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Aneurisma Gigante en arteria comunicante anterior: Reporte de Caso

Hernández-Peralta, Israel; Cartagena Torres, Regina; Cid Hernández, Francisco Javier; Martínez Gerónimo, Nallely; Portillo Bonilla, Ricardo


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{
  "inLanguage": {
    "alternateName": "spa", 
    "@type": "Language", 
    "name": "Spanish"
  }, 
  "description": "<p><strong>RESUMEN</strong></p>\n\n<p>Los aneurismas son lesiones adquiridas relacionadas con estr&eacute;s hemodin&aacute;mico de las paredes de los vasos sangu&iacute;neas, com&uacute;nmente originados en las bifurcaciones arteriales. Presentan una incidencia entre el 0.4% y el 6% en la poblaci&oacute;n general, sin embargo, un gran n&uacute;mero de estos casos suelen pasar desapercibidos.&nbsp;<br>\n&nbsp;<br>\nEl riesgo de ruptura de los aneurismas depende de su localizaci&oacute;n, tama&ntilde;o, forma e historia previa de HSA. La mayor&iacute;a de los aneurismas intracraneales son asintom&aacute;ticos a menos que presenten una ruptura, por lo que generalmente se encuentran en forma incidental. La aparici&oacute;n de signos y s&iacute;ntomas es de instauraci&oacute;n s&uacute;bita; en un individuo que por lo general no presentaba alteraciones neurol&oacute;gicas previas. El inicio de los s&iacute;ntomas frecuentemente est&aacute; precedido por una actividad f&iacute;sica intensa. &nbsp;<br>\n&nbsp;<br>\nPaciente femenino de 48 a&ntilde;os de edad residente de Tulancingo Hidalgo con diagn&oacute;stico principal de Hemorragia subaracnoidea Fisher III, Hunt y Hess II, WFNS II, formaci&oacute;n de aneurisma gigante en arteria comunicante anterior; confirmado por TAC y angio TAC; tratamiento definitivo: craneotom&iacute;a pterional izquierda m&aacute;s colocaci&oacute;n de clipaje en aneurisma hipofisiario gigante; cuyo desenlace final es el deceso 7 d&iacute;as posteriores al acto quir&uacute;rgico.&nbsp;<br>\n&nbsp;<br>\nLa craneotom&iacute;a y el clipaje directo de un aneurisma intracraneal sin ruptura ha probado ser altamente efectivo para la obliteraci&oacute;n, sin embargo, la morbimortalidad postquir&uacute;rgica en pacientes con m&uacute;ltiples factores de riesgo es elevada y se relaciona con un mal pron&oacute;stico.</p>\n\n<p>&nbsp;</p>\n\n<p>&nbsp;</p>\n\n<p><strong>ABSTRACT</strong></p>\n\n<p>Intracranial aneurysms are acquired lesions related to shear stress of blood vessels walls, that often arise from the artery junctions. This entity presents an incidence between 0.4% and 6% in the general population, nevertheless a large portion of these cases may go undetected.&nbsp;<br>\n&nbsp;<br>\nThe risk of aneurysm rupture depends on its location, size, shape and prior history of SAH. Most intracranial aneurysms are asymptomatic unless they rupture, so they are found incidentally. The onset of signs and symptoms is sudden and quite vivid in an individual whose previous neurological state was normal, and frequently preceded by intense physical activity. &nbsp;<br>\n&nbsp;<br>\nA 48-year-old female patient from Tulancingo Hidalgo with a primary diagnosis of subarachnoid hemorrhage Fisher III, Hunt and Hess II, WFNS II, giant aneurysm formation in the anterior communicating artery; confirmed by CT and angio CT; definitive treatment: left pterional craniotomy plus giant pituitary aneurysm clipping; whose outcome is death 7 days after surgery.&nbsp;<br>\n&nbsp;<br>\nCraniotomy and direct clipping of an unruptured intracranial aneurysm has proved to be a highly efficient treatment for obliteration of the lesion, however, postsurgical morbimortality in patients with multiple risk factors is very high and often associated with a bad prognosis.</p>", 
  "license": "https://creativecommons.org/licenses/by/4.0/legalcode", 
  "creator": [
    {
      "affiliation": "Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Unidad Xochimilco. Ciudad de M\u00e9xico, M\u00e9xico.", 
      "@type": "Person", 
      "name": "Hern\u00e1ndez-Peralta, Israel"
    }, 
    {
      "affiliation": "Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Unidad Xochimilco. Ciudad de M\u00e9xico, M\u00e9xico.", 
      "@type": "Person", 
      "name": "Cartagena Torres, Regina"
    }, 
    {
      "affiliation": "Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Unidad Xochimilco. Ciudad de M\u00e9xico, M\u00e9xico.", 
      "@type": "Person", 
      "name": "Cid Hern\u00e1ndez, Francisco Javier"
    }, 
    {
      "affiliation": "Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Unidad Xochimilco. Ciudad de M\u00e9xico, M\u00e9xico.", 
      "@type": "Person", 
      "name": "Mart\u00ednez Ger\u00f3nimo, Nallely"
    }, 
    {
      "affiliation": "Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Unidad Xochimilco. Ciudad de M\u00e9xico, M\u00e9xico.", 
      "@type": "Person", 
      "name": "Portillo Bonilla, Ricardo"
    }
  ], 
  "headline": "Aneurisma Gigante en arteria comunicante anterior: Reporte de Caso", 
  "image": "https://zenodo.org/static/img/logos/zenodo-gradient-round.svg", 
  "datePublished": "2018-07-08", 
  "url": "https://zenodo.org/record/3903738", 
  "keywords": [
    "Aneurisma gigante", 
    "Aneurisma sacular", 
    "Hemorragia subaracnoidea aneurism\u00e1tica", 
    "Arteria comunicante anterior", 
    "Clipaje", 
    "Giant aneurysm", 
    "Saccular aneurysm", 
    "Aneurysmal subarachnoid hemorrhage", 
    "Anterior communicating artery", 
    "Clipping"
  ], 
  "@context": "https://schema.org/", 
  "identifier": "https://doi.org/10.5281/zenodo.3903738", 
  "@id": "https://doi.org/10.5281/zenodo.3903738", 
  "@type": "ScholarlyArticle", 
  "name": "Aneurisma Gigante en arteria comunicante anterior: Reporte de Caso"
}
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