array:23 [
  "pii" => "S1130147306703207"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(06)70320-7"
  "estado" => "S300"
  "fechaPublicacion" => "2006-01-01"
  "aid" => "70320"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "2006"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 2006;17:544-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2055
    "formatos" => array:3 [
      "EPUB" => 21
      "HTML" => 1213
      "PDF" => 821
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147306703219"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(06)70321-9"
    "estado" => "S300"
    "fechaPublicacion" => "2006-01-01"
    "aid" => "70321"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2006;17:550-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1773
      "formatos" => array:3 [
        "EPUB" => 14
        "HTML" => 1119
        "PDF" => 640
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Lesión intracraneal transorbitaria por florete. Caso clínico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "550"
          "paginaFinal" => "553"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Cranial wounds of the skull by fencing - foil"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A. Calvo-Rubal, F. Martínez, A. Tarigo"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "Calvo-Rubal"
            ]
            1 => array:2 [
              "nombre" => "F."
              "apellidos" => "Martínez"
            ]
            2 => array:2 [
              "nombre" => "A."
              "apellidos" => "Tarigo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703219?idApp=UINPBA00004B"
    "url" => "/11301473/0000001700000006/v1_201305151259/S1130147306703219/v1_201305151259/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147306703190"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(06)70319-0"
    "estado" => "S300"
    "fechaPublicacion" => "2006-01-01"
    "aid" => "70319"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2006;17:542-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1513
      "formatos" => array:3 [
        "EPUB" => 18
        "HTML" => 940
        "PDF" => 555
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Primary spinal cord oligodendroglioma. Case illustration"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "542"
          "paginaFinal" => "543"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Oligodendroglioma primario de la médula espinal. Caso clínico"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "E. Yucel, Ö. Ekinci"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "E."
              "apellidos" => "Yucel"
            ]
            1 => array:2 [
              "nombre" => "Ö."
              "apellidos" => "Ekinci"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "D. Gürkanlar, H. Koçak, A. Aciduman"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "D."
              "apellidos" => "Gürkanlar"
            ]
            1 => array:2 [
              "nombre" => "H."
              "apellidos" => "Koçak"
            ]
            2 => array:2 [
              "nombre" => "A."
              "apellidos" => "Aciduman"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703190?idApp=UINPBA00004B"
    "url" => "/11301473/0000001700000006/v1_201305151259/S1130147306703190/v1_201305151259/en/main.assets"
  ]
  "es" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Heridas múltiples penetrantes intracraneales causadas por pistola de clavos: caso clínico"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "544"
        "paginaFinal" => "549"
      ]
    ]
    "autores" => array:2 [
      0 => array:4 [
        "autoresLista" => "I. Zazpe, A. Vázquez, J. Azcona, A. Gallo-Ruiz, E. Portillo"
        "autores" => array:5 [
          0 => array:3 [
            "nombre" => "I."
            "apellidos" => "Zazpe"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "V&#225;zquez"
          ]
          2 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Azcona"
          ]
          3 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Gallo-Ruiz"
          ]
          4 => array:2 [
            "nombre" => "E&#46;"
            "apellidos" => "Portillo"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicios de Neurocirug&#237;a&#46; Hospital de Navarra"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia postal&#58; Servicio de Neurocirug&#237;a&#46; Hospital de Navarra&#46; Irunlarrea 3&#46; 31008 Pamplona &#40;Navarra&#41;&#46;"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "C&#46; Beaumont, A&#46; Bard&#243;n"
        "autores" => array:2 [
          0 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Beaumont"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Bard&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicios de Urgencias&#46; Hospital de Navarra"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Multiple penetrating brain injuries caused by a nail gun&#58; a case report"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-06-16"
    "fechaAceptado" => "2005-09-18"
    "PalabrasClave" => array:2 [
      "es" => array:2 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec159459"
          "palabras" => array:3 [
            0 => "Herida penetrante intracraneal"
            1 => "Pistola de clavos"
            2 => "Cuerpo extra&#241;o intracraneal"
          ]
        ]
        1 => array:4 [
          "clase" => "abr"
          "titulo" => "Abreviaturas"
          "identificador" => "xpalclavsec159460"
          "palabras" => array:9 [
            0 => "CO"
            1 => "GCS"
            2 => "HSA"
            3 => "LCR"
            4 => "PBI"
            5 => "PIC"
            6 => "RMN"
            7 => "TC"
            8 => "TCE"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec159461"
          "palabras" => array:3 [
            0 => "Penetrating brain injury"
            1 => "Nail gun"
            2 => "Intracraneal foreign body"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las heridas penetrantes intracraneales son muy infrecuentes y a&#250;n resultan m&#225;s infrecuentes las causadas por m&#250;ltiples objetos y de forma intencional&#46; Presentamos el caso de un paciente var&#243;n de 45 a&#241;os que es tra&#237;do a urgencias tras haberse disparado cuatro clavos a nivel del cr&#225;neo y uno a nivel del t&#243;rax con una pistola de clavos&#46; Revisamos la literatura al respecto y describimos c&#243;mo fue manejado el caso en nuestro centro con buen resultado funcional&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Multiple and self-inflicted penetrating brain injuries &#40;PBI&#41; rare&#46; PBI are rare&#46; We report the case of multiple self-inflicted PBI in a 45 year-old man caused by a nail gun&#46; He was admitted to after shooting four nails into his head and one into his thorax&#46; We review the literature on the topic and describe how this case was successfully managed in our hospital&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Zazpe&#46; I&#46;&#59; V&#225;zquez&#44; A&#46;&#59; Beaumont&#44; C&#46;&#59; Bard&#243;n&#44; A&#46;&#59; Azcona&#44; J&#46;&#59; Gallo-Ruiz&#44; A&#46;&#59; Portillo&#44; E&#46;&#58; Heridas m&#250;ltiples penetrantes intracraneales causadas por pistola de clavos&#58; caso cl&#237;nico&#46; Neurocirug&#237;a 2006&#59; 17&#58; 544&#8211;549&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:31 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of traumatic aneurysms caused by high-velocity missile head wounds"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Aarabi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurosurg Clin North Am&#46;"
                        "fecha" => "1995"
                        "volumen" => "6"
                        "paginaInicial" => "775"
                        "paginaFinal" => "797"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictors of mortality in severely head-injured patients with civilian gunshot wounds&#58; A report from the NIH Traumatic Coma Data Bank"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46; Aldrich"
