array:23 [
  "pii" => "S1130147304704674"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(04)70467-4"
  "estado" => "S300"
  "fechaPublicacion" => "2004-01-01"
  "aid" => "70467"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "2004"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 2004;15:353-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2310
    "formatos" => array:3 [
      "EPUB" => 17
      "HTML" => 949
      "PDF" => 1344
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147304704686"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(04)70468-6"
    "estado" => "S300"
    "fechaPublicacion" => "2004-01-01"
    "aid" => "70468"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2004;15:360-5"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3723
      "formatos" => array:3 [
        "EPUB" => 16
        "HTML" => 1151
        "PDF" => 2556
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Abordaje anterior de las fracturas cervicales bajas por mecanismo de hiperflexión o en gota de lágrima"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "360"
          "paginaFinal" => "365"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Anterior approach in low cervical fractures prodited by hyperflexion or tear drop"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A. Isla, C. Pérez-López, S. Moraleda, M. Martínez-Moreno, F. Alvarez, M. Budke, J. García-Reneses"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "Isla"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Pérez-López"
            ]
            2 => array:2 [
              "nombre" => "S."
              "apellidos" => "Moraleda"
            ]
            3 => array:2 [
              "nombre" => "M."
              "apellidos" => "Martínez-Moreno"
            ]
            4 => array:2 [
              "nombre" => "F."
              "apellidos" => "Alvarez"
            ]
            5 => array:2 [
              "nombre" => "M."
              "apellidos" => "Budke"
            ]
            6 => array:2 [
              "nombre" => "J."
              "apellidos" => "García-Reneses"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147304704686?idApp=UINPBA00004B"
    "url" => "/11301473/0000001500000004/v1_201305151224/S1130147304704686/v1_201305151224/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147304704662"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(04)70466-2"
    "estado" => "S300"
    "fechaPublicacion" => "2004-01-01"
    "aid" => "70466"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Neurocirugia. 2004;15:351-2"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1578
      "formatos" => array:3 [
        "EPUB" => 15
        "HTML" => 886
        "PDF" => 677
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Comentario al trabajo&#58; <span class="elsevierStyleItalic">Manejo de la recidiva de la neuralgia del trig&#233;mino tras descompresi&#243;n microvascular</span> de Fern&#225;ndez Carballal y cols"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "351"
          "paginaFinal" => "352"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;M&#46; Gonz&#225;lez-Darder"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Gonz&#225;lez-Darder"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147304704662?idApp=UINPBA00004B"
    "url" => "/11301473/0000001500000004/v1_201305151224/S1130147304704662/v1_201305151224/es/main.assets"
  ]
  "es" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Revisi&#243;n de 22 casos de hematomas epidurales espinales&#46; Factores pron&#243;sticos y manejo terap&#233;utico"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "353"
        "paginaFinal" => "359"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Torres, J&#46;J&#46; Acebes, J&#46; Cabiol, A&#46; Gabarros, L&#46; L&#243;pez, G&#46; Plans, P&#46; Teixidor"
        "autores" => array:7 [
          0 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Torres"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "J&#46;J&#46;"
            "apellidos" => "Acebes"
          ]
          2 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Cabiol"
          ]
          3 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Gabarros"
          ]
          4 => array:2 [
            "nombre" => "L&#46;"
            "apellidos" => "L&#243;pez"
          ]
          5 => array:2 [
            "nombre" => "G&#46;"
            "apellidos" => "Plans"
          ]
          6 => array:2 [
            "nombre" => "P&#46;"
            "apellidos" => "Teixidor"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirug&#237;a&#46; Hospital Universitario de Bellvitge&#46; Barcelona"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia postal&#58; Servicio de Neurocirug&#237;a&#46; Hospital Universitario de Bellvirge&#46; Feixa Llarga&#44; s&#47;n&#46; 08907 L&#8217;Hospitalet de Llobregat&#46; Barcelona&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Spinal epidural hematomas&#46; Prognostic factors in a series of 22 cases and a proposal for management"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2003-10-21"
    "fechaAceptado" => "2004-01-19"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec158495"
          "palabras" => array:4 [
            0 => "Compresi&#243;n medular"
            1 => "Hematoma epidural espinal"
            2 => "Intervalo quir&#250;rgico"
            3 => "Evoluci&#243;n final"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec158496"
          "palabras" => array:4 [
            0 => "Spinal cord compression"
            1 => "Spinal epidural hematoma"
            2 => "Surgical timing"
