{"id":17357,"date":"2002-11-06T00:00:00","date_gmt":"2002-11-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-fibra-aislada-con-estimulacion-electrica-axonal-en-el-musculo-orbicular-de-los-parpados-tecnica-y-resultados-diagnosticos-en-la-miastenia-gravis-ocular\/"},"modified":"2002-11-06T00:00:00","modified_gmt":"2002-11-06T00:00:00","slug":"estudio-de-fibra-aislada-con-estimulacion-electrica-axonal-en-el-musculo-orbicular-de-los-parpados-tecnica-y-resultados-diagnosticos-en-la-miastenia-gravis-ocular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-fibra-aislada-con-estimulacion-electrica-axonal-en-el-musculo-orbicular-de-los-parpados-tecnica-y-resultados-diagnosticos-en-la-miastenia-gravis-ocular\/","title":{"rendered":"Estudio de fibra aislada con estimulaci\u00f3n el\u00e9ctrica axonal en el m\u00fasculo orbicular de los p\u00e1rpados: t\u00e9cnica y resultados diagn\u00f3sticos en la miastenia gravis ocular"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Mercedes Gonz\u00e1lez Hidalgo <\/strong><\/h2>\n<p>Introducci\u00f3n  el diagn\u00f3stico de la miastenia gravis en su forma exclusivamente ocular es considerablemente m\u00e1s dif\u00edcil que las formas generalizadas de la enfermedad, incluso cuando se examinan m\u00fasculos faciales. En las formas oculares las caracter\u00edsticas cl\u00ednicas de la miastenia no suelen estar todas presentes y los estudios neurofisiol\u00f3gicos convencionales pueden ser negativos. La ausencia de un verdadero test definitivo (gold est\u00e1ndar o patr\u00f3n oro) dificultad enormemente el diagn\u00f3stico de la miastenia gravis ocular (mgo).  objetivos  determinar la utilidad de los estudios de fibra aislada con estimulaci\u00f3n el\u00e9ctrica axonal (sfemg-ea) en el m\u00fasculo orbicular de los p\u00e1rpados en la mgo.  pacientes y m\u00e9todos  se estudian 142 pacientes con el diagn\u00f3stico cl\u00ednico de sospecha de mgo (mujeres; 96, hombres: 46; rango de edad: 10-87). El diagn\u00f3stico de mgo se fundamenta en la historia cl\u00ednica, pruebas faramcol\u00f3gicas, estudios neurofisiol\u00f3gicos e inmunol\u00f3gicos siguiendo los criterios diagn\u00f3sticos internacionales. Se agruparon siguiendo la clasificaci\u00f3n de osserman (tipos i y iia) y se correlacionaron con los hallazgos neurofisiol\u00f3gicos (sfemg-ea). se estimaron las curvas de rendimiento diagn\u00f3stico para determinar la m\u00e1xima sensibilidad y especificidad de la mgo y la obtenci\u00f3n de una prueba positiva.  resultados  se observaron las siguientes formas cl\u00ednicas: tipo i (20 pacientes), tipo iia (38 pacientes), sin patolog\u00eda (20 pacientes) y otras patolog\u00edas neurol\u00f3gicas no miast\u00e9nicas (64 pacientes). En mgo i la sensibilidad fue del 65% y la especificidad del 97,5%. En la mgo iia la sensibilidad fue del 94,3% y la especificidad del 98,75 (ic:95%).  conclusiones  sfemg-ea en el m\u00fasculo orbicular de los p\u00e1rpados en un test neurofisiol\u00f3gico valido para detectar mgo y las fases precoces de la miastenia generalizada, con buena correlaci\u00f3n cl\u00ednica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de fibra aislada con estimulaci\u00f3n el\u00e9ctrica axonal en el m\u00fasculo orbicular de los p\u00e1rpados: t\u00e9cnica y resultados diagn\u00f3sticos en la miastenia gravis ocular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de fibra aislada con estimulaci\u00f3n el\u00e9ctrica axonal en el m\u00fasculo orbicular de los p\u00e1rpados: t\u00e9cnica y resultados diagn\u00f3sticos en la miastenia gravis ocular <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Mercedes Gonz\u00e1lez Hidalgo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/06\/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> Mart\u00ednez Verano Juan  Alberto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: arturo Fern\u00e1ndez-cruz p\u00e9rez <\/li>\n<li>Manuel Rosety plaza (vocal)<\/li>\n<li>Antonio Vela bueno (vocal)<\/li>\n<li>cristina Franco carcedo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Mercedes Gonz\u00e1lez Hidalgo Introducci\u00f3n el diagn\u00f3stico de la miastenia gravis en su forma exclusivamente ocular es [&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":[155,9,139,1880,988],"tags":[4862,1777,54400,54398,1553,54399],"class_list":["post-17357","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-medicina-interna","category-neurologia","category-oftalmologia","tag-antonio-vela-bueno","tag-arturo-fernandez-cruz-perez","tag-cristina-franco-carcedo","tag-m-mercedes-gonzalez-hidalgo","tag-manuel-rosety-plaza","tag-Martinez-verano-juan-alberto"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17357","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=17357"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17357\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}