was read the article
array:25 [ "pii" => "S2173580821001097" "issn" => "21735808" "doi" => "10.1016/j.nrleng.2020.12.002" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1560" "copyright" => "Sociedad Española de Neurología" "copyrightAnyo" => "2021" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Neurologia. 2021;36:723-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S0213485321000037" "issn" => "02134853" "doi" => "10.1016/j.nrl.2020.12.003" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1560" "copyright" => "Sociedad Española de Neurología" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Neurologia. 2021;36:723-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Hematoma epidural espinal espontáneo y hemorragia subaracnoidea no aneurismática en paciente con granulomatosis eosinofílica con poliangitis" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "723" "paginaFinal" => "725" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous spinal epidural hematoma and nonaneurysmal subarachnoid hemorrhage in patient with eosinophilic granulomatosis with polyangiitis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2461 "Ancho" => 1008 "Tamanyo" => 267162 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) RM medular, corte sagital, T1. Hemorragia epidural dorsolumbar. Se observan loculaciones con mayor acúmulo posterior en D12 y L1; también en el sacro S1 y S2. El cordón medular presenta una morfología dentro de la normalidad. B)<span class="elsevierStyleHsp" style=""></span>Imagen de TC cerebral sin contraste. Se evidencia una hemorragia subaracnoidea perimesencefálica, intraventricular y en tienda cerebelo. Fisher IV.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Lázaro Romero, A. Carilla Sanromán, L. Horna Cañete, M. Serrano Ponz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Lázaro Romero" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Carilla Sanromán" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Horna Cañete" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Serrano Ponz" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173580821001103" "doi" => "10.1016/j.nrleng.2020.12.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173580821001103?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213485321000037?idApp=UINPBA00004N" "url" => "/02134853/0000003600000009/v1_202110170532/S0213485321000037/v1_202110170532/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2173580821001103" "issn" => "21735808" "doi" => "10.1016/j.nrleng.2020.12.003" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1563" "copyright" => "Sociedad Española de Neurología" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Neurologia. 2021;36:725-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Abnormal growth of Virchow-Robin spaces secondary to radiotherapy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "725" "paginaFinal" => "728" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Crecimiento anormal de espacios de Virchow-Robin secundario a radioterapia" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2488 "Ancho" => 2167 "Tamanyo" => 319603 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced T1-weighted 3D-SPGR MRI studies: follow-up studies performed in 2017, 2018, 2019, and 2020 (images a-d, respectively). The images show progressive growth of a round lesion in the right corona radiata, isointense to CSF and without enhancement.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.C. Pérez García, A.J. Láinez Ramos-Bossini, J.P. Martínez Barbero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.C." "apellidos" => "Pérez García" ] 1 => array:2 [ "nombre" => "A.J." "apellidos" => "Láinez Ramos-Bossini" ] 2 => array:2 [ "nombre" => "J.P." "apellidos" => "Martínez Barbero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0213485321000037" "doi" => "10.1016/j.nrl.2020.12.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213485321000037?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173580821001103?idApp=UINPBA00004N" "url" => "/21735808/0000003600000009/v1_202110290547/S2173580821001103/v1_202110290547/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173580821001085" "issn" => "21735808" "doi" => "10.1016/j.nrleng.2021.01.001" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "1561" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Neurologia. 2021;36:721-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "A novel <span class="elsevierStyleItalic">TTN</span> variant in a patient with distal myopathy of lower limbs and dilated cardiomyopathy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "721" "paginaFinal" => "723" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una nueva variante en el gen de la titina en un paciente con miopatía distal de miembros inferiores y miocardiopatía dilatada" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1612 "Ancho" => 1007 "Tamanyo" => 65046 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Muscle MRI (axial plane, T2-weighted sequence): atrophy with fat replacement in the extensor muscles of the lower limbs.