{"id":22108,"date":"2018-03-09T09:12:09","date_gmt":"2018-03-09T09:12:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/spect-cerebral-intervencionista-en-la-valoracion-prequirurgica-de-la-epilepsia\/"},"modified":"2018-03-09T09:12:09","modified_gmt":"2018-03-09T09:12:09","slug":"spect-cerebral-intervencionista-en-la-valoracion-prequirurgica-de-la-epilepsia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/spect-cerebral-intervencionista-en-la-valoracion-prequirurgica-de-la-epilepsia\/","title":{"rendered":"Spect cerebral intervencionista en la valoraci\u00f3n prequir\u00fargica de la epilepsia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Xavier Setoain Perego <\/strong><\/h2>\n<p>Los pacientes con crisis parciales farmacorresistentes localizadas en el l\u00f3bulo temporal, pueden beneficiarse del tratamiento quir\u00fargico mediante una lobectom\u00eda temporal parcial. Por la ex\u00e9resis del hipocampo, la principal secuela a evitar de esta intervenci\u00f3n es la p\u00e9rdida de memoria. Por ello, antes de la cirug\u00eda se les realiza el test del amobarbital s\u00f3dico (tas) para lateralizar las funciones de memoria y lenguaje. E1 tas precisa de una arteriograf\u00eda carotidea, para la administraci\u00f3n intracarotidea del amobarbital s\u00f3dico, que provoca una anestesia cerebral transitoria de un hemisferio cerebral. Esto permite valorar la capacidad de memoria del hipocampo contralateral y permitir\u00e1 predecir el riesgo de amnesia antes de la intervenci\u00f3n. sin embargo, se ha visto que el test es poco fiable para predecir el riesgo de amnesia postquir\u00fargica, probablemente porque en algunos pacientes no se produce la inactivaci\u00f3n del hipocampo durante el tas.  los objetivos de este trabajo han sido realziar un spect cerebral durante el tas para conocer la distribuci\u00f3n intracerebral del amobarbital y compararlo con la angiograf\u00eda. Demostrar con un spect, que los falsos negativos del tas para predecir el riesgo de amnesia son debidos a una escasa inactivaci\u00f3n del hipocampo.  se han estudiado 40 pacientes con crisis parciales complejas del l\u00f3bulo temporal, a los que se les ha realizado un tas, una angiograf\u00eda digital, un spect cerebral y una lobectom\u00eda temporal. El seguimiento de la memoria tras la intervenci\u00f3n demostr\u00f3 que pacientes han desarrollado p\u00e9rdida de memoria.  los resultados demuestran que el spect cerebral realizado durante el tas permite conocer la distribuci\u00f3n intracerebral del amobarbital y, por tanto, determinar las regiones que han quedado anestesiadas o inactivadas durante el test. El territorio cerebral carotideo se inactiva, pero no ocurre lo mismo en el territorio vertebrobasilar. Adem\u00e1s, la disminuci\u00f3n de la perf<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Spect cerebral intervencionista en la valoraci\u00f3n prequir\u00fargica de la epilepsia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Spect cerebral intervencionista en la valoraci\u00f3n prequir\u00fargica de la epilepsia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Xavier Setoain Perego <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/03\/2003<\/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>Francesca Pons Pons<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ignasi Carri\u00f3 gasset <\/li>\n<li>Javier Banzo marraco (vocal)<\/li>\n<li>ignasi Juvells prades (vocal)<\/li>\n<li>Jaime Kulisevsky bojarski (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Xavier Setoain Perego Los pacientes con crisis parciales farmacorresistentes localizadas en el l\u00f3bulo temporal, pueden beneficiarse del [&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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