{"id":104542,"date":"2018-03-11T10:27:35","date_gmt":"2018-03-11T10:27:35","guid":{"rendered":""},"modified":"2018-03-11T10:27:35","modified_gmt":"2018-03-11T10:27:35","slug":"evaluacion-funcional-y-estructural-del-nervio-optico-en-orbitopatia-graves-mediante-potenciales-evocados-visuales-multifocales-tomografa%c2%ada-de-coherencia-optica-y-resonancia-nuclear-magnetica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-de-garganta-nariz-y-oidos\/evaluacion-funcional-y-estructural-del-nervio-optico-en-orbitopatia-graves-mediante-potenciales-evocados-visuales-multifocales-tomografa%c2%ada-de-coherencia-optica-y-resonancia-nuclear-magnetica\/","title":{"rendered":"Evaluaci\u00f3n funcional y estructural del nervio \u00f3ptico en orbitopatia graves mediante potenciales evocados visuales multifocales, tomograf\u00edade coherencia \u00f3ptica y resonancia nuclear magn\u00e9tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Natividad Rodr\u00edguez Gonz\u00e1lez <\/strong><\/h2>\n<p>La complicaci\u00f3n m\u00e1s grave, aunque poco frecuente (3-5%) de la orbitopat\u00eda graves (og) es la neuropat\u00eda \u00f3ptica distiroidea (nod). Su mecanismo fisiopatol\u00f3gico es multifactorial pero principalmente debido a la compresi\u00f3n del nervio \u00f3ptico por unos m\u00fasculos extraoculares engrosados que se hacinan en el \u00e1pex orbitario. Los criterios diagn\u00f3sticos de nod tales como la disminuci\u00f3n de la agudeza visual, el defecto pupilar aferente relativo, la discromatopsia, el edema de papila, los defectos campim\u00e9tricos, las alteraciones de los potenciales evocados visuales convencionales y la presencia de apical crowding en la tomograf\u00eda computarizada o resonancia nuclear magn\u00e9tica (rnm), muestran gran variabilidad por lo que la nod se mantendr\u00eda habitualmente subcl\u00ednica enmascarada por los t\u00edpicos signos congestivos de la og. los pev multifocales (pevmf) son una t\u00e9cnica perim\u00e9trica objetiva relativamente reciente que nos dan informaci\u00f3n topogr\u00e1fica del estado de la v\u00eda \u00f3ptica y que pueden ser \u00fatiles para la detecci\u00f3n de defectos precoces en diferentes patolog\u00edas que afectan al nervio \u00f3ptico, no como una respuesta global \u00fanica, sino como m\u00faltiples respuestas de los diferentes sectores del campo visual. el objetivo del presente estudio, fue detectar cambios subcl\u00ednicos precoces en la funci\u00f3n visual de los pacientes con og sin s\u00edntomas cl\u00ednicos evidentes de nod utilizando los pevmf, y los resultados, compararlos con la evaluaci\u00f3n cl\u00ednica, la perimetr\u00eda humprey, la tomograf\u00eda de coherencia \u00f3ptica (oct), y las secuencias stir (short tau inversion recovery sequence) de rnm<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n funcional y estructural del nervio \u00f3ptico en orbitopatia graves mediante potenciales evocados visuales multifocales, tomograf\u00edade coherencia \u00f3ptica y resonancia nuclear magn\u00e9tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n funcional y estructural del nervio \u00f3ptico en orbitopatia graves mediante potenciales evocados visuales multifocales, tomograf\u00edade coherencia \u00f3ptica y resonancia nuclear magn\u00e9tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Natividad Rodr\u00edguez Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/10\/2010<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Roman Blanco Velasco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Ram\u00edrez sebasti\u00e1n <\/li>\n<li>nicol\u00e1s Toledano fern\u00e1ndez (vocal)<\/li>\n<li>Mar\u00eda  esther Arranz marquez (vocal)<\/li>\n<li>blanca Rojas l\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Natividad Rodr\u00edguez Gonz\u00e1lez La complicaci\u00f3n m\u00e1s grave, aunque poco frecuente (3-5%) de la orbitopat\u00eda graves (og) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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