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Bellido-Alba, J.J. Egea-Guerrero, A. Lopez-Gonzalez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "R." "apellidos" => "Bellido-Alba" "email" => array:1 [ 0 => "bellidoalba@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "J.J." "apellidos" => "Egea-Guerrero" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Lopez-Gonzalez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Unidad de Cuidados Neurocríticos, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Instituto de Biomedicina de Sevilla-Consejo Superior de Investigaciones Científicas, Universidad de Sevilla, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Unidad de Neurocirugía, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rotura aneurismática aguda en paciente con HSA grave objetivada en AngioTC craneal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1180 "Ancho" => 2499 "Tamanyo" => 365334 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 37-year-old woman with no relevant disease history was admitted to our Intensive Care Unit with a diagnosis of spontaneous subarachnoid hemorrhage (SAH) (Hunt-Hess II, Fisher IV). She suddenly suffered a decrease in consciousness to 3 points on the Glasgow coma score, with bilateral nonreactive mydriasis. A new tomographic exploration was immediately performed, including angioCT, revealing hyperacute repeat bleeding (see arrows numbered as 2, <a class="elsevierStyleCrossRef" href="#fig1">Fig. 1</a>) originating from an aneurysm (see arrows numbered as 1, <a class="elsevierStyleCrossRef" href="#fig1">Fig. 1</a>) dependent upon the anterior communicating artery (ACoA). Emergent neurosurgery was performed, with attempted surgical clipping, though without success. The patient unfortunately died as a result of brain death.</p><elsevierMultimedia ident="fig1"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Bellido-Alba R, Egea-Guerrero JJ, Lopez-Gonzalez A. Rotura aneurismática aguda en paciente con HSA grave objetivada en AngioTC craneal. Med Intensiva. 2017;41:199.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1180 "Ancho" => 2499 "Tamanyo" => 365334 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004100000003/v1_201704120039/S2173572717300310/v1_201704120039/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004100000003/v1_201704120039/S2173572717300310/v1_201704120039/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717300310?idApp=WMIE" ]
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