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array:22 [ "pii" => "S1130147305703936" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70393-6" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70393" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:447-52" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1859 "formatos" => array:3 [ "EPUB" => 15 "HTML" => 1242 "PDF" => 602 ] ] "itemAnterior" => array:18 [ "pii" => "S1130147305703924" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70392-4" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70392" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:441-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2397 "formatos" => array:3 [ "EPUB" => 14 "HTML" => 1350 "PDF" => 1033 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Anatomía topográfica del asterion" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "441" "paginaFinal" => "446" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Topographyc anatomy of the asterion" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Martínez, A. Laxague, L. Vida, H. Prinzo, N. Sgarbi, V.R. Soria, C. Bianchí" "autores" => array:7 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Martínez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Laxague" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Vida" ] 3 => array:2 [ "nombre" => "H." "apellidos" => "Prinzo" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "Sgarbi" ] 5 => array:2 [ "nombre" => "V.R." "apellidos" => "Soria" ] 6 => array:2 [ "nombre" => "C." "apellidos" => "Bianchí" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305703924?idApp=UINPBA00004B" "url" => "/11301473/0000001600000005/v1_201305151245/S1130147305703924/v1_201305151245/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literatura" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "447" "paginaFinal" => "452" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "J. Ayerbe, P. Sousa" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Ayerbe" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Sousa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Neurocirugía. Fundación Jiménez Díaz. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio de Neurocirugía. Fundación “Jiménez Díaz”. Avda. Reyes Católicos, 2. 28040 Madrid." ] ] ] 1 => array:3 [ "autoresLista" => "D. Quiñones, E. Prieto" "autores" => array:2 [ 0 => array:3 [ "nombre" => "D." "apellidos" => "Quiñones" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Prieto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Neurorradiología. Fundación Jiménez Díaz. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Hematología. Fundación Jiménez Díaz. Madrid" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spinal subarachnoid hematoma after lumbar puncture in a patient with leukemia. Report of a case and review of the literature" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-11-15" "fechaAceptado" => "2004-12-03" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159056" "palabras" => array:2 [ 0 => "Hematoma subaracnoideo espinal" 1 => "Punción lumbar" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159054" "palabras" => array:4 [ 0 => "HSAE" 1 => "LP" 2 => "PL" 3 => "SSAH" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159055" "palabras" => array:2 [ 0 => "Spinal subarachnoid hematoma" 1 => "Lumbar puncture" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La compresión mielo-radicular aguda secundaria a un hematoma subaracnoideo espinal (HSAE) es una complicación extremadamente rara tras una punción lumbar (PL). En el mecanismo de producción de estos hematomas han sido implicados diversos factores de riesgo, principalmente la presencia de trastornos de la hemostasia en el paciente.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un varón de 20 años con leucemia aguda y trombocitopenia (26.000 plaquetas/mm<span class="elsevierStyleSup">3</span>) que, tras ser sometido a una PL, desarrolló una paraparesia con imposibilidad para la bipedestación. La resonancia magnética (RM) demostró la presencia de un hematoma intradural ventral desde D12 hasta L4. Se realizó una laminectomía descompresiva de urgencia y se pudo evacuar parcialmente un hematoma localizado en el espacio subaracnoideo. Al cuarto día postoperatorio, el paciente consiguió caminar sin ayuda, pero falleció un mes después debido a complicaciones sistémicas de su enfermedad.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sólo se han encontrado 26 casos de HSAE tras PL en la revisión de la literatura que hemos realizado. Se han observado las siguientes características comunes a la mayoría de ellos: asociación con tratamientos anticoagulantes, asociación con trombocitopenia, aparición de síndrome compresivo mielo-radicular de forma retardada, necesidad de tratamiento quirúrgico, buen resultado funcional en la mitad de los pacientes, y corta esperanza de vida en aquellos con enfermedad previa grave. En pacientes leucémicos con tendencia a tener marcada trombocitopenia (quizás por debajo de 25.000 plaquetas/mm<span class="elsevierStyleSup">s</span>), el riesgo de desarrollar un HSAE tras PL puede ser elevado.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Acute myeloradicular compression due to a spinal subarachnoid hematoma (SSAH) after lumbar puncture (LP) is an extremely rare complication. Several risk factors have been involved in the production of these hematomas, mainly the presence of hemostasis disorders in the patient.