array:23 [
  "pii" => "S1130147399709760"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(99)70976-0"
  "estado" => "S300"
  "fechaPublicacion" => "1999-01-01"
  "aid" => "70976"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1999"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1999;10:143-8"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 4185
    "formatos" => array:3 [
      "EPUB" => 15
      "HTML" => 1157
      "PDF" => 3013
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147399709772"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(99)70977-2"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "aid" => "70977"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Neurocirugia. 1999;10:148"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1643
      "formatos" => array:3 [
        "EPUB" => 15
        "HTML" => 799
        "PDF" => 829
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Comentario al trabajo Siringomielia cervical, descenso amigdalar y tumor cerebral"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "148"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Juan Sahuquillo"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Sahuquillo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709772?idApp=UINPBA00004B"
    "url" => "/11301473/0000001000000002/v1_201305151007/S1130147399709772/v1_201305151007/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147399709759"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(99)70975-9"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "aid" => "70975"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1999;10:136-42"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3499
      "formatos" => array:3 [
        "EPUB" => 13
        "HTML" => 980
        "PDF" => 2506
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Abordaje transtorácico transpleural para la hernia de disco torácica: presentación de nueve casos"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "136"
          "paginaFinal" => "142"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Transthoracic transpleural approach for thoracic disc herniation. A study of nine cases"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J.I. Pinto Rafael, R. Carda, F. Sanz, J.M. Izquierdo, A. Vázquez-Barquero, F. Trigueros, F. Montiaga, B. Paternina, B. Fernández"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "J.I."
              "apellidos" => "Pinto Rafael"
            ]
            1 => array:2 [
              "nombre" => "R."
              "apellidos" => "Carda"
            ]
            2 => array:2 [
              "nombre" => "F."
              "apellidos" => "Sanz"
            ]
            3 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Izquierdo"
            ]
            4 => array:2 [
              "nombre" => "A."
              "apellidos" => "Vázquez-Barquero"
            ]
            5 => array:2 [
              "nombre" => "F."
              "apellidos" => "Trigueros"
            ]
            6 => array:2 [
              "nombre" => "F."
              "apellidos" => "Montiaga"
            ]
            7 => array:2 [
              "nombre" => "B."
              "apellidos" => "Paternina"
            ]
            8 => array:2 [
              "nombre" => "B."
              "apellidos" => "Fernández"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709759?idApp=UINPBA00004B"
    "url" => "/11301473/0000001000000002/v1_201305151007/S1130147399709759/v1_201305151007/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Siringomielia cervical, descenso amigdalar y tumor cerebral"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "143"
        "paginaFinal" => "148"
      ]
    ]
    "autores" => array:2 [
      0 => array:3 [
        "autoresLista" => "M. Soto, A. Bollar, G. Bilbao"
        "autores" => array:3 [
          0 => array:2 [
            "nombre" => "M."
            "apellidos" => "Soto"
          ]
          1 => array:2 [
            "nombre" => "A."
            "apellidos" => "Bollar"
          ]
          2 => array:2 [
            "nombre" => "G."
            "apellidos" => "Bilbao"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirugía. Hospital Ntra. Sra. de Aránzazu. Osatek"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "J.M. Alustiza"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "J.M."
            "apellidos" => "Alustiza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Neurocirug&#237;a&#46; Hospital Ntra&#46; Sra&#46; de Ar&#225;nzazu&#46; San Sebasti&#225;n"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Cervical syringomyelia&#44; tonsillar herniation and brain tumor"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec156646"
          "palabras" => array:4 [
            0 => "Siringomielia"
            1 => "Descenso am&#237;gdalas cerebelosas"
            2 => "Neurinoma del ac&#250;stico"
            3 => "Meningioma del seno cavernoso"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec156645"
          "palabras" => array:4 [
            0 => "Syringomyelia"
            1 => "Tonsillar herniation"
            2 => "Cavernous sinus meningioma"
            3 => "Acoustic neurinoma"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El uso habitual de la Resonancia Magn&#233;tica &#40;RM&#41; como medio de diagn&#243;stico ha facilitado la detecci&#243;n de pacientes con siringomielias cervicales asintom&#225;ticoso En los &#250;ltimos a&#241;os se han descrito algunas observaciones de asociaci&#243;n de una siringomielia con descenso amigdalar y un proceso expansivo intracraneal&#44; preferentemente infratentorial &#40;tumores o quistes&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos los datos cl&#237;nico-radiol&#243;gicos de dos pacientes con esta asociaci&#243;n&#46; La primera&#44; mujer de 26 a&#241;os de edad&#44; con un neurinoma del ac&#250;stico y una cavidad cervical asintom&#225;tica&#44; desde C2 a D7&#59; tras la extirpaci&#243;n del tumor&#44; la RM confirm&#243; la desaparici&#243;n completa de la cavidad&#46; La segunda&#44; mujer de 40 a&#241;os&#44; portadora de un peque&#241;o meningioma del seno cavernoso derecho&#44; responsable de una diplopia persistente en los &#250;ltimos dos a&#241;os&#44; y una cavidad cervical en C2C3&#59; fue tratada con radiocirug&#237;a&#44; mejorando notablemente la diplopia&#44; sin sufrir modificaciones&#44; como es l&#243;gico&#44; en la cavidad siringomi&#233;lica&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Mientras que la localizaci&#243;n y tama&#241;o del tumor establecen en el primer caso una relaci&#243;n causal entre los tres procesos&#44; las caracter&#237;sticas de la segunda paciente orientan a un mero hallazgo