            3 => "Final outcome"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El hematoma epidural espinal &#40;HEE&#41; es una patolog&#237;a poco frecuente&#44; causante de compresi&#243;n medular aguda&#44; cl&#225;sicamente considerada como una urgencia quir&#250;rgica&#46; Recientemente se ha propuesto el tratamiento conservador cuando existe afectaci&#243;n neurol&#243;gica leve&#44; con buenos resultados funcionales finales&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Determinar los factores pron&#243;sticos de esta entidad y proponer un manejo terap&#233;utico&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Entre 1985 y 2001 han sido tratados&#44; en el Servicio de Neurocirug&#237;a del Hospital Universitario de Bellvitge &#40;HUB&#41;&#44; 22 pacientes diagnosticados de HEE&#46; Se han analizado una serie de variables&#58; edad&#44; sexo&#44; d&#233;ficit neurol&#243;gico inicial &#40;seg&#250;n la Escala de Frankel&#41;&#44; tiempo de evoluci&#243;n hasta el tratamiento&#44; as&#237; como la localizaci&#243;n&#44; extensi&#243;n y grado de compresi&#243;n medular radiol&#243;gica&#46; La toma de medicaci&#243;n anticoagulante o antiagregante&#44; la existencia de anestesia epidural o cirug&#237;a espinal previa fueron&#44; asimismo&#44; factores tomados en consideraci&#243;n para el an&#225;lisis final&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se ha recogido el tipo de tratamiento &#40;m&#233;dico o quir&#250;rgico&#41; y se han evaluado las secuelas&#44; as&#237; como el grado de afectaci&#243;n neurol&#243;gica final&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La serie se compone de 22 pacientes&#44; con un 72&#46;7&#37; de varones y una mediana de edad es de 69 a&#241;os&#46; El tratamiento quir&#250;rgico se practic&#243; en 17 casos&#44; la mayor&#237;a de los cuales &#40;11 casos&#41; presentaban un d&#233;ficit neurol&#243;gico grave &#40;Frankel A-B&#41;&#46; Se realiz&#243; tratamiento conservador en 5 pacientes&#44; la mayor&#237;a &#40;4 de 5&#41; presentaban afectaci&#243;n neurol&#243;gica leve &#40;Frankel D&#41;&#46; Los pacientes intervenidos presentaron mayor grado de mejor&#237;a de su d&#233;ficit neurol&#243;gico inicial&#46; El &#237;ndice de complicaciones post-quir&#250;rgicas fue del 13&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">El tratamiento quir&#250;rgico precoz &#40;primeras 24 horas&#41; mejora el pron&#243;stico en los pacientes que presentan afectaci&#243;n neurol&#243;gica&#44; especialmente de grado severo &#40;Frankel A-B&#41;&#46; Los pacientes asintom&#225;ticos o con afectaci&#243;n neurol&#243;gica leve &#40;Frankel D-E&#41; pueden ser tratados inicialmente de forma conservadora&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Spontaneous and non-spontaneous spinal epidural hematoma &#40;SEH&#41; is a rare condition in neurosurgical practice&#46; It presents as an acute spinal cord compression and usually requires emergent sur-gical decompression&#46; Recently non-surgical treatment &#40;corticoid therapy&#41; has been proposed in selected cases of SEH with good neurological recovery&#46;</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To identify the prognostic factors of this condition&#46; A treatment management based upon our results is proposed&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Between 1985 and 2001&#44; 22 patients suffering SEH were treated at our Department&#46; Age&#44; sex&#44; initial neurological condition &#40;evaluated using the Frankel grading scale&#41;&#44; surgical timing&#44; radiological data such as location&#44; extension and degree of radiological cord compression&#44; anticoagulation or antiplatelet therapy&#44; epidural anesthesia and previous spinal surgery were analyzed in order to find prognostic factors&#46; Finally&#44; conservative or surgical treatment as well as final neurological condition were also considered for the analysis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The average age was 69 years with a male preponderance &#40;72&#46;7&#37;&#41;&#46; Surgical decompression was done in 17 cases&#44; most of them &#40;11 cases&#41; presenting with high neurological deficit &#40;Frankel A-B&#41;&#46; Conservative treatment was used on 5 patients&#46; Operated patients showed a larger degree of neurological recovery&#46; The incidence of post-operative complications was of 13&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">This study shows the efficiency of SEH surgical evacuation performed within the flrst 24 hours&#44; particularly when the patient presents a severe neurological deficit &#40;Frankel A-B&#41;&#46; Patients presenting minimal neurological involvement &#40;Frankel D-E&#41; can be mana-ged succesfully with conservative treatment&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Torres&#44; A&#46;&#59; Cabiol&#44; J&#46;&#59; Gabarros&#44; A&#46;&#59; Teixidor&#44; P&#46;&#59; Plans&#44; G&#46;&#59; L&#243;pez&#44; L&#46;&#59; Acebes&#44; J&#46; J&#46;&#58; Revisi&#243;n de 22 casos de hematomas epidurales espinales&#46; Factores pron&#243;sticos y manejo terap&#233;utico&#46; Neurocirug&#237;a 2004&#59; 15&#58; 353&#8211;359&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:22 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous spinal epidural haematoma with spontaneous resolution"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46; Brawn"
                            1 => "U&#46; Bergval"
                            2 => "G&#46; Davies-Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Postgrad Med J"
                        "fecha" => "1981"
                        "volumen" => "62"
                        "paginaInicial" => "885"