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Lopez-Bravo, J.C. Roche-Bueno, A. Romera-López, P. Larrode-Pellicer" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Lopez-Bravo" ] 1 => array:2 [ "nombre" => "J.C." "apellidos" => "Roche-Bueno" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Romera-López" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Larrode-Pellicer" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0213485321000049" "doi" => "10.1016/j.nrl.2021.01.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213485321000049?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173580821001085?idApp=UINPBA00004N" "url" => "/21735808/0000003600000009/v1_202110290547/S2173580821001085/v1_202110290547/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Spontaneous spinal epidural haematoma and nonaneurysmal subarachnoid haemorrhage in a patient with eosinophilic granulomatosis with polyangiitis" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "723" "paginaFinal" => "725" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Lázaro Romero, A. Carilla Sanromán, L. Horna Cañete, M. Serrano Ponz" "autores" => array:4 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Lázaro Romero" "email" => array:1 [ 0 => "albalazaroromero@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Carilla Sanromán" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Horna Cañete" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Serrano Ponz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Universitario Miguel Servet, Zaragoza, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hematoma epidural espinal espontáneo y hemorragia subaracnoidea no aneurismática en paciente con granulomatosis eosinofílica con poliangitis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2461 "Ancho" => 1008 "Tamanyo" => 267162 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) T1-weighted MRI study of the spine (sagittal plane), showing epidural haemorrhage of the thoracolumbar spine. Loculi with greater posterior blood pooling are observed at the T12-L1 and S1-S2 levels. The morphology of the spinal cord is normal. B) Non-contrast head CT scan showing perimesencephalic, intraventricular, and cerebellar subarachnoid haemorrhage (Fisher grade IV).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Eosinophilic granulomatosis with polyangiitis (EGPA) is a type of systemic necrotising vasculitis affecting small- and medium-sized vessels, which belongs to the spectrum of anti-neutrophil cytoplasmic antibody (ANCA)–associated vasculitis. Disease progression presents 3 phases, which may or may not be sequential: an allergic phase (asthma, rhinitis, and nasal polyposis), an eosinophilic phase (eosinophilia in peripheral blood or lung or gastrointestinal tissues), and a vasculitic phase, which may involve multiple organs, including the peripheral and, rarely, the central nervous systems (CNS). In 1990, the American College of Rheumatology created a set of diagnostic criteria (asthma, eosinophilia > 10% in peripheral blood, mono- or polyneuropathy, non-fixed pulmonary infiltrates, paranasal sinus abnormalities, and extravascular eosinophilia), with diagnosis being established in patients meeting 4 of the 6 criteria; these criteria have sensitivity of 85% and specificity of 99.7%.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Treatment includes corticosteroids and such immunosuppressants as cyclophosphamide in refractory cases. Current series suggest a clear improvement in survival rates, increasing from 70% to 90% at 5 years.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Cardiac involvement is the main cause of death in patients with EGPA, followed by brain haemorrhage.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We report the case of a 54-year-old man diagnosed with EGPA due to history of severe cortico-dependent asthma, paranasal polyposis, eosinophilic dermatitis, peripheral eosinophilia, and recently diagnosed axonal sensory polyneuropathy. He was treated exclusively with prednisone, dosed at 5 mg/day.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was assessed at the emergency department due to a 48-h history of spontaneous, sudden-onset low back pain, developing into progressive weakness of the left leg, paraesthesia in the left thigh, pollakiuria, and constipation. Physical examination identified no fever, and arterial blood pressure was 157/111 mm Hg. Neurological examination revealed proximal weakness (3/5) in the left leg, hypoaesthesia at the L1 level, exaggerated left patellar and Achilles reflexes, and left Babinski sign. At baseline, laboratory results (glycaemia, ions, liver and kidney function) and coagulation were normal. A complete blood count revealed leukocytosis (20 000 cells/μL; normal range: < 10 200) and eosinophilia (1300 cells/μL [14.8%]; normal range, 500 [< 5% of total]). A chest radiography displayed no abnormalities. A thoracolumbar MRI study (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) identified epidural haemorrhages at the T8-L1 and S1-S2 levels; emergency T12-L1 laminectomy and evacuation of the haemorrhages were performed. A spinal cord arteriography performed 24 hours after the procedure revealed normal findings.