15 years respectively, who suffered traumatic carotid injury. They were studied by CT and angiography, and the most recent patient also had MR imaging.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The fact that CT has become the more reliable and extended study for diagnosis in cranial trauma patients, is crucial in underdiagnosing vascular lesions. Only a high index of suspicion and the practice of angiographical studies allows sorne degree of success in treating these vascular lesions and preventing their serious consequences in terms of high mortalíty and morbility rates (cerebral infarcts).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Our three patients were diagnosed angiographically only after their neurological deficits were already installed. Although treatment options were different in each case, they were applied too late within the course. We had no mortality, but neurological sequelae were unchanged after treatment through a follow-up period of 10, 8 and 3 years respectively. Even though in one patient we have confirmed angiographic revascularization, the CT and MR show a clearly defined area of cerebral infarct.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Coca, J.M.; Sarabia, R.; Díaz de Tuesta, J.I.; San Emeterio, F.: Lesiones traumáticas de la carótida interna en la infancia. Revisión de tres casos. Neurocirugía 1999; 10: 309–312.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lesion of the internal carotid artery caused by a car safety belt" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M.C. Benito" 1 => "F. García" 2 => "L. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 1 | 3 |
| 2018 Febrero | 8 | 14 | 22 |
| 2018 Enero | 17 | 17 | 34 |
| 2017 Diciembre | 18 | 25 | 43 |
| 2017 Noviembre | 12 | 52 | 64 |
| 2017 Octubre | 6 | 31 | 37 |
| 2017 Septiembre | 10 | 31 | 41 |
| 2017 Agosto | 13 | 35 | 48 |
| 2017 Julio | 11 | 27 | 38 |
| 2017 Junio | 18 | 86 | 104 |
| 2017 Mayo | 17 | 49 | 66 |
| 2017 Abril | 6 | 46 | 52 |
| 2017 Marzo | 6 | 59 | 65 |
| 2017 Febrero | 9 | 62 | 71 |
| 2017 Enero | 8 | 25 | 33 |
| 2016 Diciembre | 21 | 15 | 36 |
| 2016 Noviembre | 10 | 36 | 46 |
| 2016 Octubre | 20 | 28 | 48 |
| 2016 Septiembre | 25 | 52 | 77 |
| 2016 Agosto | 66 | 43 | 109 |
| 2016 Julio | 28 | 36 | 64 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 7 | 8 |
| 2015 Junio | 13 | 13 | 26 |
| 2015 Mayo | 27 | 25 | 52 |
| 2015 Abril | 11 | 25 | 36 |
| 2015 Marzo | 20 | 17 | 37 |
| 2015 Febrero | 14 | 29 | 43 |
| 2015 Enero | 31 | 28 | 59 |
| 2014 Diciembre | 20 | 23 | 43 |
| 2014 Noviembre | 14 | 25 | 39 |
| 2014 Octubre | 23 | 24 | 47 |
| 2014 Septiembre | 15 | 21 | 36 |
| 2014 Agosto | 21 | 33 | 54 |
| 2014 Julio | 19 | 24 | 43 |
| 2014 Junio | 34 | 26 | 60 |
| 2014 Mayo | 33 | 19 | 52 |
| 2014 Abril | 28 | 17 | 45 |
| 2014 Marzo | 18 | 23 | 41 |
| 2014 Febrero | 29 | 25 | 54 |
| 2014 Enero | 18 | 17 | 35 |
| 2013 Diciembre | 11 | 16 | 27 |
| 2013 Noviembre | 17 | 10 | 27 |
| 2013 Octubre | 20 | 15 | 35 |
| 2013 Septiembre | 17 | 28 | 45 |
| 2013 Agosto | 23 | 32 | 55 |
| 2013 Julio | 15 | 26 | 41 |
| 2013 Junio | 16 | 24 | 40 |
| 2013 Mayo | 15 | 18 | 33 |
| 2013 Abril | 16 | 17 | 33 |
| 2013 Marzo | 9 | 17 | 26 |
| 2013 Febrero | 11 | 8 | 19 |
| 2013 Enero | 13 | 11 | 24 |
| 2012 Diciembre | 13 | 20 | 33 |
| 2012 Noviembre | 0 | 10 | 10 |
| 2012 Octubre | 0 | 4 | 4 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2012 Enero | 5 | 0 | 5 |
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