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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los hematomas de cerebelo representan una patolog&#237;a especial dentro de los hematomas intracraneales&#46; Dadas las exiguas dimensiones de la fosa posterior determinan con frecuencia compresi&#243;n precoz del neuroeje y de las v&#237;as de drenaje del l&#237;quido cefalo-raqu&#237;deo&#46; Es por ello que un diagn&#243;stico y tratamiento adecuados son vitales para obtener los mejores resultados cl&#237;nicos&#46; Aqu&#237; presentamos nuestra serie de 23 casos con la evoluci&#243;n seguida y los tratamientos aplicados&#44; con la finalidad de evaluar la mejor actitud terap&#233;utica a indicar seg&#250;n el estado del paciente y el tama&#241;o del hematoma&#46; Como conclusiones de nuestro estudio diremos que en los hematomas de tama&#241;o comprendido entre 2&#46;5 y 3&#46;5<span class="elsevierStyleHsp" style=""></span>cm de di&#225;metro el drenaje ventricular suele ser suficiente para evitar el empeoramiento del enfermo por hidrocefalia&#44; mieptras que el tratamiento de los hematomas de m&#225;s de 3&#46;5<span class="elsevierStyleHsp" style=""></span>cm de di&#225;metro debe incluir drenaje ventricular y la evacuaci&#243;n del hematoma mediante craniectom&#237;a suboccipital&#46; A diferencia de los hematomas de los ganglios basales&#44; la calidad de vida de los supervivientes suele ser buena en la mayor&#237;a de los casos&#44; quedando con d&#233;ficits neurol&#243;gicos de poca magnitud &#40;ataxia e incoordinaci&#243;n&#41; pero son indispensables un diagn&#243;stico y tratamiento adecuados&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cerebellar haematomas are a special subgroup of intracranial haematomas&#46; Due to the reduced dimensions of the posterior fossa they soon determine early compression of the brain-stem and CSF pathways&#46; Thus a correct diagnosis and treatment are vital to archieve the best clinical results&#46; Herewith we present our series of 23 cases together with their clinical course and the treatment applied&#44; with the aim to analyse the best therapeutic approach to be recommended according to the clinical status of the patient and the size of the haematoma&#46; We would summarise our results saying that in haematomas with a size between 2&#46;5 and 3&#46;5<span class="elsevierStyleHsp" style=""></span>cm in diameter the ventricular drainage is usually enough to prevent the deterioration of the patient due to hydrocephalus&#44; while de treatment of haematomas bigger than 3&#46;5<span class="elsevierStyleHsp" style=""></span>cm in diameter should include ventricular drainage plus haematoma removal through a posterior fossa craniectomy&#46; Contrary to the haematomas in the basal ganglia&#44; the quality of life of the survivors is usually good in the great majority of the cases&#44; remaining neurological deficits of little entity &#40;ataxia and incoordination&#41;&#44; but is vital to do a correct diagnosis and treatment&#41;&#46;</p>"
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                      "titulo" => "Endoscopic neurosurgery"
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                            2 => "P&#46;W&#46; Asher"
                            3 => "F&#46; Hepner"
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                      "titulo" => "Aspect clinique et evolutif des hematomes cerebelleux"
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                            1 => "J&#46;J&#46; Hauw"
                            2 => "R&#46; Escourolle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev&#46; Neurol"
                        "fecha" => "1980"
                        "volumen" => "135"
                        "paginaInicial" => "845"
                        "paginaFinal" => "865"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7466113"
                            "web" => "Medline"
                          ]
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                    ]
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                ]
              ]
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            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Operative treatment of cerebellar haematomas"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46; Cal&#237;auw"
                            1 => "I&#46; Dehaene"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Spontaneous intracerebral haematomas&#46; Advances in diagnosis and therapy"
                        "paginaInicial" => "365366"
                        "serieFecha" => "1980"
                      ]
                    ]
                  ]
                ]
              ]
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            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous cerebellar hematoma&#46; Presentation of a new case"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Coraddu"
                            1 => "F&#46; Floris"
                            2 => "Y&#46; Meleddu"
                            3 => "G&#46;C&#46; Nurchi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurosur&#46; Sci&#46;"
                        "fecha" => "1988"
                        "volumen" => "32"
                        "paginaInicial" => "137"
                        "paginaFinal" => "139"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Upward transtemoial herniation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;A&#46; Cunneo"
                            1 => "J&#46;J&#46; Caronna"
                            2 => "L&#46; Pitts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch&#46; Neurol&#46;"
                        "fecha" => "1979"
                        "volumen" => "3"
                        "paginaInicial" => "366"
                        "paginaFinal" => "368"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical versus medical treatment and of spontaneous posterior fossa haematomas&#58; a cooperative study on 205 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Da Pian"
                            1 => "A&#46; Bazzan"
                            2 => "A&#46; Pasqualin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurol&#46; Res&#46;"
                        "fecha" => "1984"
                        "volumen" => "6"
                        "paginaInicial" => "145"
                        "paginaFinal" => "151"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6151139"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non traumatic cerebellar hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Dajez"
                            1 => "J&#46; Noterman"
                            2 => "T&#46; Dang"
                            3 => "Y&#46; Nubourgh"
                            4 => "D&#46; Baleriaux- Waha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurol&#46; Belg&#46;"
                        "fecha" => "1980"
                        "volumen" => "80"
