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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la utilidad cl&#237;nica de dos m&#233;todos en la medici&#243;n de la presi&#243;n intracraneal &#40;PIC&#41;&#58; registro intraparenquimatoso &#40;PICc&#41; y registro epidural &#40;PICe&#41;&#44; compar&#225;ndolo con la PIC intraventricular &#40;PICv&#41; como referencia&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron prospectivamente 13 pacientes ingresados entre Febrero 1990 y Diciembre 1993&#44; tras sufrir traumatismo craneoencef&#225;lico grave &#40;Glasgows 8&#41;&#46; En todos los pacientes se obtuvo una PICv mediante columna de agua con cat&#233;ter multiperforado&#46; En 6 pacientes se registr&#243; la PICc mediante transductor de fibra &#243;ptica &#40;Camino V420<span class="elsevierStyleSup">R</span>&#41;&#44; yen los 7 restantes la PICe con sistema acoplado a fluido&#46; &#40;Plastimed<span class="elsevierStyleSup">R</span>&#41;&#46; Se coloc&#243; el registro estudio contralateral al de referencia &#40;PICv&#41;&#46; Las tomograf&#237;as computarizadas &#40;TC&#41; realizadas en estos pacientes mostraron lesiones clasificadas como focales &#40;cuando exist&#237;a una lesi&#243;n localizada&#44; ocupante o no de espacio&#41;&#44; difusas &#40;cuando el grado de afectaci&#243;n de la lesi&#243;n era generalizado&#41;&#44; o mixtas &#40;cuando presentaban los 2 tipos de lesiones&#41;&#46; La PICc fue medida homolateral a la lesi&#243;n focal en 3 casos y contralateral en 2&#59; la PICe se midi&#243; homolateral a la lesi&#243;n focal en 2 casos y contralateral en 3&#46; La calibraci&#243;n de los 3 sistemas se realiz&#243; a nivel del pabell&#243;n auricular&#46; Se realiz&#243; un an&#225;lisis estad&#237;stico &#40;coeficientes de correlaci&#243;n entre PICc-PICv y entre PICe-PICv de manera global con todos los pacientes e individualmente con cada uno de ellos&#41; de los pares horarios de mediciones obtenidas por el registro estudio y el de referencia y durante todo el tiempo de asistencia &#40;5&#44;5 d&#237;as de media para PICc y 4&#44;85 para PICe&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los 6 pacientes estudiados&#44; se observ&#243; una correlaci&#243;n PICc-PICv con un coeficiente de r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;84 &#40;P<span class="elsevierStyleHsp" style=""></span>&#60;0&#44;001&#41; y una recta de regresi&#243;n Y<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span> &#8722;0&#44;85 &#43; 0&#44;93X&#46; De manera individual se observ&#243; una r<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;78 en 4 de los 6 casos&#46; En 7 pacientes la correlaci&#243;n PICe-PICv mostr&#243; un coeficiente r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;47 &#40;P<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; con una recta de regresi&#243;n Y<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#44;2 &#43; 0&#44;43X&#46; La correlaci&#243;n individual fue &#60;0&#44;5 en todos los casos&#46; El estudio de correlaci&#243;n para cortes de PICv&#62;20<span class="elsevierStyleHsp" style=""></span>mmHg&#44; &#62;25<span class="elsevierStyleHsp" style=""></span>mmHg y &#62;30<span class="elsevierStyleHsp" style=""></span>mmHg mostr&#243; para PICc una r de 0&#44;89&#44; de 0&#44;94 y de 0&#44;97 respectivamente&#44; y par PICe una r de 0&#44;25&#44; 0&#44;13 y 0&#44;009 respectivamente&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestra serie la PICc se valora como un buen sistema de medici&#243;n de la PIC&#46; La PICe infravalora de forma significativa los valores de la PIC&#46; En situaciones de hipertensi&#243;n endocraneal&#44; la correlaci&#243;n PICc-PICv es &#243;ptima y no es correcta en caso de PICe-PICv&#44; con sistema acoplado a fluidos&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluate the clinical usefulness of two different m&#233;thods of intra-cranial pressure &#40;ICP&#41; measurement&#58; intraparenchymal &#40;ICPc&#41; and epidural &#40;ICPe&#41; monitoring as compared with intra-ventricular measurement &#40;ICPv&#41; as a reference&#46;</p> <span class="elsevierStyleSectionTitle">Material and Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Therteen patients&#44; admitted between February 1990 and December 1993 were prospectively studied&#46; All patients had suffered severe cranial trauma &#40;Glasgow<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>8&#41;&#46; ICPv was measured in all patients using an intraventricular catheter&#46; Six of the patients had the ICPc registered using an optic fiber transducer &#40;Camino V420<span class="elsevierStyleSup">R</span>&#41;&#44; while the other seven had the ICPe registered with a fluid coupling system &#40;Plastimed<span class="elsevierStyleSup">R</span>&#41;&#46; Both ICPc ad ICPe were measured contralateral to the reference &#40;ICPv&#41;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Computerized tomographies &#40;CT&#41; findings in these patients were classified into&#58; focal&#44; when there was a localized lesion&#44; with or without mass effect&#44; diffuse&#44; when there was not focal mass effect&#44; or mixed&#44; when both lesions were present&#46; ICPc was measured ipsilaterally to the lesion in two cases and contralaterally in three cases&#46; A statistical analysis was carried out &#40;correlation coefficients between ICPc-ICPv and between ICPe-ICPv both globally and in the individual patient&#41; of the hourly ICP measurements obtained with study recordings during the monitoring period &#40;average duration&#58; 5&#46;5 days with ICPc and 4&#46;85 with ICPe&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the 6 patients in which ICPc-ICPv were compared&#44; the correlation coefficient was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;84 &#40;P<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; with a regression line of Y<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;85 &#43; 0&#46;93X&#46; Individually a coefficient r<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;78 was observed in 4 of the 6 cases&#46; Of the 7 patients in which ICPe-ICPv were compared&#44; the correlation coefficient was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;47 &#40;P<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; with a regression line of Y<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#46;2 &#43; 0&#46;43X&#46; The individual correlation was &#60;0&#46;5 in all cases&#46; The correlation study for cuts&#44; of ICPv &#62;20<span class="elsevierStyleHsp" style=""></span>mmHg&#44; &#62;25<span class="elsevierStyleHsp" style=""></span>mmHg and &#62;30<span class="elsevierStyleHsp" style=""></span>mmHg showed r values for ICPc of 0&#46;89&#44; 0&#46;94 and 0&#46;97 respectively&#44; and r values for ICPe of 0&#46;25&#44; 0&#46;13&#44; and 0&#46;009 respectively&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In the present study ICPc was seen to be a valid measurement of ICP&#46; ICPe significantly underrated ICP values&#46; In conditions of intracranial hypertension&#44; the correlation between ICPc-ICPv is very good while is not correct between ICPe and ICP-v&#46;</p>"
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* Servicio de Neurocirugía. Hospital de la Santa Creu i Sant Pau. Universitat Autonoma de Barcelona

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