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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se recoge la experiencia de los autores en la evaluaci&#243;n anatomocl&#237;nica de 15 pacientes con siringomielia idiop&#225;tica&#44; asociada a una malformaci&#243;n de Chiari tipo I&#44; y tratados quir&#250;rgicamente mediante una derivaci&#243;n subaracnoidea &#40;SSS&#41;&#46; En todos los casos&#44; el SSS logr&#243; una reducci&#243;n notable y permanente de la cavidad intramedular y seg&#250;n una valoraci&#243;n subjetiva de los propios pacientes&#44; el 80&#37; de ellos refiri&#243; una clara mejor&#237;a o estabilizaci&#243;n de s&#237;ntomas&#44; tras un per&#237;odo de seguimiento comprendido entre 2 y 5 a&#241;os&#46; La experiencia obtenida con la presente serie sugiere que el SSS es una t&#233;cnica quir&#250;rgica sencilla y recomendable en pacientes con siringomielia en los que que se aprecie un quiste intramedular ancho&#44; y en los que no existan manifestaciones cl&#237;nicas atribuibles a una malformaci&#243;n de Chiari asociada&#46; Por otra parte&#44; cuando s&#233; correlacionaron&#44; a partir de los datos preoperatorios&#44; las diferentes dimensiones de los quistes siringomi&#233;licos y los s&#237;ntomas predominantes&#44; no se obtuvo ninguna relaci&#243;n estad&#237;sticamente significativa&#44; lo que debe ser tenido en cuenta a la hora de plantear una indicaci&#243;n quir&#250;rgica en pacientes con esta enfermedad&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The anatomoclinical experience with a series of 15 patients with syringomyelia-Chiari complex&#44; and treated by syringosubarachnoid shunt &#40;SSS&#41; is presented&#46; All patients showed postoperative deflation of the syrinx at follow-up magnetic resonance imaging evaluation&#44; 80&#37; of the patients showed stabilization or improvement after operation&#46; The present experience suggests that SSS is a safe technique for syringomyelic patients with wide syrinxes&#44; when symptoms of posteriorfossa compression were absent&#46; On the other hand&#44; the present study suggests that the evaluation of syrinx dimensions cannot be brought into relation with the nature or distribution of clinical symptomatology&#46; This finding should be born in mind when a surgical treatment is offered to syringomyelic patients&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Vaquero&#44; J&#46;&#59; Arias&#44; A&#46;&#59; Mart&#237;nez&#44; R&#46;&#59; Aragon&#233;s&#44; P&#46;&#58; Experiencia anatomocl&#237;nica en pacientes con siringomielia tratados mediante derivaci&#243;n siringo-subaracnoidea&#46; Neurocirug&#237;a&#44; 1991&#59; 2&#58; 9&#8211;16&#46;</p>"
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Vol. 2. Núm. 1.
Páginas 9-16 (enero 1991)
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Vol. 2. Núm. 1.
Páginas 9-16 (enero 1991)
Experiencia anatomoclínica en pacientes con siringomielia tratados mediante derivación siringo-subaracnoidea
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2135
J. Vaquero, A. Arias, R. Martínez, P. Aragonés
Servicio de Neurocirugía. Clínica Puerta de Hierro. Madrid
Este artículo ha recibido
Información del artículo
Resumen

Se recoge la experiencia de los autores en la evaluación anatomoclínica de 15 pacientes con siringomielia idiopática, asociada a una malformación de Chiari tipo I, y tratados quirúrgicamente mediante una derivación subaracnoidea (SSS). En todos los casos, el SSS logró una reducción notable y permanente de la cavidad intramedular y según una valoración subjetiva de los propios pacientes, el 80% de ellos refirió una clara mejoría o estabilización de síntomas, tras un período de seguimiento comprendido entre 2 y 5 años. La experiencia obtenida con la presente serie sugiere que el SSS es una técnica quirúrgica sencilla y recomendable en pacientes con siringomielia en los que que se aprecie un quiste intramedular ancho, y en los que no existan manifestaciones clínicas atribuibles a una malformación de Chiari asociada. Por otra parte, cuando sé correlacionaron, a partir de los datos preoperatorios, las diferentes dimensiones de los quistes siringomiélicos y los síntomas predominantes, no se obtuvo ninguna relación estadísticamente significativa, lo que debe ser tenido en cuenta a la hora de plantear una indicación quirúrgica en pacientes con esta enfermedad.

Palabras clave:
Siringomielia
Malformación de Chiari
Resonancia magnética
Summary

The anatomoclinical experience with a series of 15 patients with syringomyelia-Chiari complex, and treated by syringosubarachnoid shunt (SSS) is presented. All patients showed postoperative deflation of the syrinx at follow-up magnetic resonance imaging evaluation, 80% of the patients showed stabilization or improvement after operation. The present experience suggests that SSS is a safe technique for syringomyelic patients with wide syrinxes, when symptoms of posteriorfossa compression were absent. On the other hand, the present study suggests that the evaluation of syrinx dimensions cannot be brought into relation with the nature or distribution of clinical symptomatology. This finding should be born in mind when a surgical treatment is offered to syringomyelic patients.

Key words:
Syringomyelia
Chiari malformation
Magnetic resonance imaging

Artículo

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