                        "paginaInicial" => "73"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7457078"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous intracerebral hemorrhage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;B&#46; Ducker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Neurosurgery&#46; Update II"
                        "paginaInicial" => "1&#46;510"
                        "paginaFinal" => "1&#46;517"
                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar hematomas caused by angiomas in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Erenberg"
                            1 => "R&#46; Rubin"
                            2 => "K&#46; Shulman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurol&#46; Neurosurg&#46; Psychiatry"
                        "fecha" => "1972"
                        "volumen" => "35"
                        "paginaInicial" => "304"
                        "paginaFinal" => "310"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5035308"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Stereotactic evacuation and fibrinolisis of cerebellar hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Etou"
                            1 => "M&#46; Mohadier"
                            2 => "D&#46; Braus"
                            3 => "F&#46; Mundinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Stereotact&#46; Funct&#46; Neurosurg&#46;"
                        "fecha" => "1990"
                        "volumen" => "54"
                        "paginaInicial" => "445"
                        "paginaFinal" => "450"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2080363"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute hypertensive cebellar haemorrhage&#58; diagnosis and surgical treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;M&#46; Fischer"
                            1 => "E&#46;H&#46; Picard"
                            2 => "A&#46; Polak"
                            3 => "P&#46; Dalai"
                            4 => "R&#46;G&#46; Ojemann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Nerv&#46; Ment&#46; Dis&#46;"
                        "fecha" => "1965"
                        "volumen" => "140"
                        "paginaInicial" => "38"
                        "paginaFinal" => "57"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14260181"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Successful conservative management of cerebellar hematomas in term neonates"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;A&#46; Fishman"
                            1 => "A&#46;K&#46; Percy"
                            2 => "W&#46;R&#46; Cheek"
                            3 => "M&#46;E&#46; Speer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Pediatr&#46;"
                        "fecha" => "1981"
                        "volumen" => "98"
                        "paginaInicial" => "466"
                        "paginaFinal" => "468"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7205463"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous intracerebral haemorrhage&#46; Diagnosis and surgica1 treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;E&#46; Freeman"
                            1 => "B&#46;M&#46; Onofrio"
                            2 => "H&#46; Ozaki"
                            3 => "P&#46;P&#46; Dinapoli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1973"
                        "volumen" => "23"
                        "paginaInicial" => "84"
                        "paginaFinal" => "90"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar hematomas and infarcts&#46; Clinical and computerized tomographic findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;L&#46; Gastaut"
                            1 => "F&#46; Iemolo"
                            2 => "B&#46; Michel"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Riv&#46; Neurol&#46;"
                        "fecha" => "1980"
                        "volumen" => "50"
                        "paginaInicial" => "179"
                        "paginaFinal" => "192"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7466215"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "L&#8217;hematome spontan&#234; du cervelet"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Gilliard"
                            1 => "P&#46; Mathurin"
                            2 => "J&#46;G&#46; Passagia"
                            3 => "S&#46; Kallel"
                            4 => "C&#46; Thauvoy"
                            5 => "G&#46; Stroobandt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurochirurgie"
                        "fecha" => "1990"
                        "volumen" => "36"
                        "paginaInicial" => "347"
                        "paginaFinal" => "353"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2084566"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conservative treatment of cerebellar hematomas in neonates &#91;letter&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;B&#46; Gouyon"
                            1 => "M&#46; Alison"
                            2 => "I&#46;L&#46; Nivelon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pedriatr&#46;"
                        "fecha" => "1981"
                        "volumen" => "99"
                        "paginaInicial" => "827"
                        "paginaFinal" => "828"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hematomes intrac&#233;r&#233;belleux spontan&#233;s de l&#8217;adulte&#46; 44 cas"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "P&#46; Guillermain"
                            1 => "G&#46; Lena"
                            2 => "Y&#46; Reynier"
                            3 => "F&#46; Vincentelli"
                            4 => "A&#46; Jazzar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev&#46; Neurol&#46;"
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                        "volumen" => "146"
                        "paginaInicial" => "478"
                        "paginaFinal" => "483"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2237092"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of spontaneous intracerebral hemorrhages"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "O&#46; Heiskanen"
                          ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Stroke"
                        "fecha" => "1993"
                        "volumen" => "24"
                        "paginaInicial" => "107"
                        "paginaFinal" => "108"
                        "itemHostRev" => array:3 [
                          "pii" => "S0168827810008172"
                          "estado" => "S300"
                          "issn" => "01688278"
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                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar haemorrhage and infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;C&#46; Heros"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Stroke"
                        "fecha" => "1982"
                        "volumen" => "13"
