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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos dos pacientes aquejados de edema cerebral por distintas etiolog&#237;as en los que&#44; al realizar el estudio angiogr&#225;fico&#44; se apreci&#243; una extravasaci&#243;n de contraste con inundaci&#243;n del sistema ventricular&#46; En ninguno de ellos se pudieron visualizar malformaciones vasculares&#44; ni en la angiograf&#237;a&#44; ni en el estudio necr&#243;psico&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">No se conoce un mecanismo etiopatog&#233;nico que explique convenientemente este rar&#237;simo fen&#243;meno&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Comparando los datos comunes de nuestros pacientes y otros similares de la literatura&#44; hemos elaborado una hip&#243;tesis que intenta explicarlo&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ruptura vascular puede estar ocasionada por una dislaceraci&#243;n cerebral traum&#225;tica&#44; edema o por necrosis post-infarto&#44; afectando de manera importante a las arteriolas en proximidad a los ventr&#237;culos e incluso a los plexos coroides y a trav&#233;s de estas estructuras vasculares pasa el contraste a los ventr&#237;culos&#59; siendo el fen&#243;meno de muy mal pron&#243;stico&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We present two cases of intense brain swelling&#44; caused by cerebral infarct in the first&#44; and by severe craniocerebral trauma in the second&#44; in which contrast extravasation was observed&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Neither the angiography nor the necropsy showed arteriovenous malformations&#44; vascular anomalies or any other obvious cause of the extravasation&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Up to now&#44; there is not a satisfactory explanation of this phenomenon&#46; The traumatic brain injury&#44; brain edema of different etiology and necrosis post-cerebral-infarct&#44; could account for the vascular rupture of the arter&#237;olae in the vicinity of the cerebral ventricles&#44; or perhaps those of the choroid plexuses&#46; Through these small injured arteries&#44; could the contrast pass from the vessels to the ventricles&#44; specially when the ependima is also injured&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">As far as the evolution is concerned&#44; and after considering other cases previously published&#44; we think that the prognosis of this phenomenon is usually ominous&#46;</p>"
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Extravasación intraventricular de contraste durante la angiografía cerebral en dos pacientes con edema cerebral de diferente etiología
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Servicio de Neurocirugía y Sección de Neurorradiología. Hospital Valdecilla. Santander

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