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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las calcificaciones de los discos intervertebrales son muy infrecuentes en la infancia&#46; Aunque su etiolog&#237;a no est&#225; clara&#44; se sabe que no se relacionan con procesos degenerativos&#46; Cursan con cl&#237;nica inespec&#237;fica de raquialgias&#44; contracturas musculares y&#44; a veces&#44; febr&#237;cula&#46; Aunque ocasionalmente estos discos se hernian&#44; causando dolor radicular o&#44; mucho m&#225;s raramente&#44; d&#233;ficits neurol&#243;gicos o disfagia&#44; la cl&#237;nica desaparece en la mayor parte de los casos con tratamiento conservador&#44; y s&#243;lo excepcionalmente se precisan tratamientos m&#225;s agresivos&#46; En nuestra revisi&#243;n de la literatura hemos encontrado solamente 17 casos que requirieron tratamiento quir&#250;rgico&#46; En dos de estos casos el paciente estaba previamente diagnosticado de calcificaciones intervertebrales idiop&#225;ticas&#44; pero no se hab&#237;an descartado hernias preexistentes mediante resonancia magn&#233;tica &#40;RM&#41;&#46; Presentamos un nuevo caso de una paciente diagnosticada a la edad de 10 a&#241;os de calcificaciones discales idiop&#225;ticas&#44; sin hernias discales en la RM&#44; en la que 4 a&#241;os despu&#233;s uno de los discos cervicales calcificados se herni&#243; presentando un cuadro de radiculopat&#237;a cervical con d&#233;ficit motor&#44; precisando discectom&#237;a y artrodesis intersom&#225;tica&#46; Consideramos que este caso prueba definitivamente la teor&#237;a de Heinrich y cols&#46;&#44; que considera la hernia calcificada en la infancia como la complicaci&#243;n de una patolog&#237;a previa&#44; la calcificaci&#243;n del disco intervertebral&#46; Se discuten los aspectos cl&#237;nicos y terap&#233;uticos de esta entidad&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Calcification of intervertebral discs is a rare occurrence in children&#46; Although the etiology of the calcification remains uncertain&#44; it is no related with degenerative diseases&#46; The clinical picture is non specific with neck pain&#44; muscle contractures and&#44; sometimes&#44; low-grade fever&#46; These symptoms generally disappear spontaneously&#44; and surgery rarely becomes necessary&#46; In our review of the literature&#44; we have found only seventeen cases requiring surgical management&#46; Two of these children had been previously diagnosed with calcified intervertebral discs&#44; but at the time no herniation had been ruled out with magnetic resonance imaging &#40;MRI&#41;&#46; We report the case of a girl who was diagnosed&#44; when she was ten years old&#44; with intervertebral idiopatic calcifications&#46; Four years later she presented with radiculopathy caused by the posterolateral displacement of a calcified cervical disc&#44; wich required operative management&#46; We think that this case supports the theory of Heinrich et al&#46; that considers that the calcified hernia is a complication of a previous pathology&#44; namely intervertebral calcification&#46; Clinical and therapeutic aspects of this entity are discussed&#46;</p>"
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Hernias discales calcificadas en la infancia
Calcified disc herniation in childhood
M. Ortega-Martínez
, J.M. Cabezudo, I. Fernández-Portales, L. Gómez-Perals, L.M. Bernal-García
Servicio de Neurocirugía. Hospital Regional Universitario Infanta Cristina. Badajoz

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Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
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Atención al cliente
Teléfono
Llamadas desde España
932 415 960
Llamadas desde el extranjero
+34 932 415 960
Horario de 9 a 18h. excepto los meses de julio y agosto que será de 9 a 15h.
Idiomas
Neurocirugía
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