{"id":343103,"date":"2015-05-30T02:00:00","date_gmt":"2015-05-30T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/signos-neurorradiologicos-y-tratamiento-neuroquirurgico\/"},"modified":"2015-05-30T02:00:00","modified_gmt":"2015-05-30T00:00:00","slug":"signos-neurorradiologicos-y-tratamiento-neuroquirurgico","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/es\/signos-neurorradiologicos-y-tratamiento-neuroquirurgico\/","title":{"rendered":"Signos neurorradiol\u00f3gicos y tratamiento neuroquir\u00fargico"},"content":{"rendered":"<p><strong><em>Descripci\u00f3n del caso: <\/em>Informamos sobre una paciente de 43 a\u00f1os que hab\u00eda sufrido una convulsi\u00f3n por primera vez el verano pasado. El examen completo de la epilepsia no revel\u00f3 ning\u00fan potencial epilepsia-t\u00edpico. Sin embargo, en el curso de una aclaraci\u00f3n posterior, se revel\u00f3 como hallazgo incidental en la resonancia magn\u00e9tica una hidrocefalia oclusiva clara con estenosis proximal del acueducto.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p><strong>Diagn\u00f3stico por RM: <\/strong>El diagn\u00f3stico por RM mostr\u00f3 unos ventr\u00edculos supratentoriales claramente dilatados con un cuarto ventr\u00edculo estrecho en las im\u00e1genes axiales T2-w <strong>(Fig.&nbsp;1)<\/strong>.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-5695\" alt=\"\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0.jpg\" style=\"height:353px; width:600px\" width=\"1100\" height=\"648\" srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0.jpg 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-800x471.jpg 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-120x71.jpg 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-90x53.jpg 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-320x189.jpg 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-560x330.jpg 560w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/p>\n<p>Las im\u00e1genes sagitales mostraron una estenosis proximal del acueducto con un grave vac\u00edo de flujo en el acueducto. Otros signos de hidrocefalia oclusiva en la estenosis del acueducto fueron <strong>(Fig. 2)<\/strong>:<\/p>\n<p><strong>A) <\/strong>Elevaci\u00f3n y adelgazamiento del cuerpo calloso<br \/>\n<strong>B) <\/strong>Elevaci\u00f3n del techo del tercer ventr\u00edculo<br \/>\n<strong>C) <\/strong>Extensi\u00f3n del resseco suprapineal<br \/>\n<strong>D) <\/strong>Compresi\u00f3n del suelo del tercer ventr\u00edculo contra el dorso selar<br \/>\n<strong>E) <\/strong>Dilataci\u00f3n del receso infundibular<br \/>\n<strong>F) <\/strong>Aplanamiento y desplazamiento caudal del quiasma \u00f3ptico<br \/>\n<strong>G <\/strong>) Balonamiento de la l\u00e1mina terminal.<\/p>\n<p><img decoding=\"async\" class=\"size-full wp-image-5696 lazyload\" alt=\"\" data-src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20.jpg\" style=\"--smush-placeholder-width: 1100px; --smush-placeholder-aspect-ratio: 1100\/845;height:461px; width:600px\" width=\"1100\" height=\"845\" data-srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20.jpg 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-800x615.jpg 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-120x92.jpg 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-90x68.jpg 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-320x246.jpg 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-560x430.jpg 560w\" data-sizes=\"(max-width: 1100px) 100vw, 1100px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/p>\n<p><strong>Conclusi\u00f3n:<\/strong> Tras la convulsi\u00f3n, se diagnostic\u00f3 a la paciente hidrocefalia oclusiva masiva con estenosis acueductal mediante resonancia magn\u00e9tica. Si esta hidrocefalia caus\u00f3 la convulsi\u00f3n es cuestionable, pero no puede descartarse. Bas\u00e1ndose en las im\u00e1genes y los s\u00edntomas, hab\u00eda una clara recomendaci\u00f3n e indicaci\u00f3n de terapia quir\u00fargica en el sentido de una ventriculocisternostom\u00eda endosc\u00f3pica. El objetivo de la operaci\u00f3n es evitar el desarrollo posterior de demencia y los s\u00edntomas de la hidrocefalia cr\u00f3nica.<\/p>\n<p>Para saber m\u00e1s:<\/p>\n<ul>\n<li>Spennato P, et al: Tercer ventriculostom\u00eda endosc\u00f3pica para la estenosis acueductal idiop\u00e1tica. Neurocirug\u00eda Mundial 2013 Feb; 79(2 Suppl): S21.e13-20.<\/li>\n<\/ul>\n<p>\n<em>InFo NEUROLOG\u00cdA Y PSIQUIATR\u00cdA 2015; 13(3): 20-21<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Descripci\u00f3n del caso: Informamos sobre una paciente de 43 a\u00f1os que hab\u00eda sufrido una convulsi\u00f3n por primera vez el verano pasado. El examen completo de la epilepsia no revel\u00f3 ning\u00fan&hellip;<\/p>\n","protected":false},"author":7,"featured_media":50967,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Hidrocefalia oclusiva en la estenosis proximal del acueducto","footnotes":""},"category":[11493,11328,11441,11552],"tags":[46116,11788,46121,41627,27528],"powerkit_post_featured":[],"class_list":["post-343103","post","type-post","status-publish","format-standard","has-post-thumbnail","category-casos","category-neurologia","category-radiologia","category-rx-es","tag-convulsiones","tag-epilepsia-es","tag-estenosis-del-acueducto","tag-hidrocefalia-oclusiva","tag-irm-es-2","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-12 09:22:57","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"es_ES","wpml_translations":[],"_links":{"self":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/343103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/comments?post=343103"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/343103\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media\/50967"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media?parent=343103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/category?post=343103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/tags?post=343103"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/powerkit_post_featured?post=343103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}