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Sánchez Arguiano, M. Arlabán Carpintero, Y. Peñasco Martín" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Sánchez Arguiano" "email" => array:2 [ 0 => "o414@humv.es" 1 => "mjuncalsar@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Arlabán Carpintero" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "Peñasco Martín" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hematoma subdural de repetición" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 722 "Ancho" => 950 "Tamanyo" => 86100 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 66-year-old male was referred from a chronic patients center due to spontaneous lowered level of consciousness evidenced by a Glasgow coma score of 9. As relevant history, he presented a right acute subdural hematoma three months ago, secondary to an accidental fall, with surgical treatment (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, arrows, old craniectomy). Mild motor sequelae remained, of which the patient was recovering in the mentioned center. During admission to the latter, he was also diagnosed with a left chronic subdural hematoma. A new CAT scan revealed a hyperintense signal (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, asterisk) in the zone of the old chronic hematoma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, symbol +), suggestive of spontaneous acute hemorrhage with an important expansive effect. Emergency surgery was carried out, followed by admission to intensive care. This is a patient with repeat subdural hematomas in the absence of associated malformations, antecedents of hematological disorders and/or other predisposing factors.</p><elsevierMultimedia ident="fig0005"></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: Sánchez Arguiano J, Arlabán Carpintero M, Peñasco Martín Y. Hematoma subdural de repetición. Med Intensiva. 2019;43:257.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 722 "Ancho" => 950 "Tamanyo" => 86100 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000004/v2_201905020913/S2173572719300608/v2_201905020913/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/21735727/0000004300000004/v2_201905020913/S2173572719300608/v2_201905020913/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300608?idApp=WMIE" ]
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