Valor del registro neurofisiológico en la cirugía de la enfermedad de Parkinson. Estudio preliminar
The significance of microelectrode recording in Parkinson's disease surgery
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Pérez Márquez, A.J. Betbesé Roig, G. Rialp Cervera, J.A. Santos Rodríguez, A. Net, L. Marruecos" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Pérez Márquez" ] 1 => array:2 [ "nombre" => "A.J." "apellidos" => "Betbesé Roig" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Rialp Cervera" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Santos Rodríguez" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Net" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Marruecos" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707992?idApp=UINPBA00004B" "url" => "/11301473/0000001000000003/v1_201305151012/S1130147399707992/v1_201305151012/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Valor del registro neurofisiológico en la cirugía de la enfermedad de Parkinson. Estudio preliminar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "226" "paginaFinal" => "232" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "F. Seijo, J.M. Moreno" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Seijo" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Moreno" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Central de Asturias. Oviedo" ] ] ] 1 => array:3 [ "autoresLista" => "F. Fernández González, C. Salvador, L. Menéndez-Guisasola" "autores" => array:3 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Fernández González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Salvador" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "L." "apellidos" => "Menéndez-Guisasola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neurofisiología Clínica. Hospital Central de Asturias. Oviedo" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Neurología I y II. Hospital Central de Asturias. Oviedo" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The significance of microelectrode recording in Parkinson's disease surgery" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156692" "palabras" => array:5 [ 0 => "Palidotomía" 1 => "Talamotomía" 2 => "Semiregistro cerebral" 3 => "Estereotaxia" 4 => "Enfermedad de Parkinson" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156693" "palabras" => array:5 [ 0 => "Pallidotomy" 1 => "Thalamotomy" 2 => "Microelectrode recording" 3 => "Stereotactic surgery" 4 => "Parkinson's disease" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Debido a que no existe un método radiológico que nos permita determinar con total seguridad el punto diana óptimo para la cirugía de la enfermedad de Parkinson y que por otro lado se sabe, que los mejores resultados en dicha cirugía se obtienen lesionando el conjunto celular del núcleo ventral intermedio del tálamo o del pálido medial, el objetivo de este trabajo, es valorar la exactitud de las coordenadas calculadas mediante la imagen radiológica de la tomografía axial computarizada craneal (TAC craneal) con respecto a las obtenidas mediante el registro intracerebral con semielectrodo. A 14 pacientes se les practicó 6 palidotomías, 4 talamotomías y 4 implantes de electrodo para estimulación cerebral profunda (DBS) mediante cirugía estereotáxica y monitorización con registros intracerebrales. Las diferencisa entre la∼ coordenadas estereotáxicas obtenidas mediante la imagen de la TAC craneal y las del registro neurofisiológico fueron para la palidotomía de X: 2<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm y Z: 1.1<span class="elsevierStyleHsp" style=""></span>mm y para la talamotomía/implante de DBS de X: 1.5<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm y Z: Omm. Las mayores diferencias se obtuvieron en la palidotomía, en especial, para la coordenada X, y las menores para la