Disecciones Arteriales Extra e Intracraneanas
Abstract
Las disecciones arteriales, tanto extracraneanas como intracraneanas, son una patología que con el advenimiento de nuevas y más avanzadas formas de imagenología, han aumentado progresivamente en frecuencia, lo que obliga a su mayor comprensión. Esto nos obliga a manejar de mejor forma esta enfermedad, tanto desde el punto de vista etiopatogénico, como dominar su clínica y sospechar su presencia, para aplicar los medios diagnósticos más adecuados, y proceder a su terapia inmediata, la cual tanto del punto de vista de la terapia médica intensiva, como la quirúrgica y endovascular, se encuentran en pleno desarrollo, y frecuentemente se deben tomar decisiones caso por caso. Estos son los conceptos básicos, y más actualizados, que se exponen en ésta revisión.
The arterial dissections, so many extra cranial like intracranial, are a pathology that with the advent of new and more advanced forms of imagenology, they have increased progressively in frequency, which forces to his major comprehension. This forces us to handle of better form this disease, so much from the point of view etiopatogénic, like his clinic dominates and to suspect his presence, to apply the most suitable diagnostic means, and to proceed to his immediate therapy, which so much of the point of view of the medical intensive therapy, as the surgical one and endovascular, they are in full development, and frequently they must take decisions I marry for case. These are the basic concepts, and more updated, that are exposed in this one review.
The arterial dissections, so many extra cranial like intracranial, are a pathology that with the advent of new and more advanced forms of imagenology, they have increased progressively in frequency, which forces to his major comprehension. This forces us to handle of better form this disease, so much from the point of view etiopatogénic, like his clinic dominates and to suspect his presence, to apply the most suitable diagnostic means, and to proceed to his immediate therapy, which so much of the point of view of the medical intensive therapy, as the surgical one and endovascular, they are in full development, and frequently they must take decisions I marry for case. These are the basic concepts, and more updated, that are exposed in this one review.
Description
Vol. 32, No. 2