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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores presentan una serie de 29 pacientes con siringomielia tratados quir&#250;rgicamente mediante descompresi&#243;n craneovertebral &#40;DCV&#41; &#40;19 casos&#41;&#44; derivaci&#243;n quistoperitoneal &#40;DQP&#41; &#40;9 casos&#41; y derivaci&#243;n ventriculoperitoneal &#40;DVP&#41; &#40;1 caso&#41;&#44; en la que se comparan los resultados cl&#237;nicos y de control por resonancia magn&#233;tica&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La presentaci&#243;n cl&#237;nica m&#225;s frecuente consisti&#243; en alteraciones sensitivas&#44; dolor ocdpitocervical y paraparesia&#46; El tratamiento quir&#250;rgico es m&#225;s efectivo para resolver el dolor y el defecto motor &#40;50&#37; con DCV y 30&#37; con DQP&#41;&#44; que las alteraciones de sensibilidad&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La cavidad qu&#237;stica se resolvi&#243; en un 90&#37; de los casos existiendo una disociaci&#243;n entre los porcentajes de mejor&#237;a cl&#237;nica y los de imagen&#44; especialmente en los sometidos a DQP&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La DVP fue efectiva cl&#237;nica y radiol&#243;gicamente en el paciente con complejo siringomielia-Chiari-hidrocefalia comunicante&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La cirug&#237;a DCV puede ser usada como primera elecci&#243;n en pacientes con siringomielia&#44; reservando la DQP para los casos en los que no se consigue reducir la cavidad medular&#46;</p>"
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        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The authors present the clinical and control MRI results in 29 patients with syringomyelia surgically treated by craniovertebral decompression &#40;CVD&#41; &#40;19 cases&#41;&#44; syringoperitoneal shunt &#40;SPS&#41; &#40;9 cases&#41; and ventriculoperitoneal shunt &#40;VPS&#41; &#40;1 case&#41;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Sensory impairment&#44; occipito-cervical pain and paraparesis were the most frequent clinical features&#46; Surgical procedures were more effective on pain control and motor deficit restoration &#40;50&#37; with CVD and 30&#37; with SPS&#41;&#44; than on controlling sensory disturbanees&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The syringeal cavity disappeared in 90&#37; of the cases on MRI control after surgery&#44; but there was not correlation between clinical improvement and syrinx coIlapse&#44; specially after SPS&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Syringomyelia-Chiari-Comunicating hydrocephalus complex was successfully treated with VPS&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Craniovertebral decompression should be used as the first surgical technic for syringomyelia&#44; while SPS may be performed in cases in which the syringeal cavity is still large&#46;</p>"
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Vol. 5. Núm. 2.
Páginas 115-120 (enero 1993)
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Vol. 5. Núm. 2.
Páginas 115-120 (enero 1993)
Estudio comparativo de los resultados quirúrgicos y los cambios en resonancia magnética en 29 pacientes con siringomielia
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R. Sarabia, H. Sandoval, R.D. Lobato, J.J. Rivas, P.A. Gómez, A. Cabrera, R. Alday, J. Ayerbe
Servicio de Neurocirugía. Hospital «12 de Octubre», Madrid
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Resumen

Los autores presentan una serie de 29 pacientes con siringomielia tratados quirúrgicamente mediante descompresión craneovertebral (DCV) (19 casos), derivación quistoperitoneal (DQP) (9 casos) y derivación ventriculoperitoneal (DVP) (1 caso), en la que se comparan los resultados clínicos y de control por resonancia magnética.

La presentación clínica más frecuente consistió en alteraciones sensitivas, dolor ocdpitocervical y paraparesia. El tratamiento quirúrgico es más efectivo para resolver el dolor y el defecto motor (50% con DCV y 30% con DQP), que las alteraciones de sensibilidad.

La cavidad quística se resolvió en un 90% de los casos existiendo una disociación entre los porcentajes de mejoría clínica y los de imagen, especialmente en los sometidos a DQP.

La DVP fue efectiva clínica y radiológicamente en el paciente con complejo siringomielia-Chiari-hidrocefalia comunicante.

La cirugía DCV puede ser usada como primera elección en pacientes con siringomielia, reservando la DQP para los casos en los que no se consigue reducir la cavidad medular.

Palabras clave:
Siringomielia
Arnold-Chiari
Descompresión craneovertebral
Resonancia magnética
Summary

The authors present the clinical and control MRI results in 29 patients with syringomyelia surgically treated by craniovertebral decompression (CVD) (19 cases), syringoperitoneal shunt (SPS) (9 cases) and ventriculoperitoneal shunt (VPS) (1 case).

Sensory impairment, occipito-cervical pain and paraparesis were the most frequent clinical features. Surgical procedures were more effective on pain control and motor deficit restoration (50% with CVD and 30% with SPS), than on controlling sensory disturbanees.

The syringeal cavity disappeared in 90% of the cases on MRI control after surgery, but there was not correlation between clinical improvement and syrinx coIlapse, specially after SPS.

Syringomyelia-Chiari-Comunicating hydrocephalus complex was successfully treated with VPS.

Craniovertebral decompression should be used as the first surgical technic for syringomyelia, while SPS may be performed in cases in which the syringeal cavity is still large.

Key words:
Syringomyelia
Arnold-Chiari
Craniovertebral decompression
Magnetic resonance imaging

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