{"id":117173,"date":"2018-03-11T10:46:37","date_gmt":"2018-03-11T10:46:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-spot-sign-y-spot-sign-score-en-el-hematoma-cerebral-espontaneo-aplicaciones-cla%c2%adnicas-en-la-urgencia-de-neuroradiologa%c2%ada\/"},"modified":"2018-03-11T10:46:37","modified_gmt":"2018-03-11T10:46:37","slug":"el-spot-sign-y-spot-sign-score-en-el-hematoma-cerebral-espontaneo-aplicaciones-cla%c2%adnicas-en-la-urgencia-de-neuroradiologa%c2%ada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/radiologia\/el-spot-sign-y-spot-sign-score-en-el-hematoma-cerebral-espontaneo-aplicaciones-cla%c2%adnicas-en-la-urgencia-de-neuroradiologa%c2%ada\/","title":{"rendered":"El spot sign y spot sign score en el hematoma cerebral espont\u00e1neo: aplicaciones cl\u00ednicas en la urgencia de neuroradiolog\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ivan Aguirregoicoa Olabarrieta <\/strong><\/h2>\n<p>El crecimiento de los hematomas cerebrales intraparenquimatosos es la principal causa de mortalidad y complicaciones cl\u00ednicas y radiol\u00f3gicas que sufren estos pacientes en las primeras horas del evento. La capacidad de predecir el riesgo de \u00e9ste crecimiento desde el inicio del evento puede tener implicaciones en el manejo y en el pron\u00f3stico de los pacientes. Para determinar la evoluci\u00f3n del hematoma cerebral intraparenquimatoso en las primeras horas se utiliz\u00f3 el marcador radiol\u00f3gico spot sign o sangrado activo en la angio-ct de cr\u00e1neo valorando su presencia y ausencia. En caso de que estuviese presente se cuantific\u00f3 la severidad del mismo mediante el spot sign score. La presencia de spot sign se relacion\u00f3 con un mayor riesgo de crecimiento del hematoma intraparenquimatoso y con la aparici\u00f3n de nuevas complicaciones intracraneales en las siguiente 24 horas, as\u00ed como con una mayor tasa de mortalidad intrahospitalaria. As\u00ed tambi\u00e9n, se comprob\u00f3 que presentar un spot score de 3 \u00f3 4 puntos (sobre 4) se correlacion\u00f3 con un mayor volumen del crecimiento del hematoma, mayores complicaciones intracraneales a las 24 horas y con mayor mortalidad intrahospitalaria. Los pacientes con un spot sign score de 2 o inferior a 2 presentaron un menor crecimiento en el volumen de su hematoma, menores complicaciones intracraneales y una menor mortalidad intrahospitalaria. En los pacientes anticoagulados existi\u00f3 un mayor n\u00famero de spot sign y mayor densidad radiol\u00f3gica medida en unidades hounsfield, lo que se correlacionan con spot sign score altos de 3 \u00f3 4 y un peor pron\u00f3stico. No obstante, los pacientes antiagregados no presentaron un mayor incidencia de spot sign, ni un spot sign score m\u00e1s alto, por lo que no presentan mayores tasas de crecimiento de su hematoma, ni desarrollan m\u00e1s complicaciones intracraneales en la tc cr\u00e1neo de control a las 24 horas, ni presentan mayor mortalidad intrahospitalaria. El spot sign obtuvo una sensibilidad, especificidad y valor predictivo negativo relativamente alto indicando que es una herramienta diagn\u00f3stica fiable en la detecci\u00f3n del posible crecimiento de un hematoma intraparenquimatoso.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El spot sign y spot sign score en el hematoma cerebral espont\u00e1neo: aplicaciones cl\u00ednicas en la urgencia de neuroradiolog\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El spot sign y spot sign score en el hematoma cerebral espont\u00e1neo: aplicaciones cl\u00ednicas en la urgencia de neuroradiolog\u00eda <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ivan Aguirregoicoa Olabarrieta <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/02\/2015<\/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>Gerard Pi\u00f1ol Ripoll<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Carlos Martin urreta <\/li>\n<li>Francisco Purroy Garc\u00eda (vocal)<\/li>\n<li>Luis Garcia  sancho martin (vocal)<\/li>\n<li>enrique Mostacero Miguel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ivan Aguirregoicoa Olabarrieta El crecimiento de los hematomas cerebrales intraparenquimatosos es la principal causa de mortalidad y [&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":[12909,2046],"tags":[21387,148943,144167,231008,197521,3776],"class_list":["post-117173","post","type-post","status-publish","format-standard","hentry","category-pais-vasco-euskal-herriko-unibertsitatea","category-radiologia","tag-enrique-mostacero-miguel","tag-francisco-purroy-garcia","tag-gerard-pinol-ripoll","tag-ivan-aguirregoicoa-olabarrieta","tag-juan-carlos-martin-urreta","tag-luis-garcia-sancho-martin"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117173","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=117173"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117173\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=117173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=117173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=117173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}