                        "paginaFinal" => "887"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3809086"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous spinal epidural hematoma causing paraplegia&#58; Resolution and recovery without surgical decompression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;B&#46; Clarke"
                            1 => "G&#46; Bertrand"
                            2 => "D&#46; Tampieri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1992"
                        "volumen" => "30"
                        "paginaInicial" => "108"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1738436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of spinal epidural hematoma after tissue plasminogen activator&#46; A case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46;S&#46;J&#46; Connolly"
                            1 => "C&#46;J&#46; Winfree"
                            2 => "P&#46;C&#46; McCormick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1996"
                        "volumen" => "21"
                        "paginaInicial" => "1694"
                        "paginaFinal" => "1698"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8839474"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Can spontaneous spinal epidural haematoma be managed safely without operation&#63; A report of four cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Duffill"
                            1 => "O&#46;C&#46; Sparrow"
                            2 => "J&#46; Millar"
                            3 => "C&#46;S&#46; Barker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurol Neurosurg Psychiatry"
                        "fecha" => "2000"
                        "volumen" => "69"
                        "paginaInicial" => "816"
                        "paginaFinal" => "819"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11080239"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute spontaneous spinal epidural hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;B&#46; Fukui"
                            1 => "A&#46;S&#46; Swarnkar"
                            2 => "R&#46;L&#46; Williams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Neuroradiol"
                        "fecha" => "1999"
                        "volumen" => "20"
                        "paginaInicial" => "1365"
                        "paginaFinal" => "1372"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10472999"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The value of postural reduction in the initial management in the closed injuries of the spine with paraplegia and tetraplegia Part 1"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;L&#46; Frankel"
                            1 => "D&#46;O&#46; Hancock"
                            2 => "G&#46; Hyslop"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sc.1969.30"
                      "Revista" => array:6 [
                        "tituloSerie" => "Paraplegia"
                        "fecha" => "1969"
                        "volumen" => "7"
                        "paginaInicial" => "179"
                        "paginaFinal" => "192"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5360915"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Operative treatment of spontaneous spinal epidural hematomas&#58; A study of the factors determinig postoperative outcome clinical study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;J&#46;M&#46; Groen"
                            1 => "H&#46;A&#46;M&#46; van Alphen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1996"
                        "volumen" => "39"
                        "paginaInicial" => "494"
                        "paginaFinal" => "509"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8875479"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous spinal epidural hematoma&#58; Findings at MR imaging and clinical correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Holtas"
                            1 => "M&#46; Heiling"
                            2 => "M&#46; Lonntoft"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.199.2.8668786"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1996"
                        "volumen" => "199"
                        "paginaInicial" => "409"
                        "paginaFinal" => "413"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8668786"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Case of spinal apoplexie"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Jackson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1869"
                        "volumen" => "2"
                        "paginaInicial" => "5"
                        "paginaFinal" => "6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4134404"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neuropathology of cord injuries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46; Jellinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
                        "editores" => "P&#46;J&#46;VinkenG&#46;W&#46;Bruyn"
                        "paginaInicial" => "72"
                        "paginaFinal" => "76"
                        "serieVolumen" => "vol 25"
                        "serieTitulo" => "Handbook of clinical neurology"
                        "serieFecha" => "1976"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of endoscopy in the treatment of acute traumatic anterior epidural hematoma of the cervical spine&#58; Case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "G&#46; Kessel"
                            1 => "H&#46;G&#46; B&#225;cher-Schwarz"
                            2 => "K&#46; Ringel"
                            3 => "A&#46; Perneczky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1997"
