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A) La OCT muestra una banda hiperreflectiva a nivel de la capa plexiforme externa y nuclear externa (flechas) junto a imágenes de desprendimiento del epitelio pigmentario retiniano (EPR). La capa elipsoide presenta una ligera disrupción, aunque parece preservada. B) La imagen con infrarrojo muestra una zona blanca a nivel de capas externas de la retina, y unas zonas más oscuras que corresponden a los desprendimientos del epitelio pigmentario. C) Esta zona se traduce en OCT-A con una imagen más oscura a nivel de la retina externa.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Domènech-López, V. Llorenç, A. Moll-Udina, A. Adán" "autores" => array:4 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Domènech-López" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Llorenç" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Moll-Udina" ] 3 => array:2 [ "nombre" => "A." 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Right: Macular OCT revealing a retinal pigment epithelial detachment with a visible polyp inside. Subsensory space shows subretinal fluid and blood content.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Zamorano, B. Puerto, J. Carceller, J.J. González-López, M.S. Figueroa, F.J. Muñoz-Negrete" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Zamorano" ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Puerto" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Carceller" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "González-López" ] 4 => array:2 [ "nombre" => "M.S." "apellidos" => "Figueroa" ] 5 => array:2 [ "nombre" => "F.J." "apellidos" => "Muñoz-Negrete" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S036566912400159X" "doi" => "10.1016/j.oftal.2024.07.009" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S036566912400159X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579424001695?idApp=UINPBA00004N" "url" => "/21735794/unassign/S2173579424001695/v1_202411010428/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S217357942030219X" "issn" => "21735794" "doi" => "10.1016/j.oftale.2020.07.009" "estado" => "S200" "fechaPublicacion" => "2020-11-15" "aid" => "1791" "copyright" => "Sociedad Española de Oftalmología" "documento" => "article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Multimodal imaging in acute idiopathic blind spot enlargement syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Imagen multimodal en el síndrome de aumento idiopático de mancha ciega" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 722 "Ancho" => 1505 "Tamanyo" => 297842 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">At debut, OCT-DE of the first case showed (A) a subfoveal column hyperreflectivity and focal loss of the outer limiting membrane and ellipsoid line at the nasal level (red arrow). The choroidal thinning (white arrow) at nasal level could be physiological and attributable to the patient’s myopia. Subfoveal hyperreflectivity resolved at two weeks (B) leaving a minimal sequel of subfoveal RPE thickening at 1.5 months (C). The outer nasal layers progressively recovered (B and C). In A-OCT 8<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8 <span class="elsevierStyleItalic">en-face,</span> at ellipsoid layer level, hyperreflective points were observed surrounding the papilla (green arrow) at debut (D). After two weeks (E), these peripapillary hyperreflective points decreased but hyporeflective spots were observed (white arrow), which correlate with the disruption of the outer retina in autofluorescence. After 1.5 months (F), hyporeflective spots decreased and white peripapillary spots disappeared. The A-OCT 3<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3 showed at choriocapillary level two apparent hypoperfusion spots in the debut of the disease (G), which correlate with the shadow of the subfoveal column hyperreflectivity.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Moll-Udina, I. Hernanz, M. Dotti, V. Llorenç, A. Adán" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Moll-Udina" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Hernanz" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Dotti" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Llorenç" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Adán" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0365669120303105" "doi" => "10.1016/j.oftal.2020.07.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669120303105?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357942030219X?idApp=UINPBA00004N" "url" => "/21735794/unassign/S217357942030219X/v1_202011150602/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Acute macular neuroretinopathy associated with migraine" "tieneTextoCompleto" => 0 "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "N Domènech-López, V Llorenç, A Moll-Udina, A Adán" "autores" => array:4 [ 0 => array:4 [ "nombre" => "N" "apellidos" => "Domènech-López" "email" => array:1 [ 0 => "ndomenech@clinic.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "V" "apellidos" => "Llorenç" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "A" "apellidos" => "Moll-Udina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "A" "apellidos" => "Adán" "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" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Instituto de Oftalmología, Hospital Clínic de Barcelona, 08028" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Facultad de Medicina, Universidad de Barcelona, 08036" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neurorretinopatía macular aguda asociada a migraña" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-05-30" "fechaAceptado" => "2024-08-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1903094" "palabras" => array:4 [ 0 => "Acute macular neuroretinopathy" 1 => "migraine" 2 => "scotoma" 3 => "OCT" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1903095" "palabras" => array:4 [ 0 => "Neurorretinopatía macular aguda" 1 => "migraña" 2 => "escotoma" 3 => "OCT" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Acute macular neuroretinopathy (AMN) is an uncommon entity that affects the outer layer of the retina and usually presents itself as an acute paracentral scotoma. It is mostly seen in young women and the course is usually self-limited. The diagnosis is established by a multimodal image, with optical coherence tomography (OCT) being the preferred technique. The origin is thought to be linked to a possible dysregulation in the flow of the deep vascular plexus of the retina or the choriocapillaris. A clinical case of an AMN in a young woman associated with a migraine attack is presented, highlighting the importance of considering this disease in the differential diagnosis of visual disorders associated with migraines. A physiological and pathological basis between migraine and NMA is suggested.</p></span>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La neurorretinopatía macular aguda (NMA) es una entidad poco común que afecta la capa externa de la retina y se presenta, habitualmente, con la visión de un escotoma paracentral de forma aguda. Se observa mayormente en mujeres jóvenes y su curso suele ser autolimitado. El diagnóstico se establece mediante imagen multimodal, siendo la tomografía de coherencia óptica (OCT) la técnica de elección. Se especula sobre su origen, relacionándolo con una posible desregulación del flujo en el plexo vascular profundo de la retina o en la coriocapilar. Se presenta un caso clínico de NMA en una mujer joven asociada a una crisis de migraña, destacando la importancia de considerar esta enfermedad en el diagnóstico diferencial de trastornos visuales asociados a las migrañas. Se sugiere que la NMA y la migraña podrían tener una base fisiopatológica común.</p></span>" ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/unassign/S2173579424001762/v1_202411010426/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735794/unassign/S2173579424001762/v1_202411010426/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579424001762?idApp=UINPBA00004N" ]
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Acute macular neuroretinopathy associated with migraine
Neurorretinopatía macular aguda asociada a migraña