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array:23 [ "pii" => "S1130147305704322" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70432-2" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70432" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:34-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2377 "formatos" => array:3 [ "EPUB" => 13 "HTML" => 1285 "PDF" => 1079 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147305704334" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70433-4" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70433" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:39-49" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1823 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 1113 "PDF" => 694 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Revisión de los ensayos clínicos sobre prevención del daño neurológico en el traumatismo craneoencefálico grave y análisis de su fracaso terapéutico" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "39" "paginaFinal" => "49" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Overview of the recent clinical triáis in severe head injury and analysis of their therapeutic failure" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "G.R. Boto, P.A. Gómez, R.D. Lobato" "autores" => array:3 [ 0 => array:2 [ "nombre" => "G.R." "apellidos" => "Boto" ] 1 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 2 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] ] ] 1 => array:2 [ "autoresLista" => "J. De la Cruz" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "De la Cruz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704334?idApp=UINPBA00004B" "url" => "/11301473/0000001600000001/v1_201305151233/S1130147305704334/v1_201305151233/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147305704310" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70431-0" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70431" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:27-33" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2218 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 1312 "PDF" => 888 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Cirugía transnasal transesfenoidal endoscópica en afecciones de región selar" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "33" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Transnasal-transsphenoidal endoscopic surgery of the sellar región" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.L. González-González, O. López-Arbolay, O. Morales-Sabina, J.F. Martí-Piñeiro, R. Vidal-Verdial" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J.L." "apellidos" => "González-González" ] 1 => array:2 [ "nombre" => "O." "apellidos" => "López-Arbolay" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Morales-Sabina" ] 3 => array:2 [ "nombre" => "J.F." "apellidos" => "Martí-Piñeiro" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Vidal-Verdial" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704310?idApp=UINPBA00004B" "url" => "/11301473/0000001600000001/v1_201305151233/S1130147305704310/v1_201305151233/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Malformación de Chiari tipo I: evolución postoperatoria a dos años. Análisis de 10 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "34" "paginaFinal" => "38" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L. Alvarez-Betancourt, J.A. García-Rentaría, S.J. López-Ortega, A. Caldera-Duarte" "autores" => array:4 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Alvarez-Betancourt" "email" => array:1 [ 0 => "azbtlo@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "García-Rentaría" ] 2 => array:2 [ "nombre" => "S.J." "apellidos" => "López-Ortega" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Caldera-Duarte" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Neurocirugía. Hospital de Especialidades Centro Médico Nacional La Raza IMSS. México" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Departamento de Neurocirugía del Hospital de Especialidades CMN La Raza. Seris y Zaachila S/N Col. La Raza, 6° piso, Deleg. Azcapo-tzalco C.P. 02990 México DF." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chiari I malformation: postsurgical evolution after 2 years. Report of ten cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-03-06" "fechaAceptado" => "2004-07-13" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158725" "palabras" => array:2 [ 0 => "Malformación de Chiari 1" 1 => "Craniectomía suboccipital" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec158726" "palabras" => array:2 [ 0 => "IRM" 1 => "MCI" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158727" "palabras" => array:2 [ 0 => "Chiari I malformation" 1 => "Suboccipital craniectom" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir la evolución de 10 pacientes con Malformación de Chiari tipo I (MCI), desde el punto de vista clínico y de imagen mediante resonancia magnética (RM).</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A 10 pacientes con Malformación de Chiari se les realizó craniectomía suboccipital media, resección de arco posterior de Cl y plastia dural. A todos se les hizo un seguimiento clínico de dos años, y se hizo evaluación mediante RM a los seis meses del postoperatorio. Se correlaciona el tiempo de evolución preoperatoria, hallazgos de imagen mediante RM y la evolución clínica postoperatoria.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La evolución clínica postoperatoria mostró una mejoría importante en cuanto a función sensitiva, correlacionándose con la involución de la siringohidromielia que acompañaba a esos casos, mejoría parcial de sus funciones cerebelosas y, en menor grado, mejoría de la alteración motora. Las manifestaciones de atrofia muscular no tuvieron modificaciones en el seguimiento a dos años.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La MCI es una enfermedad congé-nita con múltiples manifestaciones clínicas que se van agravando conforme pasa el tiempo. Un diagnóstico oportuno y un tratamiento adecuado son indispensables para obtener los mejores resultado posibles desde el punto de vista neurológico.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the clinical and radiological evolution of ten patients with Chiari I malformation (CIM), treated surgically.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Ten patients with Chiari I malformation underwent suboccipital craniectomy, laminectomy of Cl and dural patch grafting. All of them were followed for at least two years. A magnetic resonance imaging was performed 6 months after surgery.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Clinical preoperative evolution and time of installa-tion, results of MRI and clinical postoperative evolution were correlated.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In postoperative clinical evolution, we noted an important improvement in sensitive function, decrease of the syringohydromielia and partial improvement of cerebellar functions. Improvement of the motor alteration was less marked. During the two years after treatment the muscular atrophy did not change.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Chiari I malformation is a congenital disease with many clinical manifestations which usually increase with time. A suitable diagnostic studies as well as an appropriate treatment are needed to improve the neurological results.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Alvarez-Betancourt, L.; García-Rentaría, J.A.; López-Ortega, S.J.; Caldera-Duarte, A.: Malformación de Chiari tipo I: evolución postoperatoria a dos años. Análisis de 10 casos. Neurocirugía 2005; 16: 34–38.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cerebrospinal fluid flow wave forms: analysis in patients with Chiari 1 malfonnation by means of gated phase-contrast MR imaging velocity meassurements" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. 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