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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El uso de la derivaci&#243;n siringo-subaracnoidea en el tratamiento de la siringomielia ha sido ampliamente realizado&#46; Presentamos nuestros resultados en una serie de 9 pacientes en quienes se utiliz&#243; dicho m&#233;todo&#46; En 7 de ellos se encontr&#243; tambi&#233;n malformaci&#243;n de Chiari&#46; El seguimiento postoperatorio oscil&#243; de 1 a 6&#44;3 a&#241;os&#44; siendo tanto la media como la mediana de 3&#44;4&#46; Los s&#237;ntomas se estabilizaron en 4 pacientes&#44; mejoraron en 3 y empeoraron en 2&#46; El seguimiento mediante RNM mostr&#243; completa desaparici&#243;n o reducci&#243;n importante de la siringomielia en 6 pacientes&#44; y cambios no significativos en 3&#46; Los resultados cl&#237;nicos no fueron absolutamente concordantes con los morfol&#243;gicos&#44; encontr&#225;ndose casos con mejor&#237;a cl&#237;nica sin cambios en la RNM y otros en los que la disminuci&#243;n de la cavidad siringomi&#233;lica no se correspondi&#243; con mejor&#237;a en los s&#237;ntomas&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The use of syringosubarachnoid shunt in the treatment of syringomyelia has been widely practiced&#46; We report our surgical results with this method in a series of 9 patients&#46; In 7 of them&#44; Chiari malformation was also found&#46; The postoperative follow-up ranged from 1 to 6&#44;3 years&#44; the average and the median being of 3&#44;4&#46; Symptoms stabilized in 4 patients&#44; improved in 3 and worsened in 2&#46; The follow-up MRI examinations showed complete resolution or considerable shrinkage of the syrinx in 7 patients&#44; and no significant changes in 3&#46; The clinical results were not absolutely congruent with the morphological&#44; as there were cases with clinical improvement without changes in the MRI&#44; and others in wich the shrinkage of de syrinx was not associated with improvement of the symptoms&#46;</p>"
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Tratamiento quirúrgico de la siringomielia mediante derivación siringosubaracnoidea
J.V. Pesudo, J.L. Llácer, F. Talamantes, G. García-March, P. Roldán, V. Bordes, G. Masbout, J.L. Barcia-Salorio
Departamento de Neurocirugía. Hospital Clínico Universitario de Valencia

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