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array:23 [ "pii" => "S1130147390711864" "issn" => "11301473" "doi" => "10.1016/S1130-1473(90)71186-4" "estado" => "S300" "fechaPublicacion" => "1990-01-01" "aid" => "71186" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1990" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1990;1:279-82" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 6796 "formatos" => array:3 [ "EPUB" => 12 "HTML" => 2094 "PDF" => 4690 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147390711876" "issn" => "11301473" "doi" => "10.1016/S1130-1473(90)71187-6" "estado" => "S300" "fechaPublicacion" => "1990-01-01" "aid" => "71187" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1990;1:283-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1689 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 841 "PDF" => 838 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Tratamiento del dolor raquídeo con fijadores internos C-D" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "283" "paginaFinal" => "288" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. González-Darder" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "González-Darder" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390711876?idApp=UINPBA00004B" "url" => "/11301473/0000000100000005/v1_201305151000/S1130147390711876/v1_201305151000/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147390711852" "issn" => "11301473" "doi" => "10.1016/S1130-1473(90)71185-2" "estado" => "S300" "fechaPublicacion" => "1990-01-01" "aid" => "71185" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1990;1:269-77" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2553 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 946 "PDF" => 1596 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Infusión intratecal de baclofeno en el tratamiento de la espasticidad severa" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "269" "paginaFinal" => "277" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. García-March, M.<span class="elsevierStyleSup">a</span>J. Sánchez-Ledesma, J. Anaya, J.M. Gonçalves, J. Broseta" "autores" => array:5 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "García-March" ] 1 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>J." "apellidos" => "Sánchez-Ledesma" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Anaya" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Gonçalves" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Broseta" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390711852?idApp=UINPBA00004B" "url" => "/11301473/0000000100000005/v1_201305151000/S1130147390711852/v1_201305151000/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Patogenia de la hidrocefalia en el mielomeningocele" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "279" "paginaFinal" => "282" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "B. Barrionuevo Gallo" "autores" => array:1 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Barrionuevo Gallo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Neurocirugía (Unidad de Neurocirugía Infantil). Hospital «Virgen del Rocío». Sevilla" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156561" "palabras" => array:3 [ 0 => "Mielomeningocele" 1 => "Hidrocefalia" 2 => "Conducto centromedular" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En 1984 nos planteamos el problema de la patogenia de la hidrocefalia en el mielomeningocele, aún no aclarada, a raíz de una primera comprobación, contraria a como es común, de su reducción en un enfermo al que en el cierre hicimos resección radical de la placa medular. Exponemos el procedimiento quirúrgico seguido y valoramos sus resultados en los 28 enfermos sometidos a él, elegidos entre los de peor pronóstico de los 56 asistidos por nosotros hasta finales del 1986, siendo la incidencia de hidrocefalia en ellos, al año de la intervención, del 28 % mientras que en los otros tantos, casualmente, sometidos a cirugía conservadora convencional ha sido del 86 %, la habitual.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Siendo conocido, y nuestros hallazgos en la ventriculografía isotópica y quirúrgicos lo ratifican, que el conducto centromedular en esta distrofia es vía abierta para la circulación licuoral entre los sistemas ventricular y aracnoideo, y estando incomunicado el IV° ventrículo con las grandes cisternas por la malformación de Arnold-Chiari, deducimos que, efectivamente, estas hidrocefalias son provocadas por la técnica de cierre conservadora que conlleva el de la abertura del conducto en la placa medular, los resultados que aportamos avalan la credibilidad de esta tesis, de acuerdo con la cual el enfoque quirúrgico de esta malformación debe ser modificado por completo.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Barrionuevo Gallo, B.: Patogenia de la hidrocefalia en el mielomeningocele. 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