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                      "titulo" => "Subdural tapping and irrigation for the treatment of chronic subdural hematoma in adults"
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                    0 => array:1 [
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                    0 => array:1 [
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                  ]
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                        "paginaFinal" => "187"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3723175"
                            "web" => "Medline"
                          ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
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                    0 => array:1 [
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                        "paginaFinal" => "159"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6888695"
                            "web" => "Medline"
                          ]
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                      "titulo" => "Tension pneumoencephalus after evacuation of chronic subdural hematoma and subsequent treatment with continuous lumbar subarachnoid infusion and craniostomy drainage"
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                          "autores" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1985"
                        "volumen" => "16"
                        "paginaInicial" => "107"
                        "paginaFinal" => "110"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3974807"
                            "web" => "Medline"
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                      "titulo" => "Computerized tomography of the brain"
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                            0 => "D&#46;O&#46; Davis"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Radiol Clin North Am"
                        "fecha" => "1974"
                        "volumen" => "12"
                        "paginaInicial" => "297"
                        "paginaFinal" => "313"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4369883"
                            "web" => "Medline"
                          ]
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                ]
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                    0 => array:2 [
                      "titulo" => "Computed tomography of postraumatic extracerebral hematomas&#46; Comparison to pathophysiology and responses to the therapy"
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                          "etal" => false
                          "autores" => array:4 [
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                            2 => "L&#46;T&#46; Bilaniuk"
                            3 => "T&#46;A&#46; Gennarelli"
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                        ]
                      ]
                    ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Trauma"
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                        "volumen" => "19"
                        "paginaInicial" => "163"
                        "paginaFinal" => "169"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/458881"
                            "web" => "Medline"
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                    0 => array:2 [
                      "titulo" => "Computed tomography in the evaluation of subdural hematomas"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "G&#46;S&#46; Forbes"
                            1 => "P&#46;F&#46; Sheedy II"
                            2 => "D&#46;G&#46; Piepgras"
                            3 => "O&#46;W&#46; Hauser"
                          ]
                        ]
                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.1148/126.1.143"
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                        "tituloSerie" => "Radiology"
                        "fecha" => "1978"
                        "volumen" => "126"
                        "paginaInicial" => "143"
                        "paginaFinal" => "148"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/304222"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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                    0 => array:2 [
                      "titulo" => "The value of computerized tomography in the management of 1000 consecutive head injuries"
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                          "autores" => array:2 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1977"
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                        "paginaInicial" => "171"
                        "paginaFinal" => "183"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/847631"
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                            2 => "J&#46; Hernandez"
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                            4 => "A&#46; Maillo"
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                        "tituloSerie" => "Neurocirug&#237;a"
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                      "titulo" => "Tratamiento de los hematomas subdurales cr&#243;nicos del adulto mediante trepanaci&#243;n y drenaje continuo&#46; Estudio comparativo con la craneotom&#237;a"
                      "autores" => array:1 [
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                          "autores" => array:5 [
                            0 => "J&#46; Gonzalez Tortosa"
                            1 => "J&#46;A&#46; Esteban Vera"
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                            3 => "M&#46; Valenciano Clavel"
                            4 => "M&#46; Pozapoza"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
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                        "volumen" => "176"
                        "paginaInicial" => "234"
                        "paginaFinal" => "236"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4001477"
                            "web" => "Medline"
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            11 => array:3 [
              "identificador" => "bib12"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Periope&#8217; rative lumbar injection of Ringer&#39;s lactate solution in chronic subdural hematomas&#58; A series of 100 cases"
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                        0 => array:2 [
                          "etal" => true
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                            2 => "J&#46;C&#46; Peragut"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
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                        "volumen" => "23"
                        "paginaInicial" => "616"
                        "paginaFinal" => "620"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3059219"
                            "web" => "Medline"
                          ]
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                ]
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            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebral collapse associated with chronic subdural hematoma in adults&#46; A comparison of two methods of treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;O&#46; Hancock"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1965"
                        "volumen" => "1"
                        "paginaInicial" => "633"
                        "paginaFinal" => "634"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2894559"
                            "web" => "Medline"
                          ]
                        ]
                      ]
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                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computer assisted tomography in intracerebral hematomas and head trauma"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46;I&#46; Kricheff"
                            1 => "J&#46;P&#46; Lin"
                            2 => "N&#46;E&#46; Chase"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Advances in Cerebral Angiography"
                        "paginaInicial" => "353"
                        "paginaFinal" => "357"
                        "serieFecha" => "1975"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic subdural hematoma&#46; Expansion of the compressed cerebral hemisphere and relief of hypotension by spinal injection of physiologic saline solution"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;A&#46; LaLonde"
                            1 => "W&#46;J&#46; Gardner"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "N Eng J Med"
                        "fecha" => "1948"
                        "volumen" => "239"
                        "paginaInicial" => "493"
                        "paginaFinal" => "496"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial hypotension associated with subdural haematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; McDonald Holmes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br Med J"
                        "fecha" => "1953"
                        "volumen" => "1"
                        "paginaInicial" => "1363"
                        "paginaFinal" => "1366"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20792851"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic subdural hematomas&#58; a review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;M&#46; Markwalder"
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1981.54.5.0637"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1981"
                        "volumen" => "54"
                        "paginaInicial" => "637"
                        "paginaFinal" => "645"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7014792"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic subdural hematomas&#58; To drain or not to drain&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;M&#46; Markwalder"
                            1 => "R&#46;W&#46; Seiler"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1985"
                        "volumen" => "16"
                        "paginaInicial" => "185"
                        "paginaFinal" => "188"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3974829"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The course of chronic subdural hematoma after burr-hole craniostomy and closed-system drainage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;M&#46; Markwalder"
                            1 => "K&#46;F&#46; Steinsiepe"
                            2 => "M&#46; Rohner"
                            3 => "W&#46; Reichenbach"
                            4 => "H&#46; Markwalder"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1981.55.3.0390"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1981"
                        "volumen" => "55"
                        "paginaInicial" => "390"
                        "paginaFinal" => "396"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7264730"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Subdural hematoma&#58; A review of 389 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46; McKissock"
                            1 => "A&#46; Richardson"
                            2 => "W&#46;H&#46; Bloom"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1960"
                        "volumen" => "25"
                        "paginaInicial" => "1365"
                        "paginaFinal" => "1370"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The impact of computed tomography on the treatment of chronic subdural hematoma"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;H&#46; Moussa"
                            1 => "N&#46; Joshy"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurol Neurosurg Psychiatry"
                        "fecha" => "1982"
                        "volumen" => "45"
                        "paginaInicial" => "1156"
                        "paginaFinal" => "1158"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7161611"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simple bedside technique for evacuating chronic subdural hematomas"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;A&#46; Negron"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1975.42.5.0609"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1975"
                        "volumen" => "42"
                        "paginaInicial" => "609"
                        "paginaFinal" => "611"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1151459"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed Tomography of the Brain and Orbit &#40;EMI Scanning&#41;"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:2 [
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                        "fecha" => "1975"
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                        "editorialLocalizacion" => "Baltimore"
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                ]
              ]
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            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The treatment of subacute and chronic subdural haematomas"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;G&#46; Robinson"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br med J"
                        "fecha" => "1955"
                        "volumen" => "1"
                        "paginaInicial" => "21"
                        "paginaFinal" => "22"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/760939"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic subdural hematoma&#58; surgical management in 133 patients"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;G&#46; Robinson"
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                    0 => array:2 [
                      "doi" => "10.3171/jns.1984.61.2.0263"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1984"
                        "volumen" => "61"
                        "paginaInicial" => "263"
                        "paginaFinal" => "268"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6737050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of the age of subdural hematomas by computerized tomography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Scotti"
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                            2 => "D&#46; Melan&#962;on"
                            3 => "G&#46; B&#233;langer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1977.47.3.0311"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1977"
                        "volumen" => "47"
                        "paginaInicial" => "311"
                        "paginaFinal" => "315"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/894336"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ventricular infusion in the operative management of subdural hematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;H&#46; Smith"
                            1 => "K&#46;E&#46; Livingston"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Current controversies in neurosurgery"
                        "paginaInicial" => "566"
                        "paginaFinal" => "571"
                        "serieFecha" => "1976"
                      ]
                    ]
                  ]
                ]
              ]
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            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "On the surgical management of encapsulated subdural hematoma&#58; A comparison of the results of membranectomy and simple evacuation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1964.21.3.0172"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1964"
                        "volumen" => "21"
                        "paginaInicial" => "172"
                        "paginaFinal" => "177"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14127617"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Definitive treatment of chronic subdural hematoma by twist-drill craniostomy and closedsystem drainage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Tabbador"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1977.46.2.0220"
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                        "tituloSerie" => "J Neurosurg"
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                        "paginaInicial" => "220"
                        "paginaFinal" => "226"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/833639"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of craniectomy in the treatment of chronic subdural hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46; Tyson"
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                            3 => "H&#46;R&#46; Winn"
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                        "tituloSerie" => "J Neurosurg"
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                        "paginaInicial" => "776"
                        "paginaFinal" => "781"
                        "link" => array:1 [
                          0 => array:2 [
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                  ]
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Vol. 3. Núm. 3.
Páginas 233-239 (enero 1992)
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Vol. 3. Núm. 3.
Páginas 233-239 (enero 1992)
Hematoma subdural crónico: drenaje versus expansion cerebral activa. Estudio comparativo
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J.A. Gómez-Moreta, F. Morales, P. Díaz, J. Hernández, A. Maillo
Servicio de Neurocirugía. Hospital Virgen de la Vega. Salamanca
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Resumen

