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                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2717013"
                            "web" => "Medline"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6726389"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3405420"
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                          "autores" => array:3 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1972"
                        "volumen" => "36"
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                        "paginaFinal" => "243"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5008740"
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                          "autores" => array:2 [
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                            1 => "F&#46; Boop"
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                    0 => array:1 [
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                        "paginaFinal" => "134"
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                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1738436"
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                          "autores" => array:2 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Neurol&#46; Neurosurg&#46; and Psychiatry&#46;"
                        "fecha" => "1975"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Neuroradiology"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Arteriovenous malformations of the spinal cord&#46; Clinical&#44; anathomical and therapeutic considerations&#46; A series of 150 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Hurth"
                            1 => "R&#46; Houdart"
                            2 => "R&#46; Djindjian"
                            3 => "A&#46; Rey"
                            4 => "M&#46; Djindjian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Prog&#46; Neurol&#46; Surg&#46;"
                        "fecha" => "1978"
                        "volumen" => "9"
                        "paginaInicial" => "238"
                        "paginaFinal" => "266"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Compression vs &#8220;steal&#8221; The patogenesis of symmptoms in arteriovenous malformation of the spinal cord"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;H&#46; Kaufman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Neurol&#46; Ang&#46;"
                        "fecha" => "1970"
                        "volumen" => "23"
                        "paginaInicial" => "173"
                        "paginaFinal" => "178"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Lawton&#44; M&#46;T&#46;&#44; M&#46;D&#46;&#44; Porter&#44; RW&#46;&#44; M&#46;D&#46;&#44; Heiserman&#44; J&#46;E&#46;&#44; M&#46;D&#46;&#44; et al&#46;&#58; Surgical management of spinal epidural hematoma&#58; relationship between surgical timing and neurological outcome&#46; J&#46; Neurosurg&#46; 1995&#59; 83&#58; 1&#8211;7&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneus spinal epidural hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "O&#46; Major"
                            1 => "L&#46; Sipos"
                            2 => "S&#46; Czirj&#225;k"
                            3 => "Gy&#46; Benoist"
                            4 => "M&#46; Horv&#225;th"
                            5 => "E&#46; P&#225;sztor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurochir"
                        "fecha" => "1991"
                        "volumen" => "111"
                        "paginaInicial" => "40"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1927622"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recovery from paraplegia caused by spontaneus spinal epidural hematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "I&#46;G&#46; Mc Quarrie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurology"
                        "fecha" => "1978"
                        "volumen" => "28"
                        "paginaInicial" => "224"
                        "paginaFinal" => "228"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/564475"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Mattle&#44; H&#46;&#44; M&#46;D&#46;&#44; Sieb&#44; J&#46;P&#46;&#44; M&#46;O&#46;&#44; Rohner&#44; M&#46;&#44; M&#46;D&#46;&#44; Mumenthaler&#44; M&#46;&#44; M&#46;D&#46;&#58; Nontraumatic spinal epidural hematomas&#46; Neurology 1987&#59; 37&#58; 1351&#8211;1356&#46;"
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Margan&#44; M&#46;K&#44; M&#46;B&#46;&#44; B&#46;S&#46;&#44; Chaseling&#44; R&#46;&#44; M&#46;B&#46;&#44; B&#46;S&#46;&#44; F&#46;R&#46;A&#46;C&#46;S&#46;&#44; Johnston&#44; l&#46;&#44; M&#46;B&#46;&#44; Ch&#46;B&#46;&#44; B&#46;Sc&#46;&#44; F&#46;RAC&#46;S&#46;&#44; de Silva M&#46;&#44; M&#46;B&#46;&#44; B&#46;S&#46;&#44; F&#46;RAC&#46;R&#46;&#58; Spinal arteriovenous malformation presenting at birth&#46; Case report&#46; Neurosurgery&#46; 1986&#59; 19&#58; 637&#8211;640&#46;"
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vascular malforrnations as cause of spontaneus spinal epidural hematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Muller"
                            1 => "J&#46; Schramm"
                            2 => "W&#46; Roggendorf"
                            3 => "M&#46; Brock"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurochir"
                        "fecha" => "1982"
                        "volumen" => "62"
                        "paginaInicial" => "297"
                        "paginaFinal" => "305"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7102394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Arteriovenous malformations of the spinal cord in children&#46; A review of 38 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;C&#46; Rich&#233;"
                            1 => "J&#46; Modenesi-Freitas"
                            2 => "M&#46; Djindjian"
                            3 => "J&#46;J&#46; Merland"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1982"
                        "volumen" => "22"
                        "paginaInicial" => "171"
                        "paginaFinal" => "180"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7035995"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Saito&#44; S&#46;&#44; M&#46;D&#46;&#44; Katsube&#44; H&#46;&#44; M&#46;D&#46;&#44; Kobayashi&#44; Y&#44; M&#46;D&#46;&#58; Spinal epidural hematoma with spontanenous recovery demonstrated by magnetic resonance imaging&#46; Spine 1994&#59; 19&#44;4&#58; 483&#8211;486&#46;"
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Arteriovenous malformation of the spinal cord in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;B&#46; Scarff"
                            1 => "D&#46;H&#46; Reigel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Child&#39;s Brain"
                        "fecha" => "1979"
                        "volumen" => "5"
                        "paginaInicial" => "341"
                        "paginaFinal" => "351"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/456108"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A new neuroradiologic method for therapy of spinal epidural hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46; Sollyimosi"
                            1 => "J&#46; Wappenschmidt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1985"
                        "volumen" => "27"
                        "paginaInicial" => "67"
                        "paginaFinal" => "69"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3974869"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Symon&#44; L&#46;&#44; T&#46;D&#46;&#44; F&#46;R&#46;C&#46;S&#46;&#44; Kuyama&#44; H&#46;&#44; M&#46;D&#46;&#44; Kendall&#44; B&#46;&#44; F&#46;R&#46;C&#46;P&#46;&#44; F&#46;RC&#46;R&#46;&#58; Dural arteriovenous malformations of the spine&#46; J Neurosurg&#46; 1984&#59; 60&#58; 238&#8211;247&#46;"
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Arteriovenous malformation of the spine cord in a 17 month old child"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46; Tada"
                            1 => "K&#46; Sakamoto"
                            2 => "N&#46; Kobayosoli"
                            3 => "Y&#46; Tanaka"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Childs&#46; Nerv&#46; Syst&#46;"
                        "fecha" => "1985"
                        "volumen" => "1"
                        "paginaInicial" => "298"
                        "paginaFinal" => "301"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4084915"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis and treatment of spinal cord arteriovenous malformation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;G&#46; Yasargil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Prog&#46; Neurol&#46; Surg&#46;"
                        "fecha" => "1971"
                        "volumen" => "4"
                        "paginaInicial" => "355"
                        "paginaFinal" => "428"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis and treatment of vascular malformation of the spinal cord"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Zdenek"
                            1 => "J&#46; Bret"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1969.30.4.0436"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1969"
                        "volumen" => "30"
                        "paginaInicial" => "436"
                        "paginaFinal" => "445"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5800468"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
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Vol. 10. Núm. 5.
Páginas 367-371 (enero 1998)
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Vol. 10. Núm. 5.
Páginas 367-371 (enero 1998)
Paraplejia en lactante por hematoma extradural debido a sangrado de cavernoma espinal
A case of paraplegia in a twenty month old child
Visitas
1516
C. Alvarez Sastre, A. Pascual Martín-Gamero, F. Villarejo Ortega
Servicio de Neurocirugía. Hospital Infantil Niño Jesús. Madrid
P. Colomar Palmer*, A.M. Serrano González**, A. Martínez de Azagra Garde**
* Servicio de Anatomía Patológica. Hospital Infantil Niño Jesús. Madrid
** Servicio de Cuidados Intensivos. Hospital Infantil Niño Jesús. Madrid
Este artículo ha recibido
Información del artículo
Resumen