incidental&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The routine use of the magnetic resonance &#40;MR&#41;&#44; as diagnostic method in patients with CNS diseases&#44; has led to identify an increasing number of cases of asymptomatic syringomyelia&#46; During the last years&#44; several reports on the association of syringomyelia&#44; tonsilIar herniation and intracranial space occupying lesions &#40;cysts or tumors&#41;&#44; mainly located in the posterior cranial fossa&#44; have appeared in the literature&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We describe the clinical and radiological findings of two female patients with this association&#46; The first case is a 26-year-old woman&#44; with an acoustic schwannoma and an asymptomatic cervical cavity from C2 to D7&#59; a cervical MR imaging&#44; performed after surgery&#44; showed a total resolution of the cavity&#46; The second case is a 40-year-old woman with a two years history of a persistent diplopia&#59; cranial MR imaging showed a small&#44; cavernous sinus meningioma&#44; tonsilIar herniation and a syringomyelic cavity in C2-C3&#46; Diplopia improved after she was treated with radiosurgery&#44; but without changes in the cervical syringomyelia imaging&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">While&#44; in the first case&#44; a causal relationship between the localization and size of the tumor&#44; and the presence of syringomyelia can be established&#44; in the second patient the association is considered incidental&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Soto&#44; M&#46;&#59; Bollar&#44; A&#46;&#59; Bilbao&#44; G&#46;&#59; Alustiza&#44; J&#46;M&#46;&#58; Siringomielia cervical&#44; descenso amigdalar y tumor cerebral&#46; Neurocirug&#237;a 1999&#59; 10&#58; 143&#8211;148&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:42 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La syringomy&#233;lie et les liquides intrarachidiens"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Aboulker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurochirurgie"
                        "fecha" => "1979"
                        "volumen" => "25"
                        "numero" => "Suppl"
                        "paginaInicial" => "1"
                        "paginaFinal" => "43"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellopontine angle meningioma causing asymptomatic syringomyelia&#46; Case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Anegawa"
                            1 => "T&#46; Hayashi"
                            2 => "R&#46; Torigoe"
                            3 => "K&#46; Iwaisako"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurol&#46; Med&#46; Chir&#46; &#40;Tokyo&#41;&#46;"
                        "fecha" => "1997"
                        "volumen" => "7"
                        "paginaInicial" => "624"
                        "paginaFinal" => "626"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia in association with posterior fossa cysts"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Banna"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "AJNR"
                        "fecha" => "1988"
                        "volumen" => "9"
                        "paginaInicial" => "867"
                        "paginaFinal" => "873"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3140628"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringohidromyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;T&#46; Ballantine Jr&#46;"
                            1 => "R&#46;G&#46; Ojeman"
                            2 => "J&#46;H&#46; Drew"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Prog&#46; Neurol&#46; Surg&#46;"
                        "fecha" => "1971"
                        "volumen" => "4"
                        "paginaInicial" => "227"
                        "paginaFinal" => "245"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pathogenesis of syringomyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;J&#46; Ball"
                            1 => "A&#46;D&#46; Dayan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1972"
                        "volumen" => "2"
                        "paginaInicial" => "799"
                        "paginaFinal" => "801"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2571033"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multiple intracranial meningiomas in a patient with asymptomatic syringomyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Budrewicz"
                            1 => "B&#46; Paradowski"
                            2 => "R&#46; Podemski"
                            3 => "M&#46; Betlej"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurol&#46; Neurochir&#46; Pol&#46;"
                        "fecha" => "1994"
                        "volumen" => "28"
                        "paginaInicial" => "251"
                        "paginaFinal" => "256"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8047235"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hydromyelia associated with a posterior fossa cyst"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46; Cano"
                            1 => "M&#46; Anderson"
                            2 => "P&#46; Kutschbach"
                            3 => "J&#46; Borden"
                            4 => "S&#46; Saris"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1993"
                        "volumen" => "40"
                        "paginaInicial" => "512"
                        "paginaFinal" => "515"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8235977"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Asymptomatic syringomyelia associated with cerebellopontine angle meningioma&#46; Case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Fukui"
                            1 => "A&#46; Kito"
                            2 => "J&#46; Iguch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurol&#46; Med&#46; Chir&#46; &#40;Tokyo&#41;"
                        "fecha" => "1993"
                        "volumen" => "33"
                        "paginaInicial" => "833"
                        "paginaFinal" => "835"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The cause of syringomyelia and its surgical treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;J&#46;L&#46; Gardner"
                            1 => "J&#46; Angel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cleve&#46; Clin&#46; Q&#46;"
                        "fecha" => "1958"
                        "volumen" => "25"
                        "paginaInicial" => "4"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13500572"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia associated with a foramen magnum meningioma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Y&#46; Hirata"