Se presentan dos grupos de pacientes con hematoma subdural crónico (H.S.C.) que suman 64 casos, tratados mediante evacuación por trépanos seguida de expansión cerebral activa en el primero de ellos y drenaje contínuo en el segundo. El estudio demuestra que el último método disminuye la morbilidad inherente a la cirugía, confirmando al mismo tiempo que la mortalidad depende fundamentalmente de la situación clínica preoperatoria y no de la técnica utilizada. El seguimiento periódico de todos los casos, valorando los datos clínicos y la exploración TAC, confirma también que la reexpansión cerebral está en relación inversa a la edad y al grado neurológico preoperatorio, siendo menos importantes la presión existente en la cavidad subdural y la modalidad del tratamiento quirúrgico utilizado.

Palabras clave:
Hematoma subdural
hematoma subdural crónico
reexpansión cerebral
Summary

The authors analyze a series of 64 patients with chronic subdural hematoma who were classified into two groups on the basis of the surgical treatment: burr-hole evacuation followed by spinal injection of saline solution, or burr-hole evacuation followed by drainage of the subdural cavity. This prospective study shows that patients operated by the last procedure had less postoperative complications and confirms that mortality is mainly related to the patient's ncurological condition but not to the type of surgical thechnique employed. Postoperative C.T. controls, showed that brain reexpansion is inversely related to the patient's age an neurological grade, and poorly infIuenced by intracavitary pressure or type of surgery.

Key words:
Subdural hematoma
chronic subdural hematoma
brain reexpansión

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