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"apellidos" => "Clavel Laria" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707595?idApp=UINPBA00004B" "url" => "/11301473/0000000700000001/v1_201305151450/S1130147396707595/v1_201305151450/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Siringohidromielia terminal aislada como causa de paraparesia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "55" "paginaFinal" => "58" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J.L. Gil-Salú, J.A. Barcia, J. González-Darder" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J.L." "apellidos" => "Gil-Salú" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Barcia" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "González-Darder" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Neurocirugía. Hospital General de Castellón. Castellón" ] ] ] 1 => array:3 [ "autoresLista" => "J. Cervera" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Cervera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de S° de Rehabilitación. Hospital General de Castellón. Castellón" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162945" "palabras" => array:4 [ 0 => "Siringohidromielia" 1 => "Cono medular" 2 => "Médula anclada" 3 => "Paraparesia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162946" "palabras" => array:4 [ 0 => "Siringohydromielia" 1 => "Conus medullaris" 2 => "Tethered spinal cord" 3 => "Paraparesis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso clínico de paraparesia de larga evolución en una mujer de 75 años, diabética insulinodependiente, cuyo déficit motor fue atribuido inicialmente a una polineuropatía diabética. Un estudio neurofisiológico orientó a un síndrome de cola de caballo o cono medular que fue confirmado mediante técnica de resonancia magnética, poniendo de manifiesto la existencia de una cavidad quística en cono medular, cuyo resultado quirúrgico e histológico fue el de quiste neuroepitelial sin otras lesiones asociadas. Comentamos lo inusual de esta forma de presentación de cavidades siringohidromiélicas terminales, su diagnóstico diferencial y manejo quirúrgico.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We are reporting a clinical case of paraparesis in a 75 years old woman. Paresis was initially attributed to diabetic polineuropathy.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Neurophysiological studies suggested a lesionof the medullary cone or the filum terminale which was confirmed by a MR study showing a cystic dilatation of the medullary cone. The patient was operated and the histological study showed a neuroepitelial cyst.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The clinical presentation in our patient with terminal siringohydromielia is rather inusual.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gil-Salú, J.L.; Barcia, J.A.; González-Darder, J.; Cervera, J.: Siringohidromielia terminal aislada como causa de paraparesia. Neurocirugía 1996; 7: 55–58.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Syringomyelia and arachnoiditis." "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.R. Caplan" 1 => "A.B. Norohna" 2 => "L.L. 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Siringohidromielia terminal aislada como causa de paraparesia