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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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Hematomas cerebelosos
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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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