{"id":2727,"date":"1994-01-01T00:00:00","date_gmt":"1994-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1994\/01\/01\/infartos-isquemicos-lacunares-estudio-clinico-radiologico-y-analisis-de-factores-pronosticos\/"},"modified":"1994-01-01T00:00:00","modified_gmt":"1994-01-01T00:00:00","slug":"infartos-isquemicos-lacunares-estudio-clinico-radiologico-y-analisis-de-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/infartos-isquemicos-lacunares-estudio-clinico-radiologico-y-analisis-de-factores-pronosticos\/","title":{"rendered":"Infartos isquemicos lacunares: estudio clinico-radiologico y analisis de factores pronosticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angeles Cervello Donderis <\/strong><\/h2>\n<p>Fundamento. En la actualidad se cuestiona la individualidad nosologica de los infartos lacunares (il) al considerar que estas lesiones podrian reconocer una etiolog\u00eda similar a los infartos corticales, de los que se distinguirian tan solo por su menor tama\u00f1o y su localizacion subcortical. Metodos. Estudiamos una serie de 170 pacientes consecutivos con il demostrados por tomografia computada (tc). Las lesiones se consideraron peque\u00f1as si eran &lt; 5mm y grandes si eran 5mm. Al mismo tiempo se establecio una escala de 8 grados teniendo en cuenta el numero y tama\u00f1o de las lagunas. La evolucion clinica inmediata se clasifico segun la escala de mckissock. Resultados. Una proporcion significativamente mayor de pacientes con infartos mayor de 5mm eran diabeticos (p=0,002), consumian alcohol y tabaco (p=0,038), y tenian cifras altas de volumen corpuscular medio (vcm,p=0,009) y hematies (p=0,031). Los factores mas estrechamente ligados al tama\u00f1o de las lagunas en el analisis multivariante fueron la diabetes mellitus, el vcm, los antecedentes de ictus y la edad, estos dos ultimos con mayor peso en los pacientes con infartos grandes ( 5mm). Los principales predictores de la evolucion clinica fueron el tama\u00f1o de las lagunas en la tc (p&lt;0,001), la edad (p=0,003), las alteraciones del electroencefalograma (p=0,003) y los trastornos de la motilidad facial (p=0,053, en el limite de significacion). Conclusiones.  los pacientes con infartos lacunares constituyen, desde el punto de vista del tama\u00f1o de las lesiones, una poblacion heterogenea integrada al menos por dos subgrupos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infartos isquemicos lacunares: estudio clinico-radiologico y analisis de factores pronosticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infartos isquemicos lacunares: estudio clinico-radiologico y analisis de factores pronosticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angeles Cervello Donderis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1994<\/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>Carlos Barcia Mari\u00f1o<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Adolfo Benages Martinez <\/li>\n<li> Marti Vilalta Jos\u00e9 Luis (vocal)<\/li>\n<li>Jos\u00e9 Angel Berciano Blanco (vocal)<\/li>\n<li>Eduardo Tolosa Sarr\u00f3 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angeles Cervello Donderis Fundamento. En la actualidad se cuestiona la individualidad nosologica de los infartos lacunares (il) [&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":[155,9,139,1880,2046],"tags":[11564,11562,11563,1286,11565,1318],"class_list":["post-2727","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-medicina-interna","category-neurologia","category-radiologia","tag-adolfo-benages-Martinez","tag-angeles-cervello-donderis","tag-carlos-barcia-marino","tag-eduardo-tolosa-sarro","tag-jose-angel-berciano-blanco","tag-marti-vilalta-jose-luis"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/2727","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=2727"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/2727\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=2727"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=2727"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=2727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}