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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La esclerosis tuberosa es un s&#237;ndrome neurocut&#225;neocaracterizado por el crecimiento de hamartomas en distintos&#243;rganos&#46; Son hallazgos t&#237;picos&#58; manchas cut&#225;neashipocr&#243;micas&#44; angiofibromas faciales&#44; n&#243;dulos subependimarios&#44;tub&#233;rculos corticales&#44; rabdomiomas card&#237;acos&#44;hamartomas retinianos&#44; etc&#46; Son frecuentes la epilepsia yel retraso psicomotor&#46; La herencia es autos&#243;mica dominante&#44;aunque muchos de los casos son espor&#225;dicos&#46; Raravez debutan en el per&#237;odo neonatal&#46;Se describe un reci&#233;n nacido a t&#233;rmino&#44; mujer&#44; sin antecedentesde inter&#233;s&#44; que ingresa al tercer d&#237;a de vida porpresentar crisis convulsivas cl&#243;nicas de miembros izquierdos&#46;A la exploraci&#243;n f&#237;sica presenta una arritmiacard&#237;aca con extras&#237;stoles&#44; siendo el resto normal&#46; Laecocardiograf&#237;a demostr&#243; la presencia de rabdomiomas&#46;La resonancia magn&#233;tica cerebral evidenci&#243; t&#250;beres corticalesy n&#243;dulos subependimarios&#46; En el examen de fondode ojo se encontr&#243; un hamartoma retiniano derecho&#46;Al mes de vida eran ya evidentes m&#225;culas cut&#225;neas acr&#243;micas&#46;En su evoluci&#243;n&#44; la ni&#241;a present&#243; espasmos infantilesy&#44; posteriormente&#44; crisis parciales complejas de dif&#237;cilcontrol farmacol&#243;gico asociadas a un grave retrasopsicomotor&#46; El estudio de los padres fue normal&#46;Queremos destacar la infrecuencia del diagn&#243;stico deesclerosis tuberosa durante el per&#237;odo neonatal&#44; as&#237; comoel car&#225;cter excepcional del debut en nuestra paciente comocrisis convulsivas en el per&#237;odo neonatal precoz&#44; pocasveces referido en la literatura&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Tuberous sclerosis is characterized by the potential forhamartomatous growth in multiple organs&#46; Common manifestationsare hypomelanotic spots&#44; facial angiofibromas&#44;subependymal hamartomas&#44; cortical tubers&#44; cardiacrhabdomyomas&#44; retinal hamartomas&#44; and so on&#46; Seizuresand mental retardation are frequent&#46; It is an autosomaldominant disease but there is a high percentage of spontaneousmutations&#46; Neonatal diagnosis is exceptional&#46;We report a case of a female term newborn who presentedpartial motor seizures at the third day of life&#46; Physicalexamination revealed only a disturbance of cardiacrhythm&#46; Echocardiography showed ventricular intramuralrhabdomyomas&#46; Magnetic resonance imaging disclosedperiventricular subependymal nodules and corticaltubers&#46; A retinal hamartoma was found in the right eye&#46;At the age of 1 month&#44; hypomelanotic spots were evidenton the back skin&#46; The patient had infantile spasms&#44; followedby poorly controlled partial complex seizures togetherwith severe psychomotor retardation&#46; Examinationof both parents was normal&#46;We discuss the uncommon diagnosis of tuberous sclerosisduring the neonatal period&#44; as well as the exceptionalmode of presentation of our patient&#44; with seizures inthe early neonatal period&#44; a phenomenon rarely reportedin the literature&#46;</p>"
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Crisis parciales en recién nacido con esclerosis tuberosa
Partial Seizures In A Newbornwith Tuberous Sclerosis
M.P. Falero Gallegoa,*, A. Verdú Pérezb, Y. López Lozanoa, A. Ureta Huertosa
a Sección de Neonatología. Servicio de Pediatría. Hospital Virgen de la Salud. Toledo.
b Unidad de Neuropediatría. Servicio de Pediatría. Hospital Virgen de la Salud. Toledo.