                            1 => "Y&#46; Matsukado"
                            2 => "M&#46; Kaku"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1985"
                        "volumen" => "23"
                        "paginaInicial" => "291"
                        "paginaFinal" => "294"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3975813"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "MRI demonstration of midbrain deformity in association with Chiari malformation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;V&#46; Hunter"
                            1 => "R&#46;D&#46; Youl"
                            2 => "I&#46;F&#46; Moseley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1992"
                        "volumen" => "34"
                        "paginaInicial" => "399"
                        "paginaFinal" => "401"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1407519"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous decompression of syringomyelia&#58; magnetic resonance imaging findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;R&#46; Jack Jr&#46;"
                            1 => "E&#46; Kokmen"
                            2 => "B&#46;M&#46; Onofrio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1991.74.2.0283"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1991"
                        "volumen" => "74"
                        "paginaInicial" => "283"
                        "paginaFinal" => "286"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1988600"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia in association with tumors of the posterior fossa&#46; Pathophysiological considerations based on observations on three related cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Klekamp"
                            1 => "M&#46; Samii"
                            2 => "M&#46; Tatagiba"
                            3 => "A&#46; Sepehrnia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir&#46; &#40;Wien&#41;"
                        "fecha" => "1995"
                        "volumen" => "137"
                        "paginaInicial" => "38"
                        "paginaFinal" => "43"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cervical syringomyelia associated with occipital meningioma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "I&#46;Z&#46; Kosary"
                            1 => "J&#46; Braham"
                            2 => "I&#46; Shaked"
                            3 => "R&#46; Ta-dmor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Neurology"
                        "fecha" => "1969"
                        "volumen" => "19"
                        "paginaInicial" => "1127"
                        "paginaFinal" => "1130"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5388083"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S147444220670597X"
                          "estado" => "S300"
                          "issn" => "14744422"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acquired Chiari-I malformation and hydromyelia secondary to a giant craniopharyngioma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Lee"
                            1 => "A&#46;R&#46; Rezai"
                            2 => "J&#46;H&#46; Wisoff"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr&#46; Neurosurg&#46;"
                        "fecha" => "1995"
                        "volumen" => "22"
                        "paginaInicial" => "251"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7547457"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lhermitte-Duclos disease associated with syringomyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "C&#46;D&#46; Marcus"
                            1 => "M&#46; Galeon"
                            2 => "P&#46; Peruzzi"
                            3 => "A&#46; Bazin"
                            4 => "M&#46;H&#46; Bernard"
                            5 => "M&#46; Pluot"
                            6 => "B&#46; Menanteau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1996"
                        "volumen" => "38"
                        "paginaInicial" => "529"
                        "paginaFinal" => "531"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8880711"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morphogenesis of experimentally induced Arnold-Chiari malformation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Marin Padilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurol&#46; Sci&#46;"
                        "fecha" => "1981"
                        "volumen" => "50"
                        "paginaInicial" => "29"
                        "paginaFinal" => "55"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7229658"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebellar herniation in syringomyelia&#58; relation between tonsillar herniation and the dimensions of the syrinx and the remaining spinal cord&#46; A quantitative study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46;K&#46; Masur"
                            1 => "C&#46; OberWittler"
                            2 => "G&#46; Reuther"
                            3 => "P&#46; Heyen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur&#46; Neurol&#46;"
                        "fecha" => "1995"
                        "volumen" => "35"
                        "paginaInicial" => "162"
                        "paginaFinal" => "167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7628496"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pathological bases of spinal cord cavitation in syringomyelia&#46; Analysis of 105 autopsy cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;H&#46; Milhorat"
                            1 => "A&#46;L&#46; Capocelli Jr&#46;"
                            2 => "A&#46;P&#46; Anzil"
                            3 => "R&#46;M&#46; Kotzen"
                            4 => "R&#46;H&#46; Milhroat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1995.82.5.0802"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1995"
                        "volumen" => "82"
                        "paginaInicial" => "802"
                        "paginaFinal" => "812"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7714606"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of syringomyelia based on magnetic resonance imaging criteria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;H&#46; Milhroat"
                            1 => "W&#46;D&#46; Jonhson"
                            2 => "J&#46;I&#46; Miller"
                            3 => "R&#46;M&#46; Bergland"