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">On the third day after admission, the patient presented a sudden decrease in the level of consciousness; a head CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) detected a spontaneous subarachnoid haemorrhage (SAH), classed as grade IV on the Fisher scale. A subsequent CT angiography identified no relevant alterations. A brain arteriography performed 36 hours later yielded normal findings. The patient died on day 6 after admission.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Our patient meets diagnostic criteria for EGPA of 3 years of progression; given the recent diagnosis of polyneuropathy, it may be classified as being in the vasculitic phase.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">CNS involvement is reported in 6%-10% of cases of EGPA,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> with ischaemic stroke and brain haemorrhages being particularly common; multiple strokes may occur, and stroke may be the first sign of the disease.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4–12</span></a> Spinal haemorrhages are much rarer.<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13,14</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The largest series of haemorrhagic complications involving the CNS in patients with EGPA is probably that reported by Sabio et al.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Of 28 patients diagnosed with EGPA, 14 (50%) presented spontaneous SAH, 13 (46%) presented intraparenchymal haemorrhage, 5 (17.9%) presented intraventricular haemorrhage, and 3 (10.7%) presented spinal haematomas. Ross et al.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> report 6 cases of EGPA with spinal complications, including 4 with subdural or subarachnoid haemorrhage.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Our patient initially presented a spontaneous spinal epidural haematoma (SSEH), as observed in the neuroimaging study and confirmed during surgery, and subsequently a spontaneous SAH.</p><p id="par0045" class="elsevierStylePara elsevierViewall">It has been suggested that spontaneous SAH in the context of EGPA may be explained both by vasculitis, with disruption of the internal elastic lamina, and by rupture of the post-stenotic dilatation caused by granuloma formation in small vessels. The cause of SSEH is undetermined in 40% of cases. Some authors propose that it may be caused by venous plexus involvement, whereas others consider it to originate in the epidural arteries.</p><p id="par0050" class="elsevierStylePara elsevierViewall">In our patient, the fact that SSEH occurred in the context of EGPA, almost simultaneously with spontaneous SAH, suggests vasculitis as the most probable cause.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> To our knowledge, this is the first case of SSEH in a patient with EGPA. The simultaneous presentation of spontaneous SAH in the brain is also unusual.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0055" class="elsevierStylePara elsevierViewall">This study has received no specific funding from any public, commercial, or non-profit organisation.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Consent</span><p id="par0060" class="elsevierStylePara elsevierViewall">Consent was not obtained from the patient due to his death. The final author certifies the effort made to search for family contacts and the complete anonymisation of patient data.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Consent" ] 2 => array:2 [ "identificador" => "xack564352" "titulo" => "Acknowledgements" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Lázaro Romero A, Carilla Sanromán A, Horna Cañete L, Serrano Ponz M. Hematoma epidural espinal espontáneo y hemorragia subaracnoidea no aneurismática en paciente con granulomatosis eosinofílica con poliangitis. Neurología. 2021;36:723–725.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2461 "Ancho" => 1008 "Tamanyo" => 267162 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) T1-weighted MRI study of the spine (sagittal plane), showing epidural haemorrhage of the thoracolumbar spine. Loculi with greater posterior blood pooling are observed at the T12-L1 and S1-S2 levels. The morphology of the spinal cord is normal. B) Non-contrast head CT scan showing perimesencephalic, intraventricular, and cerebellar subarachnoid haemorrhage (Fisher grade IV).