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      "en" => array:1 [
        "titulo" => "Partial Seizures In A Newbornwith Tuberous Sclerosis"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1999-04-30"
    "fechaAceptado" => "1999-08-31"
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          "titulo" => "Palabras clave"
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          "palabras" => array:4 [
            0 => "Esclerosis tuberosa"
            1 => "Reci&#233;n nacido"
            2 => "Rabdomioma card&#237;aco"
            3 => "Imagen por resonancia magn&#233;tica"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La esclerosis tuberosa es un s&#237;ndrome neurocut&#225;neocaracterizado por el crecimiento de hamartomas en distintos&#243;rganos&#46; Son hallazgos t&#237;picos&#58; manchas cut&#225;neashipocr&#243;micas&#44; angiofibromas faciales&#44; n&#243;dulos subependimarios&#44;tub&#233;rculos corticales&#44; rabdomiomas card&#237;acos&#44;hamartomas retinianos&#44; etc&#46; Son frecuentes la epilepsia yel retraso psicomotor&#46; La herencia es autos&#243;mica dominante&#44;aunque muchos de los casos son espor&#225;dicos&#46; Raravez debutan en el per&#237;odo neonatal&#46;Se describe un reci&#233;n nacido a t&#233;rmino&#44; mujer&#44; sin antecedentesde inter&#233;s&#44; que ingresa al tercer d&#237;a de vida porpresentar crisis convulsivas cl&#243;nicas de miembros izquierdos&#46;A la exploraci&#243;n f&#237;sica presenta una arritmiacard&#237;aca con extras&#237;stoles&#44; siendo el resto normal&#46; Laecocardiograf&#237;a demostr&#243; la presencia de rabdomiomas&#46;La resonancia magn&#233;tica cerebral evidenci&#243; t&#250;beres corticalesy n&#243;dulos subependimarios&#46; En el examen de fondode ojo se encontr&#243; un hamartoma retiniano derecho&#46;Al mes de vida eran ya evidentes m&#225;culas cut&#225;neas acr&#243;micas&#46;En su evoluci&#243;n&#44; la ni&#241;a present&#243; espasmos infantilesy&#44; posteriormente&#44; crisis parciales complejas de dif&#237;cilcontrol farmacol&#243;gico asociadas a un grave retrasopsicomotor&#46; El estudio de los padres fue normal&#46;Queremos destacar la infrecuencia del diagn&#243;stico deesclerosis tuberosa durante el per&#237;odo neonatal&#44; as&#237; comoel car&#225;cter excepcional del debut en nuestra paciente comocrisis convulsivas en el per&#237;odo neonatal precoz&#44; pocasveces referido en la literatura&#46;</p>"
      ]
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Tuberous sclerosis is characterized by the potential forhamartomatous growth in multiple organs&#46; Common manifestationsare hypomelanotic spots&#44; facial angiofibromas&#44;subependymal hamartomas&#44; cortical tubers&#44; cardiacrhabdomyomas&#44; retinal hamartomas&#44; and so on&#46; Seizuresand mental retardation are frequent&#46; It is an autosomaldominant disease but there is a high percentage of spontaneousmutations&#46; Neonatal diagnosis is exceptional&#46;We report a case of a female term newborn who presentedpartial motor seizures at the third day of life&#46; Physicalexamination revealed only a disturbance of cardiacrhythm&#46; Echocardiography showed ventricular intramuralrhabdomyomas&#46; Magnetic resonance imaging disclosedperiventricular subependymal nodules and corticaltubers&#46; A retinal hamartoma was found in the right eye&#46;At the age of 1 month&#44; hypomelanotic spots were evidenton the back skin&#46; The patient had infantile spasms&#44; followedby poorly controlled partial complex seizures togetherwith severe psychomotor retardation&#46; Examinationof both parents was normal&#46;We discuss the uncommon diagnosis of tuberous sclerosisduring the neonatal period&#44; as well as the exceptionalmode of presentation of our patient&#44; with seizures inthe early neonatal period&#44; a phenomenon rarely reportedin the literature&#46;</p>"
      ]
    ]
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ISSN: 16954033
Idioma original: Español
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2016 Junio 1 0 1
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2016 Abril 2 0 2
2016 Marzo 5 0 5
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2015 Diciembre 3 0 3
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2012 Diciembre 2 0 2
2012 Noviembre 2 0 2
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