                            4 => "J&#46; Hollenberg-Sher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1992"
                        "volumen" => "31"
                        "paginaInicial" => "231"
                        "paginaFinal" => "245"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1513429"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anatomical basis of syringomyelia ocurring with hindbrain lesions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;H&#46; Milhroat"
                            1 => "J&#46;I&#46; Miller"
                            2 => "W&#46;D&#46; Jonhson"
                            3 => "D&#46;E&#46; Adler"
                            4 => "I&#46;M&#46; Heger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1993"
                        "volumen" => "5"
                        "paginaInicial" => "748"
                        "paginaFinal" => "754"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia&#44; posterior fossa cysts and acute respiratory distress"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;L&#46; Modrego"
                            1 => "J&#46; L&#243;pez del Val"
                            2 => "F&#46; Morales"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurolog&#237;a"
                        "fecha" => "1990"
                        "volumen" => "5"
                        "paginaInicial" => "336"
                        "paginaFinal" => "337"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2100137"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;H&#46; Oldfield"
                            1 => "K&#46; Muraszko"
                            2 => "T&#46;H&#46; Shawker"
                            3 => "N&#46;J&#46; Patronas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1994.80.1.0003"
                      "Revista" => array:7 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1994"
                        "volumen" => "80"
                        "paginaInicial" => "3"
                        "paginaFinal" => "15"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8271018"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0959804910001607"
                          "estado" => "S300"
                          "issn" => "09598049"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Commentary"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46;H&#46; Oldfield"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1995"
                        "volumen" => "43"
                        "paginaInicial" => "471"
                        "paginaFinal" => "477"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trait&#233; de la moelle &#233;piniere et ses maladies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Olivier D&#39; Angers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1827"
                        "editorial" => "Ed&#46; Crevot Libraire"
                        "editorialLocalizacion" => "Paris"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Symptomatic Chiari malformation in adults&#58; a new classification based on Magnetic Resonance imaging with clinical and prognostic significance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46;K&#46; Pillay"
                            1 => "L&#46;A&#46; Awad"
                            2 => "J&#46;R&#46; Little"
                            3 => "J&#46;F&#46; Hahn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1991"
                        "volumen" => "28"
                        "paginaInicial" => "639"
                        "paginaFinal" => "645"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1876240"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia associated with Paget disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;P&#46; Pryce"
                            1 => "S&#46;N&#46; Wiener"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "AJNR"
                        "fecha" => "1990"
                        "volumen" => "155"
                        "paginaInicial" => "881"
                        "paginaFinal" => "882"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Motion of the cerebellar tonsils in Chiari type I malformation studied by cine phasecontrast MRI"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Pujol"
                            1 => "C&#46; Roig"
                            2 => "A&#46; Capdevila"
                            3 => "A&#46; Pou"
                            4 => "J&#46;L&#46; Marti-Vilalta"
                            5 => "J&#46; Kulisevsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurology"
                        "fecha" => "1995"
                        "volumen" => "45"
                        "paginaInicial" => "1746"
                        "paginaFinal" => "1753"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7675239"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous drainage of syringomyelia&#46; Report of two cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Santoro"
                            1 => "R&#46; Delfini"
                            2 => "G&#46; Innocenzi"
                            3 => "C&#46; Di Biasi"
                            4 => "G&#46; Trasimeni"
                            5 => "G&#46; Gualdi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1993.79.1.0132"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1993"
                        "volumen" => "79"
                        "paginaInicial" => "132"
                        "paginaFinal" => "134"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8315453"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia in Chiari malformation&#58; relation to extent of cerebellar tissue herniation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;J&#46; Stovner"
                            1 => "P&#46; Rinck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1992"
                        "volumen" => "31"
                        "paginaInicial" => "913"
                        "paginaFinal" => "917"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1436416"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Posterior cranial fossa dimensions in the Chiari I malformation&#58; relation to pathogenesis and clinical preservation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "U&#46; Stovner"
                            1 => "U&#46; Bergan"
                            2 => "G&#46; Nilsen"
                            3 => "O&#46; Sjastad"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1993"
                        "volumen" => "35"
                        "paginaInicial" => "113"
                        "paginaFinal" => "118"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8433785"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia secondary to tonsillar herniation caused by posterior fossa tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Tachibana"
