{"id":15771,"date":"2018-03-09T09:03:04","date_gmt":"2018-03-09T09:03:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/papel-de-la-resonancia-magnetica-en-el-diagnostico-del-sindrome-de-la-medula-anclada-en-la-infancia\/"},"modified":"2018-03-09T09:03:04","modified_gmt":"2018-03-09T09:03:04","slug":"papel-de-la-resonancia-magnetica-en-el-diagnostico-del-sindrome-de-la-medula-anclada-en-la-infancia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/papel-de-la-resonancia-magnetica-en-el-diagnostico-del-sindrome-de-la-medula-anclada-en-la-infancia\/","title":{"rendered":"Papel de la resonancia magnetica en el diagn\u00f3stico del sindrome de la m\u00e9dula anclada en la infancia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Carlos Paniagua Escudero <\/strong><\/h2>\n<p>El s\u00edndrome de la m\u00e9dula anclada se refiere al deterioro neurol\u00f3gico progresivo en los niveles medulares inferiores resultante de una tracci\u00f3n del cono medular. Esta tracci\u00f3n es debida en general a la presencia de un disrafismo espinal. La importancia de este tipo de patolog\u00eda radica en su frecuencia y en la gravedad funcional que condiciona.  se han recogido 82 casos de disrafismo espinal, habi\u00e9ndolos dividido en dos grandes grupos dependiendo de la existencia de antecedentes quir\u00fargicos por disrafismo, obteniendo un grupo de s\u00edndrome de m\u00e9dula anclada primaria de 42 pacientes sin antecedentes quir\u00fargicos, y otro de s\u00edndrome de m\u00e9dula anclada secundaria de 40 pacientes intervenidos de disrafimos. Se han obtenido datos cl\u00ednicos, hallazgos en rm y hallazgos quir\u00fargicos para establecer una correlaci\u00f3n entre todos ellos y el papel que desarrolla la rm en este tipo de patolog\u00eda.  la rm se muestra como una t\u00e9cnica diagn\u00f3stica muy sensible para el diagnostico de los disrafismo espinales y para la localizaci\u00f3n del cono medular, con una sensibilidad del 79% para la caracterizaci\u00f3n de los lipomielomeningoceles y del 100% para la detecci\u00f3n del lipoma intrarraqu\u00eddeo respecto a los hallazgos quir\u00fargicos.  la rm sirve para la detecci\u00f3n y caracterizaci\u00f3n de otras lesiones asociadas como la presencia de una hidrocefalia obstructiva, hidrosiringomielia, lesiones inflamatorias asociadas a seno d\u00e9rmico, quistes dermoides y epidermoides y malformaci\u00f3n de chiari ii.  tras una intervenci\u00f3n por un disrafismo con anclaje medular; el estudio por rm muestra invariablmente un cono medular descendido, independientemente de la progresi\u00f3n o no del cuadro cl\u00ednico, dificultando el diagn\u00f3stico de reanclaje.  la ausencia de lcr entre las \u00faltimas l\u00e1minas superiores al defecto y al aspecto dorsal del cono sugieren reanclaje cicatricial. Otro dato indirecto que puede indicar anclaje medular es el desplazamiento ventral medular en el t<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Papel de la resonancia magnetica en el diagn\u00f3stico del sindrome de la m\u00e9dula anclada en la infancia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Papel de la resonancia magnetica en el diagn\u00f3stico del sindrome de la m\u00e9dula anclada en la infancia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Carlos Paniagua Escudero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/02\/2002<\/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>Jaime Broseta Rodrigo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas S\u00e1nchez ledesma <\/li>\n<li>Luis Marti-bonmati (vocal)<\/li>\n<li>guillermo Garc\u00eda march (vocal)<\/li>\n<li>martin Aparicio meson (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Carlos Paniagua Escudero El s\u00edndrome de la m\u00e9dula anclada se refiere al deterioro neurol\u00f3gico progresivo 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 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