{"id":16774,"date":"2002-08-05T00:00:00","date_gmt":"2002-08-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-de-la-spect-cerebral-con-tc99m-hm-pao-en-la-evaluacion-de-pacientes-con-crisis-epilepticas-de-aparicion-despues-de-los-45-anos\/"},"modified":"2002-08-05T00:00:00","modified_gmt":"2002-08-05T00:00:00","slug":"valor-de-la-spect-cerebral-con-tc99m-hm-pao-en-la-evaluacion-de-pacientes-con-crisis-epilepticas-de-aparicion-despues-de-los-45-anos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-de-la-spect-cerebral-con-tc99m-hm-pao-en-la-evaluacion-de-pacientes-con-crisis-epilepticas-de-aparicion-despues-de-los-45-anos\/","title":{"rendered":"Valor de la spect cerebral con tc99m-hm pao en la evaluaci\u00f3n de pacientes con crisis epil\u00e9pticas de aparici\u00f3n despu\u00e9s de los 45 a\u00f1os"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ester Valiente Ibiza <\/strong><\/h2>\n<p>Introducci\u00f3n  las p\u00e9rdidas de conciencia son frecuentes en los adultos, debidas en gran parte a crisis epil\u00e9pticas y a s\u00edncopes, y hay pacients en los que cuesta diferenciar cual ha sido la causa. La tormograf\u00eda computerizada de emisi\u00f3n de fot\u00f3n \u00fanico (spect) estudia el flujo sangu\u00edneo cerebral regional (fscr) en patolog\u00edas neurol\u00f3gicas, entre ellas la epilepsia, pero no hay suficientes estudios que apliquen esta t\u00e9cnica cuando la crisis epil\u00e9pticas se inician despu\u00e9s de los 45 a\u00f1os.  objetivos  estudiar hallazgos en spect cerebral con tc99m-hmpao en pacientes con crisis espil\u00e9pticas y cuadros sincopales de inicio &gt;45 a\u00f1os, y comparar resultados con los hallados con otras exploraciones complementarias. Valorar utilidad spect cerebral a la hora del diagn\u00f3stico en pacientes con p\u00e9rdidas de conciencia.  pacientes y m\u00e9todos  se estudiaron 54 pacientes (42 con crisis epil\u00e9pticas y 12 con s\u00edncopes ambos de aparici\u00f3n a los 45 a\u00f1os o despu\u00e9s). Se realiz\u00f3 spect cerebral, eeg y tc cerebral intercr\u00edticos.  resultados  grupo de crisis tard\u00edas: 23 h (55%) y 19 m (45%); edad media h=65+\/-9 a\u00f1os y edad media m=67+\/-12 a\u00f1os; edad media inicio crisis = 64+\/-11 a\u00f1os. grupo s\u00edncope: 9h (75%) y 3 m(25%); edad media h= 65+\/-11 a\u00f1os y edad media m= 72+\/-4 a\u00f1os; edad media inicio s\u00edncope = 64+\/-10 a\u00f1os. Al comparar las variables estudiadas en ambas grupos observamos diferencias estad\u00edsticamente significativas respecto a: hallazgos ecg (p=0,03) (m\u00e1s lesi\u00f3n en s\u00edncope), correlaci\u00f3n spect-cl\u00ednica (p=0,02) (m\u00e1s en s\u00edncope), alteraciones spect (p=0,003) (m\u00e1s en crisis tard\u00edas), presencia \u00e1reas hipocaptaci\u00f3n (p=0,005) (m\u00e1s en crisis tard\u00edas), lesi\u00f3n spect de mayor tama\u00f1o que tc(p=0,02) (m\u00e1s en crisis tard\u00edas). Se calcul\u00f3 la sensibilidad (s), especificidad (e), valor predictivo positivo (vpp) y negativo (vpn) para la spect cerebral en fase interictal: s=79%, e=67%; vpp=89%; vpn= 47%.  discusi\u00f3n  a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor de la spect cerebral con tc99m-hm pao en la evaluaci\u00f3n de pacientes con crisis epil\u00e9pticas de aparici\u00f3n despu\u00e9s de los 45 a\u00f1os<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor de la spect cerebral con tc99m-hm pao en la evaluaci\u00f3n de pacientes con crisis epil\u00e9pticas de aparici\u00f3n despu\u00e9s de los 45 a\u00f1os <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ester Valiente Ibiza <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/05\/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>Mar\u00eda  Del Rosario Martin Gonzalez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge Mat\u00edas-guiu guia <\/li>\n<li>alonso Gonz\u00e1lez masegosa (vocal)<\/li>\n<li>jeronimo Sancho rieger (vocal)<\/li>\n<li>octavio Caballero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ester Valiente Ibiza Introducci\u00f3n las p\u00e9rdidas de conciencia son frecuentes en los adultos, debidas en gran parte [&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":[9,435,139,9343,37169,1880],"tags":[11859,52824,19429,11863,19427,52825],"class_list":["post-16774","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-medicina-del-trabajo","category-medicina-interna","category-medicina-nuclear","category-miguel-hernandez-de-elche","category-neurologia","tag-alonso-gonzalez-masegosa","tag-ester-valiente-ibiza","tag-jeronimo-sancho-rieger","tag-jorge-matias-guiu-guia","tag-maria-del-rosario-martin-gonzalez","tag-octavio-caballero"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16774","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=16774"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16774\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=16774"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=16774"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=16774"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}