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"apellidos" => "Homedo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739270904X?idApp=UINPBA00004B" "url" => "/11301473/0000000300000001/v1_201305151416/S113014739270904X/v1_201305151416/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147392709026" "issn" => "11301473" "doi" => "10.1016/S1130-1473(92)70902-6" "estado" => "S300" "fechaPublicacion" => "1992-01-01" "aid" => "70902" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1992;3:13-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1597 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 970 "PDF" => 610 ] ] "en" => array:9 [ "idiomaDefecto" => true "titulo" => "A very large proportion of human brain tumours show DNA alterations at the EGF-R gene" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "13" "paginaFinal" => "19" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "A. Del Arco, J. García, M. Izquierdo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Del Arco" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "García" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Izquierdo" ] ] ] 1 => array:2 [ "autoresLista" => "J.M. Izquierdo, M.G. Blázquez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Izquierdo" ] 1 => array:2 [ "nombre" => "M.G." "apellidos" => "Blázquez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147392709026?idApp=UINPBA00004B" "url" => "/11301473/0000000300000001/v1_201305151416/S1130147392709026/v1_201305151416/en/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Infección de las derivaciones ventrículo-peritoneales sin repercusión en el líquido cefalorraquídeo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "20" "paginaFinal" => "22" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "V. Vanaclocha, N. Saiz-Sapena" "autores" => array:2 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Vanaclocha" ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Saiz-Sapena" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamentos de Neurocirugía. Clínica Universitaria de Navarra" ] ] ] 1 => array:3 [ "autoresLista" => "M.C. Frades" "autores" => array:1 [ 0 => array:3 [ "nombre" => "M.C." "apellidos" => "Frades" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Microbiología. Clínica Universitaria de Navarra" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162140" "palabras" => array:4 [ 0 => "Líquido cefalorraquídeo" 1 => "Hidrocefalia" 2 => "Infección" 3 => "Derivación ventrículo-peritoneal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162139" "palabras" => array:4 [ 0 => "Cerebrospinal fluid" 1 => "Shunt infection" 2 => "Hydrocephalus" 3 => "Ventriculo-peritoneal shunting" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se describen formas de infección inaparente de las derivaciones ventrículo—peritoneales. La incidencia es más alta de lo que se sospecha. El cultivo negativo del LCR no excluye la infección en los casos de disfunción valvular. Para mejorar su detección, deben realizarse cultivos de todas las partes de la derivación malfuncionante, tanto si el paciente presenta signos de infección como si no.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A form of shunt infection that may be clinically silent is described. The incidence of infected shunts might be higher than previously suspected. For better recognition of infection, routine cultures of all portions of the removed shunt should be undertaken. Culturing the CSF alone is not conclusive since negative CSF cultures do not rule out shunt infection in cases of shunt malfunction.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occult infections of ventriculoatrial shunts" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E.C. Fokes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1970.33.5.0517" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." 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Infección de las derivaciones ventrículo-peritoneales sin repercusión en el líquido cefalorraquídeo