                        "paginaInicial" => "106"
                        "paginaFinal" => "109"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7039001"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hematomas de cerebelo&#46; Formas no quir&#250;rgicas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Jim&#233;nez Garc&#237;a"
                            1 => "L&#46; Gald&#243;s Alcelay"
                            2 => "M&#46; Feijoo de Freixo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med&#46; Clin&#46;"
                        "fecha" => "1980"
                        "volumen" => "74"
                        "paginaInicial" => "112"
                        "paginaFinal" => "114"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar haematomas&#58; operative treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Klinger"
                            1 => "S&#46; Kunze"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Spontaneous intracerebral haematomas&#46; Advances in diagnosis and therapy"
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                        "paginaFinal" => "360"
                        "serieFecha" => "1980"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hematomes spontanes du cervelet&#46; Vingt-huit observations personnelles"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Labauge"
                            1 => "M&#46; Boukobza"
                            2 => "M&#46; Zinszer"
                            3 => "J&#46;M&#46; Blard"
                            4 => "M&#46; Pages"
                            5 => "P&#46; Salvaing"
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                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev&#46; Neurol"
                        "fecha" => "1983"
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                        "paginaInicial" => "193"
                        "paginaFinal" => "204"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6612134"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar haemorrhage in adults&#46; Diagnosis by computerized tomography"
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                          "etal" => false
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                            0 => "J&#46;R&#46; LittLe"
                            1 => "D&#46;E&#46; Tubman"
                            2 => "R&#46; Ethier"
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                    0 => array:2 [
                      "doi" => "10.3171/jns.1978.48.4.0575"
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                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1978"
                        "volumen" => "48"
                        "paginaInicial" => "575"
                        "paginaFinal" => "579"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/632882"
                            "web" => "Medline"
                          ]
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                ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tratamiento conservador de los hematomas de cerebelo espont&#225;neos"
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                          "etal" => false
                          "autores" => array:6 [
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                            1 => "P&#46;A&#46; L&#243;pez G&#243;mez"
                            2 => "J&#46; Mu&#241;iz de Igneson"
                            3 => "C&#46; Mestre Moreiro"
                            4 => "V&#46; Queimadelos Garc&#237;a"
                            5 => "J&#46;R&#46; Boixad&#243;s Servat"
                          ]
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                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "Rev&#46; Clin&#46; Esp&#46;"
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                        "volumen" => "176"
                        "paginaInicial" => "169"
                        "paginaFinal" => "172"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4001464"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An&#225;lisis cl&#237;nico-patol&#243;gico de hematomas de cerebelo fatales"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Marengo"
                            1 => "E&#46; Wilson"
                            2 => "J&#46;A&#46; Purriel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurol&#46; Latinoam"
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                        "volumen" => "25"
                        "paginaInicial" => "287"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/262357"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT-guided stereotaxic evacuation of hypertensive intracerebral hematomas"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Matsumoto"
                            1 => "H&#46; Hondo"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1984.61.3.0440"
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1984"
                        "volumen" => "61"
                        "paginaInicial" => "440"
                        "paginaFinal" => "448"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6379125"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous cerebellar haemorrhage&#46; A study of 34 consecutive cases treated surgically"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46; McKissock"
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                            2 => "R&#46; Walsh"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Brain"
                        "fecha" => "1960"
                        "volumen" => "83"
                        "paginaInicial" => "1"
                        "paginaFinal" => "9"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous intracerebellar haemorrhage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Nornes"
                            1 => "T&#46; Hauge"
                          ]
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurol&#46; Scand&#46;"
                        "fecha" => "1972"
                        "volumen" => "48"
                        "numero" => "Suppl"
                        "paginaInicial" => "253255"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Problems in cerebellar haemorrhage and infarction"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;W&#46; Norris"
                            1 => "A&#46;A&#46; Eisen"
                            2 => "C&#46;L&#46; Blanch"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurology"
                        "fecha" => "1969"
                        "volumen" => "19"
                        "paginaInicial" => "1&#46;043"
                        "paginaFinal" => "1&#46;050"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5812981"
                            "web" => "Medline"
                          ]
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                ]
              ]