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.T. Masi" 1 => "G.G. Hunder" 2 => "J.T. Lie" 3 => "B.A. Michel" 4 => "D.A. Bloch" 5 => "W.P. Arend" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/art.1780330806" "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "1990" "volumen" => "33" "paginaInicial" => "1094" "paginaFinal" => "1100" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2202307" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A vasculitis centre based management strategy leads to improved outcome in eosinophilic granulomatosis and polyangiitis (Churg-Strauss, EGPA): monocentric experiences in 150 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Moosig" 1 => "J.P. Bremer" 2 => "B. Hellmich" 3 => "JU Holle" 4 => "K Holl-Ulrich" 5 => "M Laudien" ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.1136/annrheumdis-2012-201531" "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2013" "volumen" => "72" "paginaInicial" => "1011" "paginaFinal" => "1017" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22887848" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.1136/annrheumdis-2012-201531" "WWW" => array:1 [ "link" => "https://doi.org/10.1136/annrheumdis-2012-201531" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Demographic and clinical characteristics associated with central nervous system hemorrhage in patients with eosinophilic granulomatosis with polyangiitis: a case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.M. Sabio" 1 => "M. Rivero-Rodriguez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3899/jrheum.160886" "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "2017" "volumen" => "44" "paginaInicial" => "1413" "paginaFinal" => "1415" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28864668" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Central nervous system involvement in eosinophilic granulomatosis with polyangiitis (Churg-Strauss): report of 26 patients and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. André" 1 => "V Cottin" 2 => "JL Saraux" 3 => "G Blaison" 4 => "B Bienvenu" 5 => "P Cathebras" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.autrev.2017.07.007" "Revista" => array:6 [ "tituloSerie" => "Autoimmun Rev" "fecha" => "2017" "volumen" => "16" "paginaInicial" => "963" "paginaFinal" => "969" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28709761" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subarachnoid and intracerebral hemorrhage in patients with Churg-Strauss syndrome: two case reports" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.H. Go" 1 => "J.U. Park" 2 => "J.G. Kang" 3 => "Y.C. Lim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7461/jcen.2012.14.3.255" "Revista" => array:6 [ "tituloSerie" => "J Cerebrovasc Endovasc Neurosurg" "fecha" => "2012" "volumen" => "14" "paginaInicial" => "255" "paginaFinal" => "261" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23210058" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Churg-Strauss syndrome presenting as spontaneous subarachnoid haemorrhage" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.M. Calvo-Romero" 1 => "M. del Carmen Bonilla-Gracia" 2 => "P. Bureo-Dacal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10067-002-8293-4" "Revista" => array:6 [ "tituloSerie" => "Clin Rheumatol." "fecha" => "2002" "volumen" => "21" "paginaInicial" => "261" "paginaFinal" => "263" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12111635" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subarachnoid haemorrhage as the first clinical manifestation of Churg-Strauss syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "U.M. Sheerin" 1 => "J. Barreto" 2 => "M.M. Brown" 3 => "S. Brew" 4 => "N.A. Losseff" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00415-008-0975-7" "Revista" => array:6 [ "tituloSerie" => "J Neurol." "fecha" => "2008" "volumen" => "255" "paginaInicial" => "607" "paginaFinal" => "608" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18350356" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An uncommon presentation of eosinophilic granulomatosis with polyangiitis: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Taormina" 1 => "G. Andolina" 2 => "M.A. Banco" 3 => "E.J. Costanza-Gaglio" 4 => "A. Bonurav" 5 => "S. Buscemi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1752-1947-8-190" "Revista" => array:5 [ "tituloSerie" => "J Med Case Rep" "fecha" => "2014" "volumen" => "13" "paginaInicial" => "190" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31228952" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Eosinophilic granulomatosis with polyangiitis complicated by subarachnoid hemorrhage and coronary vasculitis: a case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Matsuda" 1 => "S. Yoshida" 2 => "Y. Fujiki" 3 => "H. Satomi" 4 => "T. Takeuchi" 5 => "Y. Hirose" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00296-017-3875-2" "Revista" => array:6 [ "tituloSerie" => "Rheumatol Int" "fecha" => "2018" "volumen" => "38" "paginaInicial" => "689" "paginaFinal" => "696" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29127573" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Catastrophic