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Academia Mexicana de Neurología, A.C.

2007, Número 1

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Rev Mex Neuroci 2007; 8 (1)


Manifestaciones neurológicas de la disección aórtica

Romero VS, Ruiz-Sandoval JL, Álvarez-Palazuelos LE

Idioma: Español
Referencias bibliográficas: 35
Paginas: 71-74
Archivo PDF: 366.78 Kb.


RESUMEN

Objetivo: Reconocer las manifestaciones neurológicas de la disección aórtica (DA), una patología cardiovascular infrecuente, pero potencialmente grave que suele ser subdiagnosticada en la práctica clínica diaria. Desarrollo: La DA comienza con un desgarro de la íntima, con mayor frecuencia en la aorta ascendente, seguido de la formación de un falso lumen en la capa media de la pared arterial. Además de los daños inherentes al sistema cardiovascular, los síntomas neurológicos se observan en aproximadamente 18 a 30% de los pacientes. Las complicaciones neurológicas se pueden presentar como infartos cerebrales, infartos medulares, isquemia de nervios periféricos y las resultantes de la compresión directa por la disección. El principal factor que determina los síntomas neurológicos depende del sitio de la lesión. Conclusiones: Las complicaciones neurológicas en la DA son la principal causa de mortalidad y discapacidad, de ahí que el diagnóstico y tratamiento oportunos sean esenciales para impactar en la evolución favorable de los pacientes.


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