                        "volumen" => "41"
                        "paginaInicial" => "688"
                        "paginaFinal" => "690"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9310991"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal subdural and epidural haematomas&#58; agnostic and therapeutic aspects in acute and subacute cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46; K&#252;ker"
                            1 => "R&#46; Thiex"
                            2 => "S&#46; Friese"
                            3 => "D&#46; Freudenstein"
                            4 => "M&#46;H&#46;T&#46; Reinges"
                            5 => "U&#46; Ernemann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Peurochir &#40;Wien&#41;"
                        "fecha" => "2000"
                        "volumen" => "142"
                        "paginaInicial" => "777"
                        "paginaFinal" => "785"
                        "itemHostRev" => array:3 [
                          "pii" => "S0009739X09716240"
                          "estado" => "S300"
                          "issn" => "0009739X"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resolution of extensive spinal epidural haematoma with conservative treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Kumar"
                            1 => "C&#46; Gerber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurol Neurosurg Psychiatry"
                        "fecha" => "1998"
                        "volumen" => "65"
                        "paginaInicial" => "949"
                        "paginaFinal" => "950"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9854986"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical manegement of spinal epidural hematoma&#58; relationship between surgical timing and neurological outcome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;T&#46; Lawton"
                            1 => "R&#46;W&#46; Porter"
                            2 => "J&#46;E&#46; Heiserman"
                            3 => "R&#46; Jacobowitz"
                            4 => "K&#46;H&#46;V&#46; Sonntag"
                            5 => "C&#46;A&#46; Dickman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1995.83.1.0001"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg"
                        "fecha" => "1995"
                        "volumen" => "83"
                        "paginaInicial" => "1"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7782824"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinalepidural hematoma following epidural anesthesia in the presence of antiplatelet and heparin therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Litz"
                            1 => "M&#46; H&#252;bler"
                            2 => "T&#46; Koch"
                            3 => "D&#46;M&#46; Albrecht"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "2001"
                        "volumen" => "954"
                        "paginaInicial" => "1031"
                        "paginaFinal" => "1033"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute spontaneous spinal epidural hematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Rochester"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Neurol"
                        "fecha" => "2001"
                        "volumen" => "58"
                        "paginaInicial" => "1145"
                        "paginaFinal" => "1146"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11448306"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Microsurgical treatment of spontaneous and non-spontaneous spinal epidural haematoma&#58; Neurological outcome in relation to aetiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Rohde"
                            1 => "W&#46; K&#252;ker"
                            2 => "M&#46;H&#46;T&#46; Reinges"
                            3 => "J&#46;M&#46; Gilsbach"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "2000"
                        "volumen" => "142"
                        "paginaInicial" => "787"
                        "paginaFinal" => "793"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal epidural hematoma with spontaneous recovery demostrated by magnetic resonance imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Saito"
                            1 => "H&#46; Katsube"
                            2 => "Y&#46; Kobayashi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1994"
                        "volumen" => "19"
                        "paginaInicial" => "483"
                        "paginaFinal" => "486"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8178244"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Postoperative spinal extradural hematomas 14 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46; Scavarda"
                            1 => "P&#46; Peruzzi"
                            2 => "A&#46; Bazin"
                            3 => "B&#46; Scherpereel"
                            4 => "P&#46; Gomis"
                            5 => "J&#46;P&#46; Graftieaux"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurochirurgie"
                        "fecha" => "1997"
                        "volumen" => "43"
                        "paginaInicial" => "220"
                        "paginaFinal" => "227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9686224"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cervical epidural hematoma after chiropractic manipulation in a healthy young woman&#58; case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;H&#46; Segal"
                            1 => "M&#46;W&#46; Lidov"