subarachnoid hemorrhage in eosinophilic granulomatosis with polyangiitis without asthma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.X.W. Lee" 1 => "G.G. Teng" 2 => "G.C. Raju" 3 => "A.Y.N. Lim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/1756-185X.12594" "Revista" => array:6 [ "tituloSerie" => "Int J Rheum Dis" "fecha" => "2017" "volumen" => "20" "paginaInicial" => "2127" "paginaFinal" => "2131" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25959920" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A case of multiple cerebral hemorrhage caused by sudden increase of eosinophil in a patient with eosinophilic granulomatosis with polyangiitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "Y. Yamada" 1 => "S. Ando" 2 => "Y. Umeda" 3 => "M. Umeda" 4 => "M. Oyake" 5 => "N. Fujita" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5692/clinicalneurol.cn-001188" "Revista" => array:6 [ "tituloSerie" => "Rinsho Shinkeigaku" "fecha" => "2018" "volumen" => "58" "paginaInicial" => "565" "paginaFinal" => "569" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30175810" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A case of Churg-Strauss syndrome with subarachnoid hemorrhage" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Ito" 1 => "N. Kato" 2 => "C.C. Su" 3 => "T. Kayama" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brain Nerve" "fecha" => "2014" "volumen" => "66" "paginaInicial" => "283" "paginaFinal" => "288" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24607952" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal hemorrhage in eosinophilic granulomatosis with polyangiitis (Churg-Strauss)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Diamanti" 1 => "G. Berzero" 2 => "P. Bini" 3 => "S. Ravaglia" 4 => "E. Rognone" 5 => "L. Cavagna" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00415-013-7217-3" "Revista" => array:6 [ "tituloSerie" => "J Neurol" "fecha" => "2014" "volumen" => "261" "paginaInicial" => "438" "paginaFinal" => "440" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24368404" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal cord injury secondary to eosinophilic granulomatosis with polyangiitis: case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Ross" 1 => "J. Leung" 2 => "G.S. Ngian" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "J Clin Rheumatol" "fecha" => "2018" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anti-neutrophil cytoplasmic antibody associated central nervous system vasculitis with brain and spinal cord subarachnoid hemorrhage: a rare case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T.A. Harland" 1 => "J. Seinfeld" 2 => "L.F. Cava" 3 => "R.T. Neumann" 4 => "C. Roark" 5 => "D. Kumpe" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jocn.2018.12.001" "Revista" => array:6 [ "tituloSerie" => "J Clin Neurosci" "fecha" => "2019" "volumen" => "62" "paginaInicial" => "253" "paginaFinal" => "255" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30594448" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack564352" "titulo" => "Acknowledgements" "texto" => "<p id="par0065" class="elsevierStylePara elsevierViewall">We would like to thank Dr J.M. Sabio of the internal medicine department at Hospital Virgen de las Nieves, Granada (Spain), for his series of patients with EGPA and CNS complications.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735808/0000003600000009/v1_202110290547/S2173580821001097/v1_202110290547/en/main.assets" "Apartado" => array:4 [ "identificador" => "9409" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735808/0000003600000009/v1_202110290547/S2173580821001097/v1_202110290547/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173580821001097?idApp=UINPBA00004N" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 4 | 0 | 4 |
2024 October | 14 | 3 | 17 |
2024 September | 35 | 3 | 38 |
2024 August | 35 | 7 | 42 |
2024 July | 26 | 3 | 29 |
2024 June | 26 | 6 | 32 |
2024 May | 20 | 6 | 26 |
2024 April | 15 | 6 | 21 |
2024 March | 38 | 7 | 45 |
2024 February | 47 | 8 | 55 |
2024 January | 28 | 7 | 35 |
2023 December | 48 | 12 | 60 |
2023 November | 34 | 3 | 37 |
2023 October | 35 | 9 | 44 |
2023 September | 19 | 4 | 23 |
2023 August | 24 | 3 | 27 |
2023 July | 31 | 7 | 38 |
2023 June | 37 | 3 | 40 |
2023 May | 52 | 4 | 56 |
2023 April | 47 | 3 | 50 |
2023 March | 21 | 2 | 23 |
2023 February | 15 | 1 | 16 |
2023 January | 23 | 6 | 29 |
2022 December | 17 | 3 | 20 |
2022 November | 27 | 4 | 31 |
2022 October | 18 | 5 | 23 |
2022 September | 15 | 11 | 26 |
2022 August | 14 | 10 | 24 |
2022 July | 13 | 6 | 19 |
2022 June | 12 | 7 | 19 |
2022 May | 14 | 7 | 21 |
2022 April | 14 | 7 | 21 |
2022 March | 26 | 5 | 31 |
2022 February | 9 | 7 | 16 |
2022 January | 19 | 6 | 25 |
2021 December | 18 | 22 | 40 |
2021 November | 19 | 10 | 29 |
2021 October | 11 | 5 | 16 |
2021 September | 7 | 3 | 10 |
2021 August | 7 | 6 | 13 |
2021 July | 6 | 1 | 7 |