{"id":11499,"date":"2018-03-09T08:56:54","date_gmt":"2018-03-09T08:56:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-cla%c2%adnico-radiologico-terapeutico-y-evolutivo-de-las-fistulas-durales-raquideas-con-drenaje-venoso-perimedular\/"},"modified":"2018-03-09T08:56:54","modified_gmt":"2018-03-09T08:56:54","slug":"estudio-cla%c2%adnico-radiologico-terapeutico-y-evolutivo-de-las-fistulas-durales-raquideas-con-drenaje-venoso-perimedular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-cla%c2%adnico-radiologico-terapeutico-y-evolutivo-de-las-fistulas-durales-raquideas-con-drenaje-venoso-perimedular\/","title":{"rendered":"Estudio cl\u00ednico, radiologico, terapeutico y evolutivo de las fistulas durales raquideas con drenaje venoso perimedular"},"content":{"rendered":"<h2>Tesis doctoral de <strong> LLuis Soler Singla <\/strong><\/h2>\n<p>Objetivos  1,- analizar el cuadro cl\u00ednico, su evoluci\u00f3n hasta el diagn\u00f3stico y la exploraci\u00f3n neurol\u00f3gica.  2,- analizar los hallazgos de la rm.  3,- estudiar los hallazgos de la angiograf\u00eda medular.  4,- estudiar el efecto del tratamiento de estos pacientes.  5,- estudiar la evoluci\u00f3n de los pacientes en relaci\u00f3n al tratamiento.  sujetos, materiales y m\u00e9todos  se estudiaron 40 pacientes con favd. De forma prospectiva se registraron los datos anamn\u00e9sicos, exploraci\u00f3n neurol\u00f3gica, curso evolutivo, escalas de afectaci\u00f3n motor, micci\u00f3n y funcionales, diagn\u00f3sticos sindr\u00f3mico, hallazgos de la rm y angiografia medular, tipo de tratamiento, n\u00c2\u00ba embolizaciones y evoluci\u00f3n cl\u00ednica del tratamiento (48 horas, 3,6 meses y control final).  resultados  35 varones y 6 mujeres. Edad de presentaci\u00f3n (50-70 a\u00f1os) mediana edad: 55.5 a\u00f1os. S\u00edntomas iniciales m\u00e1s frecuentes: p\u00e9rdida de fuerza, lumbo-radiculalgia, y alteraciones sensitivas subjetivas. El curso progresivo es la forma de evoluci\u00f3n m\u00e1s frecuente. En el momento del diagn\u00f3stico, los s\u00edntomas m\u00e1s frecuentes fueron: p\u00e9rdida de fuerza, tastornos esfinteriano, lummbo-radiculalgia, alteraciones de la sensibilidad,y la caudicaci\u00f3n de la marcha.  el 75% presentaban un s\u00edndrome medular y el 205 de 2\u00aa motoneurona. Las alteraciones de la rm m\u00e1s frecuentes fueron: hiperse\u00f1al en t2 en el cono, engrosamiento del cono, y vasos an\u00f3malos en el espacio subarcnoideo. La angiograf\u00eda medular fue diagn\u00f3sticada en los 40 casos. La localizaci\u00f3n m\u00e1s frecuente de la fistula fue la dorsal, segunda por la lumbar, sacra, cervical e intracraneal. El drenaje venoso se realiza preferentemente por v\u00eda ascendente y descendente a la vez. El tratamiento vascular exclusivo se realiz\u00f3 en el 85% de los casos. Un 40% de pacientes precisaron m\u00e1s de una sesi\u00f3n de embolizaci\u00f3n. El mejor tratamiento endovascular es el n-butilcianoacrilato. el riesgo relativo de recanalizaci\u00f3n de la fi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio cl\u00ednico, radiologico, terapeutico y evolutivo de las fistulas durales raquideas con drenaje venoso perimedular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio cl\u00ednico, radiologico, terapeutico y evolutivo de las fistulas durales raquideas con drenaje venoso perimedular <\/li>\n<li><strong>Autor:<\/strong>\u00a0 LLuis Soler Singla <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/06\/2001<\/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>Adolf Pou Seradell<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: josep M\u00aa Grau veciana <\/li>\n<li>Jos\u00e9 Mar\u00eda Mercader sobrequ\u00e9s (vocal)<\/li>\n<li>joan Sol\u00e9 llenas (vocal)<\/li>\n<li>emili Galit\u00f3 vi\u00f1als (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de LLuis Soler Singla Objetivos 1,- analizar el cuadro cl\u00ednico, su evoluci\u00f3n hasta el diagn\u00f3stico y la exploraci\u00f3n [&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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