                            1 => "K&#46; Harada"
                            2 => "T&#46; Abe"
                            3 => "H&#46; Yamada"
                            4 => "A&#46; Yokota"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1995"
                        "volumen" => "43"
                        "paginaInicial" => "471"
                        "paginaFinal" => "477"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Magnetic resonance imaging &#40;MRI&#41; in syringomyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;L&#46;J&#46; Tanghe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir&#46; &#40;Wien&#41;"
                        "fecha" => "1995"
                        "volumen" => "134"
                        "paginaInicial" => "93"
                        "paginaFinal" => "99"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Increased pulsatile movement of the hindbrain in syringomyelia associated with the Chiari malformation&#58; cine-MRI with presaturation bolus tracking"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Terae"
                            1 => "K&#46; Miyasaka"
                            2 => "S&#46; Abe"
                            3 => "H&#46; Abe"
                            4 => "K&#46; Tashiro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1994"
                        "volumen" => "36"
                        "paginaInicial" => "125"
                        "paginaFinal" => "129"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8183451"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syringomyelia associated with a posterior fossa cyst&#46; IIlustration of two cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46; Tokime"
                            1 => "S&#46; Okamoto"
                            2 => "S&#46; Yamagata"
                            3 => "T&#46; Konishi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1997.86.5.0907"
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1997"
                        "volumen" => "86"
                        "paginaInicial" => "907"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9126912"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of asymptomatic syringomyelia with tentorial meningioma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Urasaki"
                            1 => "T&#46; Soejima"
                            2 => "A&#46; Yokota"
                            3 => "S&#46; Matsuoka"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurol&#46; Surg&#46;"
                        "fecha" => "1989"
                        "volumen" => "17"
                        "paginaInicial" => "985"
                        "paginaFinal" => "989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Basichondrocranium anomalies in adult Chiari type I malformation&#46; A morphometric study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Vega"
                            1 => "F&#46; Quintana"
                            2 => "J&#46; Berciano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurol&#46; Sci&#46;"
                        "fecha" => "1990"
                        "volumen" => "99"
                        "paginaInicial" => "137"
                        "paginaFinal" => "145"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2086722"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Untersuchungen i&#237;ber die Entwickung des Schadelgrundes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Virchow"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:2 [
                        "fecha" => "1857"
                        "editorial" => "Berlin Reiner"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgery for hindbrain related syringomyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Williams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Adv&#46; Tech&#46; Stand&#46; Neurosurg&#46;"
                        "fecha" => "1993"
                        "volumen" => "20"
                        "paginaInicial" => "107"
                        "paginaFinal" => "164"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8397533"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Three cases of communicating syringomyelia secondary to midbrain gliomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46; Williams"
                            1 => "W&#46;R&#46; Timperley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurol&#46; Neurosurg&#46; Psychiat&#46;"
                        "fecha" => "1976"
                        "volumen" => "40"
                        "paginaInicial" => "80"
                        "paginaFinal" => "88"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/845611"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The distending force in the production of communicating syringomyelia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Williams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1969"
                        "volumen" => "2"
                        "paginaInicial" => "189"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2568522"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0212698210000741"
                          "estado" => "S300"
                          "issn" => "02126982"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous resolution of idiopathic syringomyelia&#58; MR features"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46;A&#46; Yeager"
                            1 => "M&#46;A&#46; Lusser"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Comput&#46; Assist&#46; Tomgr&#46;"
                        "fecha" => "1992"
                        "volumen" => "16"
                        "paginaInicial" => "323"
                        "paginaFinal" => "326"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000001000000002/v1_201305151007/S1130147399709760/v1_201305151007/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001000000002/v1_201305151007/S1130147399709760/v1_201305151007/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709760?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 10. Núm. 2.
Páginas 143-148 (enero 1998)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 10. Núm. 2.
Páginas 143-148 (enero 1998)
Siringomielia cervical, descenso amigdalar y tumor cerebral
Cervical syringomyelia, tonsillar herniation and brain tumor
Visitas
4172
M. Soto, A. Bollar, G. Bilbao
Servicio de Neurocirugía. Hospital Ntra. Sra. de Aránzazu. Osatek
J.M. Alustiza*
* Servicio de Neurocirugía. Hospital Ntra. Sra. de Aránzazu. San Sebastián
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Resumen

