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EpidemiologÃa, presentación clÃnica, tratamiento y factores pronósticos de la hemorragia subaracnoidea aneurismática: Tratamiento quirúrgico y emboliz
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ISBN10: 3346001598
ISBN13: 9783346001597
Publisher: Grin Verlag
Published: Sep 11 2019
Pages: 48
Weight: 0.16
Height: 0.12 Width: 5.83 Depth: 8.27
Language: Spanish
ISBN13: 9783346001597
Publisher: Grin Verlag
Published: Sep 11 2019
Pages: 48
Weight: 0.16
Height: 0.12 Width: 5.83 Depth: 8.27
Language: Spanish
Documento del año 2019 en eltema Medicina - NeurologÃa, psiquiatrÃa, adicciones, Nota: 10, Universidad Europea de Madrid, Idioma: Español, Resumen: Hemorragia Subaracnoidea: La principal causa es el trauma. De las no traumáticas la causa más frecuente es la ruptura espontánea de aneurismas intracraneales. Representa del 70 al 90% de los casos. Los aneurismas suelen ser asintomáticos antes del sangrado. Se distribuyen en las grandes arterias, la mayorÃa en la circulación anterior (80-90%), más comúnmente en la unión de la arteria carótida interna con la arteria comunicante posterior, en la arteria comunicante anterior y en la trifurcación de la arteria cerebral media. El 10-20% restante se ubican en la circulación posterior, con frecuencia en la bifurcación de la arteria basilar. En un 10-20% de los casos se encuentran múltiples aneurismas. Otras más infrecuentes incluyen: Malformaciones arteriovenosas (MAV) Extensión de un sangrado intraparenquimatoso Hemorragia tumoral Aneurisma micótico Disección de arterias intracraneales Alteraciones de la coagulación Abuso de drogas (cocaÃna) Aneurismas y MAV medulares Vasculitis del sistema nervioso central. En un 10% de los casos existe un sangrado exclusiva o predominantemente perimesencefálico. Se denomina hemorragia subaracnoidea perimesencefálica o pretroncal. Su origen se desconoce, pero corresponderÃa a un sangrado venoso. Se diferencia del resto por la regular negatividad en su estudio angiográfico, y por su buen pronóstico y buena evolución.
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