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array:23 [ "pii" => "S1130147305704024" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70402-4" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70402" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:359-63" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1592 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 895 "PDF" => 680 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147305704036" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70403-6" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70403" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Neurocirugia. 2005;16:363-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1409 "formatos" => array:3 [ "EPUB" => 15 "HTML" => 840 "PDF" => 554 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Comentario al trabajo: <span class="elsevierStyleItalic">Metástasis intramedular como primera manifestación de un carcinoma renal</span> de Gómez de la Riva y cols" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "363" "paginaFinal" => "364" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. de la Lama" "autores" => array:1 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "de la Lama" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704036?idApp=UINPBA00004B" "url" => "/11301473/0000001600000004/v1_201305151241/S1130147305704036/v1_201305151241/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147305704012" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70401-2" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70401" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:345-58" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1722 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 905 "PDF" => 799 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Inmunoterapia en astrocitomas de alto grado: principios y estado actual" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "345" "paginaFinal" => "358" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Immunotherapy in high grade astrocytomas: principles and current state" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Pinilla-Arias, O. Mateo-Sierra, F.A. Gutiérrez, C. Fernández-Carballal, R. Carrillo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Pinilla-Arias" ] 1 => array:2 [ "nombre" => "O." "apellidos" => "Mateo-Sierra" ] 2 => array:2 [ "nombre" => "F.A." "apellidos" => "Gutiérrez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Fernández-Carballal" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Carrillo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704012?idApp=UINPBA00004B" "url" => "/11301473/0000001600000004/v1_201305151241/S1130147305704012/v1_201305151241/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Metástasis intramedular como primera manifestación de un carcinoma renal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "359" "paginaFinal" => "363" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Gómez de la Riva, A. Isla, C. Pérez-López, M. Budke, M. Gutiérrez, R. Frutos" "autores" => array:6 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Gómez de la Riva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Isla" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Pérez-López" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Budke" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Gutiérrez" ] 5 => array:2 [ "nombre" => "R." "apellidos" => "Frutos" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Universitario La Paz. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio de Neurocirugía. Hospital Universitario La Paz. Paseo de la Castellana, 261. 28046 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intramedullary spinal cord metastasis as the first manifestation of a renal carcinoma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-08-18" "fechaAceptado" => "2004-11-29" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158989" "palabras" => array:3 [ 0 => "Metástasis" 1 => "Intramedular" 2 => "Carcinoma renal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158990" "palabras" => array:3 [ 0 => "Metastasis" 1 => "Intramedullary spinal cord" 2 => "Renal carcinoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un varón de 69 años sin patología previa de interés que presentó clínica de pérdida de fuerza distal en miembros inferiores de dos meses de evolución. La resonancia magnética (RM) mostró la presencia de una masa intramedular a nivel del cono. El paciente fue intervenido practicándose resección de la tumoración, mostrando el estudio histológico la presencia de un carcinoma de células claras correspondiente a una sospecha de metástasis de un tumor renal, que posteriormente se confirmó con una tomografía axial computarizada (TAC) abdominal. Cuando el estado del paciente es bueno, la cirugía puede subsanar el déficit neurológico producido por la lesión intramedular. Nuestro paciente, tras la intervención, mejoró su estado neurológico; y actualmente, tras 14 meses, se mantiene sin déficit neurológico en miembros inferiores.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present the case of a 69 year-old male without known antecedente who presented a clinical loss of distal force in his lower limbs during the last two months. Magnetic resonance imaging (MRI) showed an intramedullary spinal cord mass at the level of the medullaris cone. The patient was operated on; the histological diagnosis was clear cells carcinoma suggestive of metastasis from an unsuspected renal tumor that was later confirmed with an abdominal CT. When the patient's state is good, surgery can correct the neurological deficit produced by an intramedullary spinal cord lesion. The neurological state of our patient impro-ved after the intervention, and 14 months after surgery, he has no neurological deficit in the lower limbs.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez de la Riva, A.; Isla, A.; Pérez-López, C.; Budke, M.; Gutiérrez, m.; Frutos, R.: Metástasis intramedular como primera manifestación de un carcinoma renal. Neurocirugía 2005; 16: 359–364.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "lmmunophenotypic markers in renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B.F. Banner" 1 => "J.A. Burnham" 2 => "R.R. Bahnson" 3 => "M.S. Ernstoff" 4 => "H.E. Auerbach" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Mod Pathol" "fecha" => "1990" "volumen" => "3" "paginaInicial" => "129" "paginaFinal" => "134" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1691492" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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