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"apellidos" => "Rivas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147398708061?idApp=UINPBA00004B" "url" => "/11301473/0000000900000004/v1_201305151513/S1130147398708061/v1_201305151513/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Estimulación medular cervical en los síndromes de baja perfusión cerebral. Resultados clínicos preliminares" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "307" "paginaFinal" => "311" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M.J. Sánchez-Ledesma, G. García-March, J. Gonçalves, J. Broseta" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.J." "apellidos" => "Sánchez-Ledesma" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "García-March" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Gonçalves" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Broseta" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital 9 de Octubre. Valencia. Y Cátedra de Neurocirugía, Universidad de Salamanca. Salamanca" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cervical spinal cord stimulation in brain low perfusion syndromes. Preliminary clinical report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163396" "palabras" => array:3 [ 0 => "Estimulación medular" 1 => "Isquemia cerebral" 2 => "Coma" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163397" "palabras" => array:3 [ 0 => "Spinal cord stimulation" 1 => "Brain ischaemia" 2 => "Coma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A partir de estudios experimentales previos que demuestran que la estimulación eléctrica de la médula cervical produce un aumento de flujo sanguíneo carotídeo y cerebral en modelos de isquemia cerebral, se ha aplicado esta técnica en 10 pacientes con síndrome de baja perfusión cerebral. Aunque no de forma constante, se ha comprobado una mejoría en el nivel de alerta, estado emocional y en la realización de actos cotidianos. Se han detectado mediante SPECT incrementos en el flujo en el área de penumbra isquémica perilesional.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Based on previous experimental studies showing that cervical spinal cord stimulation increases carotid and brain blood flow in brain iscnemia models, this technique was used in 10 patients presenting with various cerebral low perfusion syndromes. Though not constant, an increase in alertness, retention, speech, emotional status and performance in skilled acts was achieved. SPECT readings showed an increase in blood flow in the penumbra perilesional area.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Sánchez-Ledesma, M.J.; García-March, G.; Gonçalves, J.; Broseta, 1.: Estimulación medular cervical en los síndromes de baja perfusión cerebral. Resultados clínicos preliminares. Neurocirugía 1998; 9: 307–311.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "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" => "Discussion on spinal cord stimulation and peripheral blood flow" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L.E. 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Servicio de Neurocirugía, Hospital 9 de Octubre. Valencia. Y Cátedra de Neurocirugía, Universidad de Salamanca. Salamanca