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array:23 [ "pii" => "S1130147394708174" "issn" => "11301473" "doi" => "10.1016/S1130-1473(94)70817-4" "estado" => "S300" "fechaPublicacion" => "1994-01-01" "aid" => "70817" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1994" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1994;5:115-20" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1650 "formatos" => array:3 [ "EPUB" => 20 "HTML" => 764 "PDF" => 866 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147394708186" "issn" => "11301473" "doi" => "10.1016/S1130-1473(94)70818-6" "estado" => "S300" "fechaPublicacion" => "1994-01-01" "aid" => "70818" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1994;5:121-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1535 "formatos" => array:3 [ "EPUB" => 20 "HTML" => 714 "PDF" => 801 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Estudio comparativo de meningiomas intracraneales en grupos de edades diferentes: tercera edad - edad adulta" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "121" "paginaFinal" => "126" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. 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Urculo, L. Martínez, M. Arrazola" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Urculo" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Martínez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Arrazola" ] ] ] 1 => array:2 [ "autoresLista" => "M<span class="elsevierStyleSup">a</span>J. Aranzadi, A. Gastaminza" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M<span class="elsevierStyleSup">a</span>J." "apellidos" => "Aranzadi" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Gastaminza" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147394708162?idApp=UINPBA00004B" "url" => "/11301473/0000000500000002/v1_201305151434/S1130147394708162/v1_201305151434/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Estudio comparativo de los resultados quirúrgicos y los cambios en resonancia magnética en 29 pacientes con siringomielia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "115" "paginaFinal" => "120" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "R. Sarabia, H. Sandoval, R.D. Lobato, J.J. Rivas, P.A. Gómez, A. Cabrera, R. Alday, J. Ayerbe" "autores" => array:8 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Sarabia" ] 1 => array:2 [ "nombre" => "H." "apellidos" => "Sandoval" ] 2 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 4 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 7 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital «12 de Octubre», Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162639" "palabras" => array:4 [ 0 => "Siringomielia" 1 => "Arnold-Chiari" 2 => "Descompresión craneovertebral" 3 => "Resonancia magnética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162638" "palabras" => array:4 [ 0 => "Syringomyelia" 1 => "Arnold-Chiari" 2 => "Craniovertebral decompression" 3 => "Magnetic resonance imaging" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La DVP fue efectiva clínica y radiológicamente en el paciente con complejo siringomielia-Chiari-hidrocefalia comunicante.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "en" => array:2 [ "titulo" => "Summary" "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 (CVD) (19 cases), syringoperitoneal shunt (SPS) (9 cases) and ventriculoperitoneal shunt (VPS) (1 case).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Syringomyelia-Chiari-Comunicating hydrocephalus complex was successfully treated with VPS.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Sarabia, R.; Sandoval, H.; Lobato, R.D.; Rivas, J.J.; Gómez, P.A.; Cabrera, A.; Alday, R. y Ayerbe, J.: Estudio comparativo de los resultados quirúrgicos y los cambios en resonancia magnética en 29 pacientes con siringomielia. 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