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We report the case of a 20-year-old man with leukemia and thrombocytopenia (26.000 platelets/mm<span class="elsevierStyleSup">3</span>) who, after undergoing a LP, developed paraparesis and became unable to stand. A magnetic resonance disclosed the presence of a ventral intradural hematoma from D12 to L4. An emergency decompressive laminectomy was performed and an hematoma located in the subarachnoid space was partially removed. On the fourth postoperative day, the patient was able to walk without assistance, but one month later, he died because of systemic complications of his disease.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Only 26 cases of SSAH after LP have been found in the literature review we have performed. In most of them, the following common features have been observed: association with anticoagulant therapies, association with thrombocytopenia, delayed onset of compressive myeloradicular syndrome, need of surgical treatment, good functional outcome in half of patients, and short life expectancy for patients with previous serious illness. Risk for developing a SSAH after LP could be high in leukemia patients with a tendency to have severe thrombocytopenia (perhaps less than 25.000 platelets/mm<span class="elsevierStyleSup">3</span>).</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Ayerbe, J.; Quiñones, D.; Prieto, E.; Sousa, P.: Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literarura. Neurocirugía 2005; 16: 447–452.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute hemor-rhagic complication of diagnostic lumbar puncture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.D. Adler" 1 => "A.E. Comi" 2 => "A.R. Walker" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Emerg Care" "fecha" => "2001" "volumen" => "17" "paginaInicial" => "184" "paginaFinal" => "188" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11437143" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT demonstration of a spinal subarachnoid haematoma following lumbar puncture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E.A. Bellamy" 1 => "D.J. Pérez" 2 => "E. Husband" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "1984" "paginaInicial" => "791" "paginaFinal" => "792" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal subarachnoid hematoma after lumbar puncture causing reversible paraplegia in acute leukemia. Case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bladé" 1 => "F. Gastón" 2 => "E. Montserrat" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1983.58.3.0438" "Revista" => array:6 [ "tituloSerie" => "J Neurosurg" "fecha" => "1983" "volumen" => "58" "paginaInicial" => "438" "paginaFinal" => "439" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6572224" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radicular vessels are the most probable source of needle-induced blood in lumbar puncture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.C. Breuer" 1 => "H.R. Tyler" 2 => "D.I. Marzewski" 3 => "D.S. Rosenthal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cancer" "fecha" => "1982" "volumen" => "49" "paginaInicial" => "2168" "paginaFinal" => "2172" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7074532" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Seguimiento con resonancia magnética de un hematoma medular subaracnoideo ventral espontáneo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Cabrera" 1 => "l. Manchola" 2 => "J.A. Larena" 3 => "B. Martínez de Guereñu" 4 => "O. Casado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Neurol" "fecha" => "2001" "volumen" => "32" "paginaInicial" => "1137" "paginaFinal" => "1140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11562845" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hematomas raquídeos con compresión medular relacionados con las anestesias neuroaxiales en España" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Castillo" 1 => "X. Santiveri" 2 => "J. Escolano" 3 => "J. Castaño" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Anestesiol Reanim" "fecha" => "2003" "volumen" => "50" "paginaInicial" => "504" "paginaFinal" => "509" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14737776" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nontraumatic acute spinal subdural hematoma: report of five cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Domenicucci" 1 => "A. Ramieri" 2 => "P. Ciappetta" 3 => "R. Delfini" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Neurosurg Spine" "fecha" => "1999" "volumen" => "91" "paginaInicial" => "65" "paginaFinal" => "73" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal subdural hematoma complicating lumbar puncture: ocurrence in thrombocytopenic patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.N. Edelson" 1 => "N.L. Chernik" 2 => "J.B. Posner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Neurol" "fecha" => "1974" "volumen" => "31" "paginaInicial" => "134" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4525944" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal subarachnoid hematoma following lumbar puncture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Goyal" 1 => "R. Dua" 2 => "D. Singh" 3 => "S. Kumar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurol India" "fecha" => "1999" "volumen" => "47" "paginaInicial" => "339" "paginaFinal" => "340" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10625917" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Coagulopathy induced spinal intradural extramedullary haematoma: report of three cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "O. Hausmann" 1 => "E. Kirsch" 2 => "E. Radü" 3 => "Th. Mindermann" 4 => "O. Gratzl" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Neurochir" "fecha" => "2001" "volumen" => "143" "paginaInicial" => "135" "paginaFinal" => "140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11459084" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Idiopathic spontaneous spinal subarachnoid hemorrhage" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Y.H. Kim" 1 => "K.T. Cho" 2 => "C.K. Chung" 3 => "H.J. