{"id":23341,"date":"2003-05-06T00:00:00","date_gmt":"2003-05-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-neurofisiologica-de-la-encefalopatia-hepatica-minima-y-del-sueno-en-pacientes-cirroticos-modificaciones-con-el-trasplante-hepatico\/"},"modified":"2003-05-06T00:00:00","modified_gmt":"2003-05-06T00:00:00","slug":"evaluacion-neurofisiologica-de-la-encefalopatia-hepatica-minima-y-del-sueno-en-pacientes-cirroticos-modificaciones-con-el-trasplante-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/evaluacion-neurofisiologica-de-la-encefalopatia-hepatica-minima-y-del-sueno-en-pacientes-cirroticos-modificaciones-con-el-trasplante-hepatico\/","title":{"rendered":"Evaluacion neurofisiologica de la encefalopatia hepatica minima y del sue\u00f1o en pacientes cirroticos. modificaciones con el trasplante hepatico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jose Fernandez Lorente <\/strong><\/h2>\n<p>1.La mayor\u00eda de los pacientes cirr\u00f3ticos en lista de espera de trasplante hep\u00e1tico presentan ehm. Esta se caracteriza por lentificaci\u00f3n del eeg y retraso de la p300 y, en mentor menor medida, por una disminuci\u00f3n del rendimiento psicomotor.  2. Transcurrido un a\u00f1o del trasplante hep\u00e1tico, la mayor\u00eda de las anomal\u00edas citadas se normalizan. El potencial evocado p300, aunque mejora, contin\u00faa retrasado, lo que indica una reversibilidad parcial de las alteraciones cognitivas al a\u00f1o del trasplante hep\u00e1tico. Esta alteraci\u00f3n en m\u00e1s acusada en los pacientes cirr\u00f3ticos con mayor alteraci\u00f3n cognitiva antes del trasplante hep\u00e1tico.  3. La polisomnograf\u00eda en pacientes cirr\u00f3ticos sin eh evidente muestra alteraciones en el inicio, mantenimiento y estructura del sue\u00f1o que revierten al a\u00f1o del trasplante hep\u00e1tico. No existe relaci\u00f3n entre estas alteraciones del sue\u00f1o y los par\u00e1metros de la ehm, sugiriendo que son procesos independientes.  4. Entre las alteraciones del sue\u00f1o objetivadas en estos pacientes, el aumento de la latencia de sue\u00f1o, junto con la disminuci\u00f3n del n\u00famero de ciclos de sue\u00f1o y de la fase rem, y el aumento de sue\u00f1o profundo, podr\u00eda ser compatible con la presencia de un retraso del ciclo sue\u00f1o &#8211; vigilia en la cirrosis hep\u00e1tica.  5. En resumen, se puede afirmar que el estudio neurofisiol\u00f3gico de la funci\u00f3n cerebral en pacientes cirr\u00f3ticos permite detectar peque\u00f1as alteraciones y monitorizar su evoluci\u00f3n, por lo que es recomendable su utilizaci\u00f3n en la valoraci\u00f3n y seguimiento de estos pacientes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluacion neurofisiologica de la encefalopatia hepatica minima y del sue\u00f1o en pacientes cirroticos. modificaciones con el trasplante hepatico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluacion neurofisiologica de la encefalopatia hepatica minima y del sue\u00f1o en pacientes cirroticos. modificaciones con el trasplante hepatico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jose Fernandez Lorente <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/06\/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> Gaztelu Quijano Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>gregorio Castellano tortajada (vocal)<\/li>\n<li>Jos\u00e9 Simon martin (vocal)<\/li>\n<li>angel Esteban garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jose Fernandez Lorente 1.La mayor\u00eda de los pacientes cirr\u00f3ticos en lista de espera de trasplante hep\u00e1tico presentan [&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":[17426],"tags":[69266,65242,69265,69264,17613,14431],"class_list":["post-23341","post","type-post","status-publish","format-standard","hentry","category-alcala","tag-angel-esteban-garcia","tag-gaztelu-quijano-jose-m","tag-gregorio-castellano-tortajada","tag-jose-fernandez-lorente","tag-jose-simon-martin","tag-melchor-alvarez-de-mon-soto"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/23341","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=23341"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/23341\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=23341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=23341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=23341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}