                            2 => "M&#46;B&#46; Camins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1996"
                        "volumen" => "39"
                        "paginaInicial" => "1043"
                        "paginaFinal" => "1045"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8905764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous resolution of a large spinal epidural hematoma&#58; case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Wagner"
                            1 => "M&#46; Forsting"
                            2 => "W&#46; Hacke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1996"
                        "volumen" => "38"
                        "paginaInicial" => "816"
                        "paginaFinal" => "818"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8692404"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal epidural vascular malformation presenting in association with a spontaneously resolved acute epidural hematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Yasushi"
                            1 => "M&#46; Masayuki"
                            2 => "K&#46; Kazufumi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Neuro surg"
                        "fecha" => "1998"
                        "volumen" => "88"
                        "paginaInicial" => "909"
                        "paginaFinal" => "911"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000001500000004/v1_201305151224/S1130147304704674/v1_201305151224/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001500000004/v1_201305151224/S1130147304704674/v1_201305151224/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147304704674?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Revisión de 22 casos de hematomas epidurales espinales. Factores pronósticos y manejo terapéutico
Spinal epidural hematomas. Prognostic factors in a series of 22 cases and a proposal for management
A. Torres
, J.J. Acebes, J. Cabiol, A. Gabarros, L. López, G. Plans, P. Teixidor
Servicio de Neurocirugía. Hospital Universitario de Bellvitge. Barcelona

Comprar documento

Para la compra de este documento es necesario que rellene el siguiente formulario:

Afganistan
Albania
Alemania
Andorra
Angola
Anguilla
Antartica
Antigua and barbuda
Antillas holandesas
Arabia saudita
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgica
Belice
Benin
Bermudas/antillas britanicas
Bhutan
Bolivia
Bosnia y herzegowina
Botswana
Brasil
Brunei darussalam
Bulgaria
Burkina faso
Burundi
Cabo verde
Camboya
Camerun
Canada
Chad
Chile
China
Chipre
Colombia
Comoros
Corea
Costa rica
Cote d´ivoire
Croacia
Cuba
Dinamarca
Djibouti
Dominica
East timor
Ecuador
Egipto
El salvador
Emiratos arabes unidos
Eritrea
Escocia
Eslovaquia
Eslovenia
España
Estados federados de micronesia
Estados unidos
Estonia
Etiopia
Fiji
Filipinas
Finlandia
Francia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grecia
Grenada
Groenlandia
Guadalupe
Guam
Guatemala
Guayana britanica
Guinea
Guinea ecuatorial
Guinea francesa
Guinea-bissau
Haiti
Holanda
Honduras
Hong kong
Hungria
India
Indonesia
Irak
Iran
Irlanda
Isla bouvet
Isla cocos (keeling)
Isla cook
Isla mauricio
Isla navidad
Isla norfolk
Islandia
Islas caiman
Islas falkland (malvinas)
Islas faroe
Islas georgia del sur y sandwich
Islas heard and mc donald
Islas marshall
Islas northern mariana
Islas salomon
Islas svalbard and jan mayen
Islas turks and caicos
Islas united states minor outlyi
Islas virgenes (britanicas)
Islas virgenes (u.s.a.)
Islas wallis and futuna
Israel
Italia
Jamaica
Japon
Jordania
Kazakhstan
Kenia
Kiribati
Kuwait
Kyrgyzstan
Lesoto
Letonia
Libano
Liberia
Libia arab jamahiriya
Liechtenstein
Lituania
Luxemburgo
Macao
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marruecos
Martinica
Mauritania
Mayotte
Mexico
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Noruega
Nueva caledonia
Nueva zelanda
Oman
Pakistan
Palau
Panama
Papua new guinea
Paraguay
Peru
Pitcairn
Polinesia francesa
Polonia
Portugal
Posesiones gran bretaña
Posesiones u.s.a.
Puerto rico
Qatar
Reino unido
Republica checa
Republica de africa central
Republica de cabo verde
Republica de congo
Republica de corea
Republica de moldova
Republica democratica de laos
Republica democratica del congo
Republica dominicana
Reunion
Ruanda
Rumania
Rusia
Sahara occidental
Saint kitts and nevis
Samoa
Samoa americana
San marino
San tomas y principe
San vincent and the grenadines
Santa lucia
Senegal
Serbia
Seychelles
Sierra leona
Singapur
Siria
Somalia
Sri lanka
St. helena
St. pierre and miquelon
Sudafrica
Sudan
Suecia
Suiza
Surinam
Swaziland
Tailandia
Taiwan republica de china
Tajikistan
Tanzania
Territorio de indias britanicas
Togo
Tokelau
Tonga
Trinidad and tobago
Tunisia
Turkmenistan
Turquia
Tuvalu
Ucrania
Uganda
Uruguay
Uzbekistan
Vanuatu
Vaticano
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbawe
Lebanon
Paises bajos
A coruña
Alava
Albacete
Alicante
Almeria
Asturias
Avila
Badajoz
Balears
Barcelona
Bizkaia
Burgos
Caceres
Cadiz
Cantabria
Castellon
Ceuta
Ciudad real
Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
-- No procede --
Deseo recibir información sobre productos y promociones especiales de Elsevier por correo electrónico
Deseo recibir información sobre productos y promociones especiales de los partners de Elsevier por correo electrónico
* Campos obligatorios
Además del acceso temporal al documento, este le será enviado por correo electrónico.
Atención al cliente
Teléfono
Llamadas desde España
932 415 960
Llamadas desde el extranjero
+34 932 415 960
Horario de 9 a 18h. excepto los meses de julio y agosto que será de 9 a 15h.
Idiomas
Neurocirugía
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?