talamotomía, especialmente en la coordenada Z. La mayor diferencia individual se obtuvo en un paciente sometido a palidotomía en el que se evidenció una diferencia en las coordenadas de X: 3<span class="elsevierStyleHsp" style=""></span>mm, Y: 2.5<span class="elsevierStyleHsp" style=""></span>mm y Z: 5<span class="elsevierStyleHsp" style=""></span>mm. En otro paciente al que se le realizó una talamotomía no existió diferencia ninguna en las tres coordenadas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The aim of this work is to analyse the accuracy of the coordinates calculated by means of computed tomography (CT) as compared with those obtained by electrophysiological intracerebral recording with a semi- electrode. Fourteen stereotactic operations have been performed: six pallidotomies, four thalamotomies and four electrode implants for deep brain intracerebral stimulation (DBS) by using intraoperative neurophysiological monitorization. The differences between the stereotactic coordinates obtained by means of CT and by means of the neurophysiological search were, X: 2<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm, Z: 1.1<span class="elsevierStyleHsp" style=""></span>mm for pallidotomy, and X: 1.5<span class="elsevierStyleHsp" style=""></span>mm, Y: 1.3<span class="elsevierStyleHsp" style=""></span>mm and Z: Omm for thalamotomy/DBS implanto The major differences were obtained in the X coordinate for pallidotomy, and the minor in the Z coordinate for thalamotomy/DBS implanto</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Seijo, F.; Fernández González, F.; Moreno, J.M.; Salvador, C.; Menéndez-Guisasola, L.: Valor del registro neurofisiológico en la cirugía de la enfermedad de Parkinson. Estudio preliminar. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 3 | 4 |
| 2018 Septiembre | 0 | 2 | 2 |
| 2018 Febrero | 22 | 11 | 33 |
| 2018 Enero | 22 | 13 | 35 |
| 2017 Diciembre | 13 | 15 | 28 |
| 2017 Noviembre | 38 | 17 | 55 |
| 2017 Octubre | 13 | 9 | 22 |
| 2017 Septiembre | 7 | 10 | 17 |
| 2017 Agosto | 14 | 8 | 22 |
| 2017 Julio | 9 | 8 | 17 |
| 2017 Junio | 17 | 24 | 41 |
| 2017 Mayo | 17 | 14 | 31 |
| 2017 Abril | 19 | 6 | 25 |
| 2017 Marzo | 19 | 13 | 32 |
| 2017 Febrero | 2 | 9 | 11 |
| 2017 Enero | 10 | 8 | 18 |
| 2016 Diciembre | 27 | 15 | 42 |
| 2016 Noviembre | 20 | 6 | 26 |
| 2016 Octubre | 27 | 21 | 48 |
| 2016 Septiembre | 37 | 25 | 62 |
| 2016 Agosto | 48 | 27 | 75 |
| 2016 Julio | 29 | 15 | 44 |
| 2016 Junio | 2 | 0 | 2 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Octubre | 0 | 9 | 9 |
| 2015 Septiembre | 0 | 14 | 14 |
| 2015 Agosto | 3 | 0 | 3 |
| 2015 Julio | 0 | 5 | 5 |
| 2015 Junio | 10 | 10 | 20 |
| 2015 Mayo | 22 | 17 | 39 |
| 2015 Abril | 16 | 9 | 25 |
| 2015 Marzo | 9 | 18 | 27 |
| 2015 Febrero | 10 | 15 | 25 |
| 2015 Enero | 10 | 13 | 23 |
| 2014 Diciembre | 13 | 12 | 25 |
| 2014 Noviembre | 15 | 11 | 26 |
| 2014 Octubre | 17 | 15 | 32 |
| 2014 Septiembre | 14 | 23 | 37 |
| 2014 Agosto | 12 | 27 | 39 |
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| 2014 Junio | 16 | 26 | 42 |
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| 2014 Marzo | 14 | 25 | 39 |
| 2014 Febrero | 11 | 20 | 31 |
| 2014 Enero | 11 | 13 | 24 |
| 2013 Diciembre | 12 | 13 | 25 |
| 2013 Noviembre | 12 | 16 | 28 |
| 2013 Octubre | 14 | 16 | 30 |
| 2013 Septiembre | 24 | 16 | 40 |
| 2013 Agosto | 28 | 23 | 51 |
| 2013 Julio | 18 | 16 | 34 |
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| 2013 Mayo | 12 | 20 | 32 |
| 2013 Abril | 12 | 12 | 24 |
| 2013 Marzo | 21 | 14 | 35 |
| 2013 Febrero | 8 | 10 | 18 |
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| 2012 Diciembre | 14 | 15 | 29 |
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| 2012 Octubre | 0 | 5 | 5 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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