{"id":24701,"date":"2018-03-09T09:15:45","date_gmt":"2018-03-09T09:15:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/imagen-y-espectroscopia-de-resonancia-magnetica-en-la-evaluacion-prequirurgica-de-la-epilepsia-parcial-refractaria\/"},"modified":"2018-03-09T09:15:45","modified_gmt":"2018-03-09T09:15:45","slug":"imagen-y-espectroscopia-de-resonancia-magnetica-en-la-evaluacion-prequirurgica-de-la-epilepsia-parcial-refractaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/imagen-y-espectroscopia-de-resonancia-magnetica-en-la-evaluacion-prequirurgica-de-la-epilepsia-parcial-refractaria\/","title":{"rendered":"Imagen y espectroscopia de resonancia magn\u00e9tica en la evaluaci\u00f3n prequir\u00fargica de la epilepsia parcial refractaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Elena Pastor Pons <\/strong><\/h2>\n<p>En este estudio se ha aplicado un protocolo de resonancia magn\u00e9tica de imagen y espectroscopia a un grupo de pacientes con epilepsia refractaria subsidiarios a cirug\u00eda empleando t\u00e9cnicas especiales para el an\u00e1lisis de los l\u00f3bulos temporal y frontal en concreto a la regi\u00f3n t\u00e9mporo-mesial.  se ha obtenido el diagn\u00f3stico de los sustratos lesionales responsables de las crisis con resultados de sensibilidad y especificidad elevados. el sustrato lesional m\u00e1s frecuente en estos pacientes es la esclerosis temporal mesial que consiste b\u00e1sicamente en la atrof\u00eda y gliosis del hipocampo. al emplear t\u00e9cnicas de an\u00e1lisis cualitativo y cuantitativo como la volumetr\u00eda y la relaxometr\u00eda hipocampal se mejoran los resultados de sensibilidad y especificidad diagn\u00f3stica para esta entidad y se han podido efectuar estudios de correlaci\u00f3n. Tambi\u00e9n ha sido posible el diagn\u00f3stico de otros sustratos lesionales como los tumores, las malformaciones corticales y vasculares y los quistes cong\u00e9nitos. Todo ello puede ayudar neurocirujano a planear la cirug\u00eda.  el empleo de irm en los pacientes con esclerosis t\u00e9mporo-mesial ha demostrado que la atrofia y la gliosis del hipocampo puede ser una enfermedad progresiva que se agrava con el tiempo y que por lo tanto el tratamiento est\u00e1 indicado.  aunque el patr\u00f3n de oro de lateralizaci\u00f3n del foco eplept\u00f3geno en estos pacientes corresponde a la obtenida con eletroencefalogr\u00e1fia ictal, queda demostrado que los hallazgos de lateralizaci\u00f3n con irm presentan una fuerte correlaci\u00f3n con la del eeg interictal e ictal, por lo que en algunos casos se pueden obviar la monitorizaci\u00f3n con v\u00eddeo-eeg y la electroencefalograf\u00eda intracraneal, t\u00e9cnicas que resultan costosas y agresivas.  con el empleo de irm se ha podido clasificar los tipos de epilepsias paraciales por la localizaci\u00f3n frontal tambi\u00e9n debe ser considerada.  la espectroscopia con resonancia magn\u00e9tica es una t\u00e9cnica en expansi\u00f3n, uy espera<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Imagen y espectroscopia de resonancia magn\u00e9tica en la evaluaci\u00f3n prequir\u00fargica de la epilepsia parcial refractaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Imagen y espectroscopia de resonancia magn\u00e9tica en la evaluaci\u00f3n prequir\u00fargica de la epilepsia parcial refractaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Elena Pastor Pons <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/07\/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>Fernando Machado Quintana<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: raimundo Garc\u00eda delmoral garrido <\/li>\n<li>Miguel P\u00e9rez Garc\u00eda (vocal)<\/li>\n<li>Manuel Mart\u00ednez morillo (vocal)<\/li>\n<li>Miguel \u00e1ngel Arr\u00e1ez sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Elena Pastor Pons En este estudio se ha aplicado un protocolo de resonancia magn\u00e9tica de imagen y [&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":[1],"tags":[72419,72420,8198,66392,22256,21723],"class_list":["post-24701","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-elena-pastor-pons","tag-fernando-machado-quintana","tag-manuel-Martinez-morillo","tag-miguel-angel-arraez-sanchez","tag-miguel-perez-garcia","tag-raimundo-garcia-delmoral-garrido"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24701","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=24701"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24701\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=24701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=24701"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=24701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}