                            1 => "H&#46; Eisenberg"
                            2 => "C&#46; Saydjari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1992"
                        "volumen" => "38"
                        "paginaInicial" => "418"
                        "paginaFinal" => "423"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1298106"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Antibiotic prophylaxis for penetrating brain injury&#46; J Trauma 2001&#59; 51&#58; S34&#8211;40&#46;"
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Antiseizure prophylaxis for penetrating brain injury&#46; J&#46; Trauma 2001&#59; 51&#58; S41-S43&#46;"
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Life-threatening nail gun injuries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;C&#46; Beaver"
                            1 => "M&#46;L&#46; Cheatham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Surg"
                        "fecha" => "1999"
                        "volumen" => "65"
                        "paginaInicial" => "1113"
                        "paginaFinal" => "1116"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10597056"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is skull radiography necessary for open scalp wounds in minor head injuries&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Boodhoo"
                            1 => "N&#46; Nathoo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "S Afr J Surg"
                        "fecha" => "2001"
                        "volumen" => "39"
                        "paginaInicial" => "112"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14601552"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Industrial nail gun injuries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46;F&#46; Edlich"
                            1 => "K&#46;A&#46; Silloway"
                            2 => "G&#46;T&#46; Rodeheaver"
                            3 => "R&#46;F&#46; Morgan"
                            4 => "K&#46; Birk"
                            5 => "J&#46;G&#46; Thacker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Compr Ther"
                        "fecha" => "1986"
                        "volumen" => "12"
                        "paginaInicial" => "42"
                        "paginaFinal" => "46"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3791925"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Civilian gunshot wounds to the head&#58; a prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46;W&#46; Grahm"
                            1 => "F&#46;C&#46; Williams Jr&#46;"
                            2 => "T&#46; Harrington"
                            3 => "R&#46;F&#46; Spetzler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1990"
                        "volumen" => "27"
                        "paginaInicial" => "696"
                        "paginaFinal" => "700"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2259398"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic intracranial aneurysm caused by missiles&#58; their presentation and management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;S&#46; Haddad"
                            1 => "G&#46;F&#46; Haddad"
                            2 => "J&#46; Taha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1991"
                        "volumen" => "28"
                        "paginaInicial" => "1"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1994264"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial injury caused by a nail gun&#46; Safety measures in handling pneumatic tools"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Homoe"
                            1 => "P&#46;M&#46; Nielsen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ugeskr Laeger"
                        "fecha" => "1987"
                        "volumen" => "149"
                        "paginaInicial" => "916"
                        "paginaFinal" => "917"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3576794"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A penetrating cranio-facial injury due to a nail-gun accident"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46; Inoha"
                            1 => "S&#46; Suzuki"
                            2 => "M&#46; Fukui"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "No Shinkei Geka"
                        "fecha" => "1997"
                        "volumen" => "25"
                        "paginaInicial" => "635"
                        "paginaFinal" => "639"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9218258"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brain injury caused by a nail gun"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;J&#46; Jensen"
                            1 => "B&#46; Voldby"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ugeskr Laeger"
                        "fecha" => "1979"
                        "volumen" => "141"
                        "paginaInicial" => "2968"
                        "paginaFinal" => "2969"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/524480"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Value of acute phase angiography in the detection of vascular injuries caused by gunshots wounds to the head&#58; analysis of 12 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;R&#46; Jinkins"
                            1 => "M&#46;R&#46; Dadsetan"
                            2 => "R&#46;N&#46; Sener"
                            3 => "S&#46; Desai"
                            4 => "R&#46;G&#46; Williams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.159.2.1632358"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "1992"
                        "volumen" => "159"
                        "paginaInicial" => "365"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1632358"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Penetrating nail gun injury of the head and chest with incidental pericallosal artery aneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Jithoo"
                            1 => "S&#46;T&#46; Govender"
                            2 => "N&#46; Nathoo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "S Afr Med J"
                        "fecha" => "2001"
                        "volumen" => "91"
                        "paginaInicial" => "316"
                        "paginaFinal" => "317"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11402901"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A national survey of neurosurgical care for penetrating head injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;H&#46; Kaufinan"
                            1 => "K&#46; Schwab"
                            2 => "A&#46;M&#46; Salazar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1991"
                        "volumen" => "36"
                        "paginaInicial" => "370"
                        "paginaFinal" => "377"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1745962"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial penetration of a nail from nailing gun through cheek and infratemporal fossa &#40;a case report&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Luotonen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Laryngol Otol"
                        "fecha" => "1986"
                        "volumen" => "100"
                        "paginaInicial" => "247"
                        "paginaFinal" => "250"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3950493"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nail-gun injuries on the brain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;B&#46; North"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust&#46;"
                        "fecha" => "1970"
                        "volumen" => "2"
                        "paginaInicial" => "183"
                        "paginaFinal" => "185"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6877166"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Penetrating injury of the transverse sinus by a nail-gun-- case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Okada"
