{"id":116456,"date":"2018-03-11T10:45:35","date_gmt":"2018-03-11T10:45:35","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-cla%c2%adnico-y-neurofisiologico-en-la-evaluacion-prequirurigica-de-la-epilepsa%c2%ada\/"},"modified":"2018-03-11T10:45:35","modified_gmt":"2018-03-11T10:45:35","slug":"estudio-cla%c2%adnico-y-neurofisiologico-en-la-evaluacion-prequirurigica-de-la-epilepsa%c2%ada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/estudio-cla%c2%adnico-y-neurofisiologico-en-la-evaluacion-prequirurigica-de-la-epilepsa%c2%ada\/","title":{"rendered":"Estudio cl\u00ednico y neurofisiol\u00f3gico en la evaluaci\u00f3n prequir\u00farigica de la epileps\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Gil-nagel Rein <\/strong><\/h2>\n<p>Introducci\u00f3n. Aproximadamente el 1 por ciento de la poblaci\u00f3n sufre epilepsia (420.000 personas en espa\u00f1a, 50 millones en el mundo). Aproximadamente el 30 por ciento de los enfermos sufren epilepsia resistente al tratamiento farmacol\u00f3gico, y muchos de ellos pueden beneficiarse de tratamiento quir\u00fargico. La indicaci\u00f3n de cirug\u00eda se realiza tras una evaluaci\u00f3n para establecer el diagn\u00f3stico definitivo, localizar la zona epilept\u00f3gena y determinar si \u00e9sta puede ser resecada sin provocar un d\u00e9ficit neurol\u00f3gico.  material y metodo. En esta tesis doctoral se presentan nueve art\u00edculos publicados en revistas m\u00e9dicas revisadas por expertos que comparten los objetivos de demostrar la importancia del an\u00e1lisis de la semiolog\u00eda ictal, electroencefalograf\u00eda, electrocorticograf\u00eda y magnetoencefalograf\u00eda en la evaluaci\u00f3n prequir\u00fargica de la epilepsia.  resultados. Los trabajos seleccionados aportan los siguientes resultados.  &#8211; semiolog\u00eda de las crisis. Permite diferenciar entre crisis originadas en hipocampo y crisis temporales neocorticales, identificar pacientes con epilepsia secundaria a ulegiria, detectar epilepsias secundarias a hamartoma hipotal\u00e1mico y reconocer crisis acin\u00e9ticas bilaterales causadas por lesiones en regi\u00f3n medial frontal. &#8211; monitorizaci\u00f3n video-eeg. Fue fundamental en el an\u00e1lisis de la semiolog\u00eda de las crisis y permiti\u00f3 identificar crisis no epil\u00e9pticas de origen psic\u00f3geno. La utilizaci\u00f3n de electrodos esfenoidales mejor\u00f3 la localizaci\u00f3n en pacientes con epilepsia temporal. &#8211; electrocorticograf\u00eda. Se utiliz\u00f3 para seleccionar pacientes con epilepsia temporal medial y lateral. Adem\u00e1s mediante estudios intraoperatorios permiti\u00f3 definir la zona epilept\u00f3gena m\u00e1s all\u00e1 de lo aportado por la rm en pacientes con esclerosis temporal medial.  &#8211; magnetoencefalograf\u00eda. Se utiliz\u00f3 para identificar la zona epilept\u00f3gena en pacientes con epilepsia por sobresalto y \u00e1reas relacionadas con la memoria verbal inmediata en pacientes con epilepsia por esclerosis temporal medial izquierda. conclusiones. El estudio cl\u00ednico y neurofisiol\u00f3gico aporta informaci\u00f3n esencial en la evaluaci\u00f3n prequir\u00fargica de la epilepsia resistente al tratamiento farmacol\u00f3gico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio cl\u00ednico y neurofisiol\u00f3gico en la evaluaci\u00f3n prequir\u00farigica de la epileps\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio cl\u00ednico y neurofisiol\u00f3gico en la evaluaci\u00f3n prequir\u00farigica de la epileps\u00eda<\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Gil-nagel Rein <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/10\/2014<\/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>Carlos Antonio P\u00e9rez De Oteyza<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Enr\u00edquez de salamanca lorente <\/li>\n<li>Juan  Antonio Garc\u00eda merino (vocal)<\/li>\n<li>lidia Alonso manclares (vocal)<\/li>\n<li>pablo Martinez martin (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Gil-nagel Rein Introducci\u00f3n. Aproximadamente el 1 por ciento de la poblaci\u00f3n sufre epilepsia (420.000 personas en [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[986,139],"tags":[229888,5311,143696,160326,7523,7556],"class_list":["post-116456","post","type-post","status-publish","format-standard","hentry","category-complutense-de-madrid","category-medicina-interna","tag-antonio-gil-nagel-rein","tag-carlos-antonio-perez-de-oteyza","tag-juan-antonio-garcia-merino","tag-lidia-alonso-manclares","tag-pablo-Martinez-martin","tag-rafael-enriquez-de-salamanca-lorente"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/116456","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=116456"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/116456\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=116456"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=116456"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=116456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}