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/sj.sc.3101620" "Revista" => array:6 [ "tituloSerie" => "Spinal Cord" "fecha" => "2004" "volumen" => "42" "paginaInicial" => "545" "paginaFinal" => "547" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15111997" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous spinal subarachnoid hematoma of unknown pathogenesis: case reports" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Komiyama" 1 => "T. Yasui" 2 => "T. Sumimoto" 3 => "Y. Fu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1997" "volumen" => "41" "paginaInicial" => "691" "paginaFinal" => "694" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9310992" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal hematoma: a literature survey with metaanalysis of 613 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Kreppel" 1 => "G. Antoniadis" 2 => "W. Seeling" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10143-002-0224-y" "Revista" => array:6 [ "tituloSerie" => "Neurosurg Rev" "fecha" => "2003" "volumen" => "26" "paginaInicial" => "1" "paginaFinal" => "49" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12520314" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Serial magnetic resonance imaging findings for a spontaneously resolving spinal subdural hematoma: case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.V. Kulkarni" 1 => "R.A. Willinsky" 2 => "T. Gray" 3 => "M. Cusimano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1998" "volumen" => "42" "paginaInicial" => "398" "paginaFinal" => "400" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9482194" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal subarachnoid hematomas: clue to a source of bleeding in traumatic lumbar puncture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.C. Masdeu" 1 => "A.C. Breuer" 2 => "W.C. Schoene" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurology" "fecha" => "1979" "volumen" => "29" "paginaInicial" => "872" "paginaFinal" => "876" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/572011" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Post lumbar puncture spinal subarachnoid hematoma causing paraplegia: a short report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.B. Pai" 1 => "K.N. Krishna" 2 => "S. Chandrashekar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurol India" "fecha" => "2002" "volumen" => "50" "paginaInicial" => "367" "paginaFinal" => "369" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12391473" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chronic subdural hematoma of the spinal cord: report of a case" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Rader" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM195509012530906" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1955" "volumen" => "253" "paginaInicial" => "374" "paginaFinal" => "376" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13244833" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal subarachnoid bleeding of unknown etiology. Case repots" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Ruelle" 1 => "D. Zerbi" 2 => "G. Andrioli" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Neurosurg Sci" "fecha" => "2001" "volumen" => "45" "paginaInicial" => "53" "paginaFinal" => "57" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11466509" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute spinal intradural extramedullary hematoma: a nonsurgical approach for spinal cord decompression" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K. Schwerdtfeger" 1 => "W. Caspar" 2 => "S. Alloussi" 3 => "M. Strowitzki" 4 => "F. Loew" 5 => ":" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1990" "volumen" => "27" "paginaInicial" => "312" "paginaFinal" => "314" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2385352" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal subarachnoid hematoma complicating lumbar puncture: diagnosis and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E.W. Scott" 1 => "C.R. Cazenave" 2 => "C. Virapongse" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1989" "volumen" => "25" "paginaInicial" => "287" "paginaFinal" => "293" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2770992" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Paraparesis after lumbar puncture in a male with leukemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.W. Wirtz" 1 => "B.R. Bloem" 2 => "F.J.M. van der Meer" 3 => "O.F. Brouwer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Neurol" "fecha" => "2000" "volumen" => "23" "paginaInicial" => "67" "paginaFinal" => "68" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10963974" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000001600000005/v1_201305151245/S1130147305703936/v1_201305151245/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001600000005/v1_201305151245/S1130147305703936/v1_201305151245/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305703936?idApp=UINPBA00004B" ]