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            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed tomography in hypertensive cerebellar hemorrhage"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46; Nose"
                            1 => "Y&#46; Maki"
                            2 => "Y&#46; Ono"
                            3 => "T&#46; Yoshizawa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "No Shikei Geka&#46;"
                        "fecha" => "1981"
                        "volumen" => "9"
                        "paginaInicial" => "1&#46;409"
                        "paginaFinal" => "1&#46;415"
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                ]
              ]
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            38 => array:3 [
              "identificador" => "bib39"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar hemorrhage&#58; diagnosis and treatment"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46;H&#46; Ott"
                            1 => "C&#46;S&#46; Kase"
                            2 => "R&#46;G&#46; Ojemann"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch&#46; Neurol&#46;"
                        "fecha" => "1974"
                        "volumen" => "31"
                        "paginaInicial" => "160"
                        "paginaFinal" => "167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4546748"
                            "web" => "Medline"
                          ]
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                ]
              ]
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            39 => array:3 [
              "identificador" => "bib40"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragies cer&#233;belleuses&#46; Confrontations clinico-topographiques et indications th&#233;rapeutiques"
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                          "etal" => false
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                            2 => "A&#46; Nachanakian"
                            3 => "Y&#46;E&#46; Horn"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurochir"
                        "fecha" => "1983"
                        "volumen" => "29"
                        "paginaInicial" => "381"
                        "paginaFinal" => "386"
                      ]
                    ]
                  ]
                ]
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            40 => array:3 [
              "identificador" => "bib41"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic intracebellar hematomas"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "E&#46; Pozzati"
                            1 => "C&#46; Grossi"
                            2 => "R&#46; Padovani"
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                    0 => array:2 [
                      "doi" => "10.3171/jns.1982.56.5.0691"
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
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                        "paginaInicial" => "691"
                        "paginaFinal" => "694"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7069481"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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            41 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cerebellar hematomas in children"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "E&#46; Pozzati"
                            1 => "M&#46;T&#46; Nasi"
                            2 => "E&#46; Galassi"
                            3 => "A&#46; Fabrizi"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Child&#39;s Nerv&#46; Syst&#46;"
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                        "volumen" => "2"
                        "paginaInicial" => "60"
                        "paginaFinal" => "62"
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                    ]
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                ]
              ]
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            42 => array:3 [
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                    0 => array:2 [
                      "titulo" => "Hematomas cerebelosos&#58; a prop&#243;sito de 12 casos"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                            2 => "A&#46; Pou"
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                  "host" => array:1 [
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                        "paginaFinal" => "222"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3715131"
                            "web" => "Medline"
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                      "titulo" => "Int&#233;ret et limites de la d&#233;rivation ventriculaire isol&#233;e dans les h&#233;matomes c&#233;r&#233;belleux non traumatiques"
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                    0 => array:1 [
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                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6717715"
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                          ]
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                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical and CT scan assessment of benign versus fatal spontaneous cerebellar haematomas"
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                            4 => "R&#46; Mart&#237;nez"
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                        "tituloSerie" => "Acta Neurochir"
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                        "paginaFinal" => "86"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3962747"
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                          ]
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                    0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Intrazerebral Blutungen"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8711635"
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                    0 => array:2 [
                      "titulo" => "Ventriculostomy for hydrocephalus in cerebellar haemorrhage"
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                    ]
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                  "host" => array:1 [
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                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3961663"
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                          ]
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                ]
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            50 => array:3 [
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                    0 => array:2 [
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                        "paginaFinal" => "81"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7083844"
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Vol. 9. Núm. 1.
