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    "titulo" => "Quiste del ventrículo terminal sintomático: ¿una lesión aislada o asociada a la siringomielia?"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El ventr&#237;culo terminal es una formaci&#243;n qu&#237;stica&#44; que aparece en el extremo distal del cono medular&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de una paciente con una cl&#237;nica de parestesias en miembros inferiores&#44; junto con calambres y con un examen neurol&#243;gico que demostraba afectaci&#243;n de v&#237;as largas y signos de compresi&#243;n radicular&#46; La Resonancia Magn&#233;tica &#40;RM&#41; mostr&#243; una lesi&#243;n qu&#237;stica en el cono medular que no se modificaba tras la inyecci&#243;n de contraste&#46; Mediante una laminectom&#237;a dorsal se realiz&#243; apertura de un proceso qu&#237;stico&#44; a tensi&#243;n&#44; lo cual di&#243; lugar a una mejor&#237;a de la cl&#237;nica presentada inicialmente&#46; Se analizan las caracter&#237;sticas del ventr&#237;culo terminal&#44; as&#237; como su relaci&#243;n o no con la siringomielia&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Concluimos realzando la importancia de la R&#46;M&#46; para el diagn&#243;stico diferencial con otros procesos qu&#237;sticos que asientan en la regi&#243;n&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Ventriculus terminalis is formed by a cystic distension of the central canal in the lower end of the conus medullaris&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This patient presented with symptoms of spinal cord and radicular compression at the lumbo-thoracic junction&#46; Magnetic resonance imaging showed a cystic lesion at the conus medullaris&#44; and neither the cyst nor its wall enhanced after contrast administration&#46; Thoracic laminectomy revealed a distended cyst whose colourless liquid content was aspirated&#44; after which the patient&#39;s clinical condition improved&#46; The characteristics of ventriculus terminalis cysts and their relation with syringomyelic lesions are discussed&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude emphasizing the role of magnetic resonance imaging in the differential diagnosis of this entity with other cystic lesions in the thoraco-lumbar region&#46;</p>"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Paz Sal&#237;s&#44; J&#46;F&#46;&#59; Herguido&#44; M&#46;J&#46;&#59; Roda&#44; J&#46;M&#46;&#58; Quiste del ventr&#237;culo terminal sintom&#225;tico&#58; &#191;una lesi&#243;n aislada o asociada a la siringomielia&#46; Neurocirug&#237;a 1997&#59; 8&#58; 237&#8211;240&#46;</p>"
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Quiste del ventrículo terminal sintomático: ¿una lesión aislada o asociada a la siringomielia?
Cyst of the ventriculus terminalis. Isolated lesion or syringomyelia-related?
J.F. Paz Solís, M.J. Herguido, J.M. Roda
Servicio de Neurocirugía. Hospital La paz

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