Se presenta un caso excepcional de angioma cavernoso dural en una lactante con una historia de quince días de pérdida de fuerza progresiva y generalizada en los cuatro miembros. Ocho horas antes de su diagnóstico se estableció una parálisis completa en miembros inferiores y una paresia de los superiores. Tras realizar una R.N.M. y comprobarse lesión compresiva medular dorsal alta fue intervenida de urgencia y tras laminotomía se evacuó un hematoma epidural que se extendía longitudinalmente desde C7 a D4, apreciándose al quedar visible la duramadre un ovillo vascular en región dorso-lateral derecha de la misma. Estos vasos anómalos se cliparon, coagularon y extirparon, remitiendo el tejido a anatomía patológica. El resultado del estudio fue de cavernoma. Tres semanas después de la operación la niña se había recuperado totalmente de su paraplegía.

Palabras clave:
Compresión medular
Hematoma epidural espinal
Cavernoma
Paraplejia
Malformación arteria-venosa
Summary

The authors describe an exceptional case of a child with a thoracic extradural cavernoma. A twenty month old girl presented progressive tetraparesis and a established paraplegia eigth hours before the diagnosis. Magnetic Resonance Imaging showed medullary compression caused by an intraspinal mass adjacent to the intravertebral spaces C7–D4. A laminotomy DI–D4 was performed as an emergency procedure.

An organized epidural hematoma was removed followed by resection of a vascular nidus on the duramater at the level of D1. Three weeks after surgery the patient fully recovered from paraplegia.

Key words:
Spinal cord compression
Spinal epidural hematoma
Cavernoma
Paraplegia
Arteriovenous malformation

Artículo

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