{"id":58962,"date":"2007-12-06T00:00:00","date_gmt":"2007-12-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/edema-cerebral-de-bajo-grado-en-la-encefalopata%c2%ada-hepatica\/"},"modified":"2007-12-06T00:00:00","modified_gmt":"2007-12-06T00:00:00","slug":"edema-cerebral-de-bajo-grado-en-la-encefalopata%c2%ada-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/edema-cerebral-de-bajo-grado-en-la-encefalopata%c2%ada-hepatica\/","title":{"rendered":"Edema cerebral de bajo grado en la encefalopat\u00edahep\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Beatriz M\u00ednguez Rosique <\/strong><\/h2>\n<p>La presente tesis doctoral se compone de tres trabajos orientados a comprender la fisiopatolog\u00eda de la encefalopat\u00eda hep\u00e1tica. En primer lugar, incluye un estudio en pacientes con trombosis portal sin lesi\u00f3n hep\u00e1tica. Este estudio tiene la particularidad de ser el primero que realiza una valoraci\u00f3n del papel que juega la derivaci\u00f3n de sangre porto-sist\u00e9mica en la patogenia de la encefalopat\u00eda hep\u00e1tica. Investiga un grupo de pacientes utilizando una tecnolog\u00eda que hab\u00eda sido aplicada previamente en pacientes con cirrosis hep\u00e1tica, es decir, la resonancia magn\u00e9tica, con las t\u00e9cnicas de espectroscopia para valorar las concentraciones de diferentes mol\u00e9culas a nivel cerebral y el indice de trasferencia de magnetizaci\u00f3n, para estimar la presencia de edema cerebral de bajo grado, una evaluaci\u00f3n neuropsicol\u00f3gica completa para evidencia la presencia de encefalopat\u00eda m\u00ednima y el test de tolerancia oral a la glutamina para evaluar el metabolismo del amon\u00edaco. Los hallazgos demuestran las m\u00e1s recientes ideas en la patogenia de la encefalopat\u00eda hep\u00e1tica. Demuestra de forma inequ\u00edvoca que la derivaci\u00f3n de sangre porto-sist\u00e9mica sin lesi\u00f3n hep\u00e1tica puede ocasionar encefalopat\u00eda hep\u00e1tica y edema cerebral de bajo grado. El segundo y tercer estudios son complementarios. Inicialmente encontramos lesiones focales de la sustancia blanca detectadas con resonancia magn\u00e9tica en pacientes con encefalopat\u00eda hep\u00e1tica, observando que el volumen de estas lesiones disminu\u00eda tras la mejor\u00eda neurol\u00f3gica, una vez superado el episodio de encefalopat\u00eda. Los hallazgos son novedosos y abren la puerta a explorar la participaci\u00f3n de la barrera hemato-encef\u00e1lica en la g\u00e9nesis del edema cerebral. Tras este hallazgo realizamos un estudio que evalu\u00f3 a 27 pacientes afectos de cirrosis hep\u00e1tica en lista de trasplante hep\u00e1tico, por medio de resonancia magn\u00e9tica para evaluar si presentaban lesiones focales en la sustancia blanca y el volumen de las mismas, as\u00ed como<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Edema cerebral de bajo grado en la encefalopat\u00edahep\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Edema cerebral de bajo grado en la encefalopat\u00edahep\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Beatriz M\u00ednguez Rosique <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/06\/2007<\/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>Juan C\u00f3rdoba Cardona<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Esteban  mur <\/li>\n<li>joan Montaner villalonga (vocal)<\/li>\n<li>antoni Mas ordeig (vocal)<\/li>\n<li> Santos vicentes Francisco Javier (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Beatriz M\u00ednguez Rosique La presente tesis doctoral se compone de tres trabajos orientados a comprender la fisiopatolog\u00eda [&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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