El uso habitual de la Resonancia Magnética (RM) como medio de diagnóstico ha facilitado la detección de pacientes con siringomielias cervicales asintomáticoso En los últimos años se han descrito algunas observaciones de asociación de una siringomielia con descenso amigdalar y un proceso expansivo intracraneal, preferentemente infratentorial (tumores o quistes).

Presentamos los datos clínico-radiológicos de dos pacientes con esta asociación. La primera, mujer de 26 años de edad, con un neurinoma del acústico y una cavidad cervical asintomática, desde C2 a D7; tras la extirpación del tumor, la RM confirmó la desaparición completa de la cavidad. La segunda, mujer de 40 años, portadora de un pequeño meningioma del seno cavernoso derecho, responsable de una diplopia persistente en los últimos dos años, y una cavidad cervical en C2C3; fue tratada con radiocirugía, mejorando notablemente la diplopia, sin sufrir modificaciones, como es lógico, en la cavidad siringomiélica.

Mientras que la localización y tamaño del tumor establecen en el primer caso una relación causal entre los tres procesos, las características de la segunda paciente orientan a un mero hallazgo incidental.

Palabras clave:
Siringomielia
Descenso amígdalas cerebelosas
Neurinoma del acústico
Meningioma del seno cavernoso
Summary

The routine use of the magnetic resonance (MR), as diagnostic method in patients with CNS diseases, has led to identify an increasing number of cases of asymptomatic syringomyelia. During the last years, several reports on the association of syringomyelia, tonsilIar herniation and intracranial space occupying lesions (cysts or tumors), mainly located in the posterior cranial fossa, have appeared in the literature.

We describe the clinical and radiological findings of two female patients with this association. The first case is a 26-year-old woman, with an acoustic schwannoma and an asymptomatic cervical cavity from C2 to D7; a cervical MR imaging, performed after surgery, showed a total resolution of the cavity. The second case is a 40-year-old woman with a two years history of a persistent diplopia; cranial MR imaging showed a small, cavernous sinus meningioma, tonsilIar herniation and a syringomyelic cavity in C2-C3. Diplopia improved after she was treated with radiosurgery, but without changes in the cervical syringomyelia imaging.

While, in the first case, a causal relationship between the localization and size of the tumor, and the presence of syringomyelia can be established, in the second patient the association is considered incidental.

Key words:
Syringomyelia
Tonsillar herniation
Cavernous sinus meningioma
Acoustic neurinoma

Artículo

Opciones para acceder a los textos completos de la publicación Neurocirugía
Socio
Socio de la Sociedad Española de Neurocirugía

Si es la primera vez que accede a la web puede obtener sus claves de acceso poniéndose en contacto con Elsevier España en suscripciones@elsevier.com o a través de su teléfono de Atención al Cliente 902 88 87 40 si llama desde territorio español o del +34 932 418 800 (de 9 a 18h., GMT + 1) si lo hace desde el extranjero.

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".

Suscriptor
Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".
Suscribirse
Suscribirse a:

Neurocirugía

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contactar
Teléfono para suscripciones e incidencias
De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h
Llamadas desde España
932 415 960
Llamadas desde fuera de España
+34 932 415 960
Email
Idiomas
Neurocirugía
Opciones de artículo
Herramientas
es en

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

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