                            1 => "K&#46; Futami"
                            2 => "H&#46; Mukai"
                            3 => "K&#46; Ikeda"
                            4 => "J&#46; Yamashita"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurol Med Chir &#40;Tokyo&#41;"
                        "fecha" => "1993"
                        "volumen" => "33"
                        "paginaInicial" => "703"
                        "paginaFinal" => "705"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic posterior cerebral artery aneurysm secondary to an intracranial nail&#58; case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;R&#46; Rezai"
                            1 => "M&#46; Lee"
                            2 => "C&#46; Kite"
                            3 => "D&#46; Smyth"
                            4 => "J&#46;J&#46; Jafar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1994"
                        "volumen" => "42"
                        "paginaInicial" => "312"
                        "paginaFinal" => "315"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7974126"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nail-gun injuries of the brain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46; Richardson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust"
                        "fecha" => "1970"
                        "volumen" => "2"
                        "paginaInicial" => "754"
                        "paginaFinal" => "755"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4757566"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Penetrating brain injury and traumatic aneurysm caused by a nail gun"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Y&#46; Sakuta"
                            1 => "S&#46; Arai"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "No Shinkei Geka"
                        "fecha" => "1997"
                        "volumen" => "25"
                        "paginaInicial" => "357"
                        "paginaFinal" => "362"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9125720"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multiple craniocerebral injuries from penetrating nails"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46; Salar"
                            1 => "G&#46;B&#46; Costella"
                            2 => "R&#46; Mottaran"
                            3 => "M&#46; Mattana"
                            4 => "L&#46; Gazzola"
                            5 => "M&#46; Munari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.2004.100.5.0963"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "2004"
                        "volumen" => "100"
                        "paginaInicial" => "963"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15137618"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Oculocerebral perforating trauma by foreign objects&#58; diagnosis and surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;B&#46; Scarfo"
                            1 => "A&#46; Mariottini"
                            2 => "L&#46; Palma"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg Sci"
                        "fecha" => "1990"
                        "volumen" => "34"
                        "paginaInicial" => "111"
                        "paginaFinal" => "116"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2092091"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case of penetrating head injury caused by nail-gun"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Shibuya"
                            1 => "H&#46; Kushi"
                            2 => "A&#46; Miyagi"
                            3 => "M&#46; Miyagami"
                            4 => "T&#46; Tsubokawa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "No Shinkei Geka"
                        "fecha" => "1993"
                        "volumen" => "21"
                        "paginaInicial" => "373"
                        "paginaFinal" => "377"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8474595"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Surgical Management of Penetrating Brain Injury&#46; J Trauma 2001&#59; 51&#58; S16-S25&#46;"
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An unusual cranial injury caused by an industrial nail-gun"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;D&#46; Thomas"
                            1 => "K&#46; Siu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust"
                        "fecha" => "1987"
                        "volumen" => "147"
                        "paginaInicial" => "602"
                        "paginaFinal" => "603"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3696046"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Vascular complications of penetrating brain injury&#46; J Trauma 2001&#59; 51&#58; S26-S28&#46;"
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Vinas&#44; F&#46;C&#46;&#44; Pilitsis&#44; J&#46; Penetrating head trauma&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.emedicine.com/med/topic2888.htm%20(consultado%20el%2019/05/2005)">http&#58;&#47;&#47;www&#46;emedicine&#46;com&#47;med&#47;topic2888&#46;htm &#40;consultado el 19&#47;05&#47;2005&#41;</a>&#46;"
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nail gun injury to the brain&#58; an unusual case of suicide"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Viswanathan"
                            1 => "D&#46;C&#46; MacArthur"
                            2 => "I&#46;R&#46; Whittle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Scott Med J"
                        "fecha" => "1994"
                        "volumen" => "39"
                        "paginaInicial" => "83"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8720772"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cranio-cerebral injuries from nail-gun used in the construction industry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46;Q&#46; Wu"
                            1 => "C&#46;F&#46; Tham"
                            2 => "C&#46;L&#46; Oon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1975"
                        "volumen" => "3"
                        "paginaInicial" => "83"
                        "paginaFinal" => "88"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1118809"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Penetrating head injury&#58; a prospective study of outcomes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;D&#46; Zafonte"
                            1 => "D&#46;L&#46; Wood"
                            2 => "C&#46;L&#46; Harrison-Felix"
                            3 => "N&#46;V&#46; Valena"
                            4 => "K&#46; Black"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1179/016164101101198370"
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurol Res"
                        "fecha" => "2001"
                        "volumen" => "23"
                        "paginaInicial" => "219"
                        "paginaFinal" => "226"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11320603"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000001700000006/v1_201305151259/S1130147306703207/v1_201305151259/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001700000006/v1_201305151259/S1130147306703207/v1_201305151259/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703207?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 17. Núm. 6.
Páginas 544-549 (enero 2005)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 17. Núm. 6.
Páginas 544-549 (enero 2005)
Heridas múltiples penetrantes intracraneales causadas por pistola de clavos: caso clínico
Multiple penetrating brain injuries caused by a nail gun: a case report
Visitas
2040
I. Zazpe
, A. Vázquez, J. Azcona, A. Gallo-Ruiz, E. Portillo
Servicios de Neurocirugía. Hospital de Navarra
C. Beaumont*, A. Bardón*
* Servicios de Urgencias. Hospital de Navarra
Este artículo ha recibido
Información del artículo
Resumen

