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array:23 [ "pii" => "S1130147305704176" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70417-6" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70417" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:124-33" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3213 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 2191 "PDF" => 1004 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147305704188" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70418-8" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70418" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:134-41" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4216 "formatos" => array:3 [ "EPUB" => 19 "HTML" => 1241 "PDF" => 2956 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Mutismo acinético relacionado con hidrocefalia y cirugía cerebelosa tratado con bromocriptina y efedrina. 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"apellidos" => "Mosqueira" ] 5 => array:2 [ "nombre" => "B." "apellidos" => "Iza" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Carrillo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704188?idApp=UINPBA00004B" "url" => "/11301473/0000001600000002/v1_201305151236/S1130147305704188/v1_201305151236/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147305704164" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70416-4" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70416" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:117-23" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1916 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 975 "PDF" => 925 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Monitorización neurofisiológica intraoperatoria del tronco del encéfalo en un caso de cavernoma en protuberancia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "117" "paginaFinal" => "123" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intraoperative neurophysiological monitoring of brain stem in a case of cavernoma in the pons" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Rodríguez, J. Molet, S. de Teresa, P. Treserras, P. Clavel, P. Cano, J. Solivera, F. Muñoz, F. Bartumeus" "autores" => array:9 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Rodríguez" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Molet" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "de Teresa" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Treserras" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Clavel" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "Cano" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Solivera" ] 7 => array:2 [ "nombre" => "F." "apellidos" => "Muñoz" ] 8 => array:2 [ "nombre" => "F." "apellidos" => "Bartumeus" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704164?idApp=UINPBA00004B" "url" => "/11301473/0000001600000002/v1_201305151236/S1130147305704164/v1_201305151236/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Síndromes de hiperdrenaje de las válvulas en hidrocefalia infantil" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "124" "paginaFinal" => "133" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.F. Martínez-Lage, M.A. Pérez-Espejo, M.J. Almagro, J. Ros de San Pedro, F. López, C. Piqueras, J. Tortosa" "autores" => array:7 [ 0 => array:3 [ "nombre" => "J.F." "apellidos" => "Martínez-Lage" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "Pérez-Espejo" ] 2 => array:2 [ "nombre" => "M.J." "apellidos" => "Almagro" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ros de San Pedro" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "López" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Piqueras" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Tortosa" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio Regional de Neurocirugía Hospital Universitario Virgen de la Arrixaca. El Palmar. Murcia. Grupo NYNE de Neurología y Neurocirugía Experimental. Facultad de Medicina, Campus de Espinardo. Murcia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio Regional de Neurocirugía. Hospital Universitario “Virgen de la Arrixaca”. E-30120, El Palmar, Murcia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Syndromes of overdrainage of ventricular shunting in childhood hydrocephalus" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-09-13" "fechaAceptado" => "2004-10-14" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158810" "palabras" => array:7 [ 0 => "Hidrocefalia" 1 => "Colapso ventricular" 2 => "Hiperfunción valvular" 3 => "Hiperdrenaje ventricular" 4 => "Edema cerebral" 5 => "Derivaciones de LCR" 6 => "Complicaciones de las válvulas de hidrocefalia" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abbreviations" "identificador" => "xpalclavsec158811" "palabras" => array:5 [ 0 => "CVS" 1 => "DVP" 2 => "PIC" 3 => "RM" 4 => "TAC" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158809" "palabras" => array:8 [ 0 => "Hydrocephalus" 1 => "Slit ventricle syndrome" 2 => "CSF overdrainage" 3 => "Ventricular overdrainage" 4 => "Cerebral edema" 5 => "CSF shunts" 6 => "Complications of hydrocephalus" 7 => "valves" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El drenaje excesivo de las válvulas constituye una complicación dificil, tanto de prevenir como de tratar. Los autores revisan una serie de 512 niños operados mediante derivación de líquido cefalorraquídeo, de manera retrospectiva, para analizar las causas de esta complicación. La causa de la hidrocefalia fue congénita (n= 172), debida a mielomeningocele (n= 123), posthe-morrágica (n=103), tumoral (n= 64), postinfecciosa (n=40) y postraumática (n= 10). Ochenta y ocho niños (17,8%) presentaron alguna complicación por funcionamiento excesivo del sistema valvular. Se analizó la etiología de la hidrocefalia relacionándola con los cuadros de hiperdrenaje. La complicación más frecuente fue la obstrucción del extremo ventricular de la derivación (n= 50), seguida del cuadro de colapso ventricular sintomático (n= 19), de hematoma subdural (n= 10) y de cuarto ventrículo aislado (n=9). Las diversas complicaciones se distribuyeron de manera homogénea entre todos los grupos etiológicos, sin diferencia estadística. El cuadro de colapso ventricular sintomático (CVS) ocurrió en 19 niños (3,71%), cifra menor que la descrita en la bibliografía. Sólo dos grupos de pacientes con hidrocefalia adquirida (postinfecciosa y posthemorrágica) tuvieron una mayor tasa de CVS (p=0,005), lo que se atribuyó a la mayor incidencia en estos niños de procesos destructivos cerebrales. El tratamiento del CVS fue complejo y requirió diversos procedimientos, que se aplicaron de manera escalonada, incluyendo cinco craniectomías descompresivas. Los autores recomiendan evitar, en lo posible, el empleo de válvulas, utilizando en su lugar, y siempre que sea posible, técnicas de neuroendoscopia, o válvulas de nueva tecnología, que supuestamente disminuirán el número de complicaciones de hiperfunción valvular.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Overdrainage in ventricular shunting constitutes a difñcult to prevent and to treat complication. The authors reviewed a retrospective series of 512 children submitted to a ventricular shunting procedure aimed at analysing factors influencing this type of complication. The causes for the hydrocephalus were congenital (n=172), post-myelomeningocele (n=123), posthemor-rhagic (n=103), tumoral (n=64), postmeningitis (n=40) and posttraumatic (n=10). Eighty-eight children (17.8%) evolved with a complication related to the excessive function of the valve. The authors investi-gated the relationship between hydrocephalus’ etiology and type of overdrainage syndromes. The most frequent complication was ventricular catheter block (n=50), followed by symptomatic slit ventricle syndrome (SVS) (n=19), subdural hematoma (n=10) and trapped fourth ventricle (n=9). There were no statistical differences regarding complications for each etiologic subset of hydrocephalus. SVS occurred in 19 children (3,71%), a low rate according to the current literature. Posthe-morrhagic and postinfectious hydrocephalus grouped together showed a higher rate of SVS (p=0,005), a feature that we attributed to the cerebral destruction caused by these two conditions. Treatment of SVS was complex and required diverse procedures, applied in an escalated way, which included five decompressive cra-niectomies. The authors suggest avoiding, as much as possible, the use of ventricular shunts, and recommend the alternative use of new technology valves and neuroendoscopic procedures.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Martínez-Lage, J.F.; Pérez-Espejo, M.A.; Almagro, M.J.; Ros de San Pedro, J.; López, F.; Piqueras, C; Tortosa, J.G.: Síndromes de hiperdrenaje de las válvulas en hidrocefalia infantil. Neurocirugía 2005; 16: 124–133.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:45 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Craniosynostosis as a complication after operation for hydrocephalus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. 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