Páginas 26-34 (enero 1998)
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Vol. 9. Núm. 1.
Páginas 26-34 (enero 1998)
Hematomas cerebelosos
Cerebellar haematomas
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6127
V. Vanaclocha
Servicio de Neurocirugía y Neurología. Universitaria de Navarra, Pamplona
N. Saiz-Sapena*, J. Kay de Villiers**
* Departamento de Anestesia de la Clínica Universitaria de Navarra, Pamplona
** Departamento de Neurocirugía del Groote Schuur. Hospital de Ciudad del Cabo, Sudráfrica
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Resumen

Los hematomas de cerebelo representan una patología especial dentro de los hematomas intracraneales. Dadas las exiguas dimensiones de la fosa posterior determinan con frecuencia compresión precoz del neuroeje y de las vías de drenaje del líquido cefalo-raquídeo. Es por ello que un diagnóstico y tratamiento adecuados son vitales para obtener los mejores resultados clínicos. Aquí presentamos nuestra serie de 23 casos con la evolución seguida y los tratamientos aplicados, con la finalidad de evaluar la mejor actitud terapéutica a indicar según el estado del paciente y el tamaño del hematoma. Como conclusiones de nuestro estudio diremos que en los hematomas de tamaño comprendido entre 2.5 y 3.5cm de diámetro el drenaje ventricular suele ser suficiente para evitar el empeoramiento del enfermo por hidrocefalia, mieptras que el tratamiento de los hematomas de más de 3.5cm de diámetro debe incluir drenaje ventricular y la evacuación del hematoma mediante craniectomía suboccipital. A diferencia de los hematomas de los ganglios basales, la calidad de vida de los supervivientes suele ser buena en la mayoría de los casos, quedando con déficits neurológicos de poca magnitud (ataxia e incoordinación) pero son indispensables un diagnóstico y tratamiento adecuados.

Palabras clave:
Hematomas cerebelosos
Hidrocefalia
Summary

Cerebellar haematomas are a special subgroup of intracranial haematomas. Due to the reduced dimensions of the posterior fossa they soon determine early compression of the brain-stem and CSF pathways. Thus a correct diagnosis and treatment are vital to archieve the best clinical results. Herewith we present our series of 23 cases together with their clinical course and the treatment applied, with the aim to analyse the best therapeutic approach to be recommended according to the clinical status of the patient and the size of the haematoma. We would summarise our results saying that in haematomas with a size between 2.5 and 3.5cm in diameter the ventricular drainage is usually enough to prevent the deterioration of the patient due to hydrocephalus, while de treatment of haematomas bigger than 3.5cm in diameter should include ventricular drainage plus haematoma removal through a posterior fossa craniectomy. Contrary to the haematomas in the basal ganglia, the quality of life of the survivors is usually good in the great majority of the cases, remaining neurological deficits of little entity (ataxia and incoordination), but is vital to do a correct diagnosis and treatment).

Key words:
Cerebellar haematomas
Hydrocephalus

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