Las heridas penetrantes intracraneales son muy infrecuentes y aún resultan más infrecuentes las causadas por múltiples objetos y de forma intencional. Presentamos el caso de un paciente varón de 45 años que es traído a urgencias tras haberse disparado cuatro clavos a nivel del cráneo y uno a nivel del tórax con una pistola de clavos. Revisamos la literatura al respecto y describimos cómo fue manejado el caso en nuestro centro con buen resultado funcional.

Palabras clave:
Herida penetrante intracraneal
Pistola de clavos
Cuerpo extraño intracraneal
Abreviaturas:
CO
GCS
HSA
LCR
PBI
PIC
RMN
TC
TCE
Summary

Multiple and self-inflicted penetrating brain injuries (PBI) rare. PBI are rare. We report the case of multiple self-inflicted PBI in a 45 year-old man caused by a nail gun. He was admitted to after shooting four nails into his head and one into his thorax. We review the literature on the topic and describe how this case was successfully managed in our hospital.

Key words:
Penetrating brain injury
Nail gun
Intracraneal foreign body

Artículo

Opciones para acceder a los textos completos de la publicación Neurocirugía
Socio
Socio de la Sociedad Española de Neurocirugía

Si es la primera vez que accede a la web puede obtener sus claves de acceso poniéndose en contacto con Elsevier España en suscripciones@elsevier.com o a través de su teléfono de Atención al Cliente 902 88 87 40 si llama desde territorio español o del +34 932 418 800 (de 9 a 18h., GMT + 1) si lo hace desde el extranjero.

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".

Suscriptor
Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".
Suscribirse
Suscribirse a:

Neurocirugía

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contactar
Teléfono para suscripciones e incidencias
De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h
Llamadas desde España
932 415 960
Llamadas desde fuera de España
+34 932 415 960
Email
Idiomas
Neurocirugía
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?