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array:23 [ "pii" => "S1130147307703123" "issn" => "11301473" "doi" => "10.1016/S1130-1473(07)70312-3" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "70312" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2007" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2007;18:52-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1891 "formatos" => array:3 [ "EPUB" => 21 "HTML" => 1095 "PDF" => 775 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147307703135" "issn" => "11301473" "doi" => "10.1016/S1130-1473(07)70313-5" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "70313" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2007;18:56-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2212 "formatos" => array:3 [ "EPUB" => 15 "HTML" => 1009 "PDF" => 1188 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Síndrome compartimental bilateral en miembros inferiores tras cirugía de schwannoma lumbar en posición genupectoral" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "56" "paginaFinal" => "59" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bilateral lower limb compartment syndrome after lumbar schwannoma surgery in genupectoral position" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "S. 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"apellidos" => "Pacheco-Abreu" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147307703135?idApp=UINPBA00004B" "url" => "/11301473/0000001800000001/v1_201305151301/S1130147307703135/v1_201305151301/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147307703111" "issn" => "11301473" "doi" => "10.1016/S1130-1473(07)70311-1" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "70311" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2007;18:47-51" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1834 "formatos" => array:3 [ "EPUB" => 13 "HTML" => 1070 "PDF" => 751 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Angioma cavernoso del segundo nervio craneal y apoplejía quiasmática" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "47" "paginaFinal" => "51" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cavernous angioma of the second cranial nerve and chiasmatic apoplexy" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "R.A. Santos-Ditto, J.A. Santos-Franco" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R.A." "apellidos" => "Santos-Ditto" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Santos-Franco" ] ] ] 1 => array:2 [ "autoresLista" => "M.W. Pinos-Gavilanes" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M.W." "apellidos" => "Pinos-Gavilanes" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147307703111?idApp=UINPBA00004B" "url" => "/11301473/0000001800000001/v1_201305151301/S1130147307703111/v1_201305151301/es/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "titulo" => "Lumbar epidural hematoma following lumbar puncture: the role of high dose LMWH and late surgery. A case report" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "52" "paginaFinal" => "55" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "D. Gurkanlar, C. Acikbas, G.K. Cengiz, R. Tuncer" "autores" => array:4 [ 0 => array:3 [ "nombre" => "D." "apellidos" => "Gurkanlar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Acikbas" ] 2 => array:2 [ "nombre" => "G.K." "apellidos" => "Cengiz" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Tuncer" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Department of Neurosurgery. Akdeniz University. School of Medicine. Antalya. Türkiye" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author: Yeşilbahçe Mahallesi. Portakal Çiçeği Antalya. Türkiye." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hematoma lumbar epidural postpunción lumbar; influencia de dosis altas de LMWH y cirugía diferida" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-06-26" "fechaAceptado" => "2006-04-26" "PalabrasClave" => array:2 [ "en" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159544" "palabras" => array:5 [ 0 => "Lumbar" 1 => "Epidural hematoma" 2 => "Surgery" 3 => "LMWH" 4 => "Myelography" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abbreviations" "identificador" => "xpalclavsec159546" "palabras" => array:7 [ 0 => "CMT" 1 => "CT" 2 => "HBPM" 3 => "HEE" 4 => "LMWH" 5 => "MRI" 6 => "SEH" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159545" "palabras" => array:5 [ 0 => "Lumbar" 1 => "Hematoma epidural" 2 => "Cirugía" 3 => "HBPS" 4 => "Mielografía" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spinal epidural hematoma (SEH) is a known complication of spinal surgery, but the incidence of post-surgical SEHs that result in neurologic deficits is extremely rare (0.1%). Patients that require multilevel lumbar procedures and/or have a preoperative coagulopathy are at a significantly higher risk of developing an epidural hematoma. The introduction of higher dose of low molecular weight heparin (LMWH) twice daily 30<span class="elsevierStyleHsp" style=""></span>mg regimen) increased the reported incidence of neuroaxial hematomas. Surgery performed within 8 hours makes good or partial recovery of neurologic function.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Our patient was also started on higher dose of LMWH and developed neurological deficits due to a SEH following lumbar puncture. She underwent operation after six days and she had a mild recovery following the operation.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Current administration of high doses of LMWH can cause SEH even after a lumbar puncture, which was performed without multiple attempts.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Although surgery performed within 8 hours makes good or partial recovery of neurologic function, laminectomy and epidural hematoma evacuation performed after three days can also have successful results.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El hematoma espinal epidural (HEE) es una complicación conocida en la cirugía espinal, pero la incidencia del HEE que da lugar a déficit neurológico es muy rara (0,1%). Los pacientes que necesitan intervenciones en varios niveles lumbares y/o que tienen una coagulopatía preoperatoria tienen un riesgo significativamente mayor de desarrollar un hematoma epidural. La introducción de dosis altas de heparina de bajo peso molecular (HBPM), (30<span class="elsevierStyleHsp" style=""></span>mgrs. dos veces al día) aumentan la incidencia de hematomas neuroaxiales. La cirugía llevada a cabo dentro de las 8 horas da lugar a un recuperación buena o parcial de la función neurológica.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Nuestro paciente fue tratada con dosis altas de HBPM y desarrolló un déficit neurológico debido a un HEE, después de una punción lumbar. Fue operada al cabo de seis días y se recuperó parcialmente de su déficit después de la intervención.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La administración actual de dosis altas de HBPM puede dar lugar a HEE, incluso después de una punción lumbar, que se hizo en pocos intentos.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Aunque la cirugía realizada en las primeras 8 horas produce una recuperación buena o parcial, la laminectomía y evacuación del hematoma llevada a cabo después de tres días también puede dar lugar a buenos resultados.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gurkanlar, D.; Acikbas, C.; Cengiz, G.K.; Tuncer, R.: Lumbar epidural hematoma following lumbar puncture: the role of HIGH dose lmwh and late surgery. A case report. 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