array:23 [ "pii" => "S234119291830009X" "issn" => "23411929" "doi" => "10.1016/j.redare.2018.01.008" "estado" => "S300" "fechaPublicacion" => "2018-03-01" "aid" => "834" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "copyrightAnyo" => "2017" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2018;65:181-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0034935617301378" "issn" => "00349356" "doi" => "10.1016/j.redar.2017.05.004" "estado" => "S300" "fechaPublicacion" => "2018-03-01" "aid" => "834" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Anestesiol Reanim. 2018;65:181-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 113 "formatos" => array:2 [ "HTML" => 89 "PDF" => 24 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">IMAGEN DEL MES</span>" "titulo" => "Detección de espina bífida oculta en la consulta de preanestesia" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "181" "paginaFinal" => "182" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hidden bifid spine at preanaesthetic consultation" ] ] "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" => 1030 "Ancho" => 1582 "Tamanyo" => 129738 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Fotografía de nuestra paciente.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Mesa Suárez, C. Montes Durán, F.J. Hidalgo Ramos, M.L. Calvo Castilla" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Mesa Suárez" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Montes Durán" ] 2 => array:2 [ "nombre" => "F.J." "apellidos" => "Hidalgo Ramos" ] 3 => array:2 [ "nombre" => "M.L." "apellidos" => "Calvo Castilla" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S234119291830009X" "doi" => "10.1016/j.redare.2018.01.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119291830009X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935617301378?idApp=UINPBA00004N" "url" => "/00349356/0000006500000003/v2_201803170457/S0034935617301378/v2_201803170457/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2341192918300088" "issn" => "23411929" "doi" => "10.1016/j.redare.2018.01.007" "estado" => "S300" "fechaPublicacion" => "2018-03-01" "aid" => "828" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2018;65:180" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1 "HTML" => 1 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "A wrong electrode placement" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "180" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ubicación errónea de un electrodo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 864 "Ancho" => 975 "Tamanyo" => 112752 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anteroposterior chest radiograph showing the electrode of the temporary pacemaker lodged in the pericardial sac (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. Padilla-Morales, A. Domínguez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Padilla-Morales" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Domínguez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935617301159" "doi" => "10.1016/j.redar.2017.04.004" "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/S0034935617301159?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192918300088?idApp=UINPBA00004N" "url" => "/23411929/0000006500000003/v3_201803240409/S2341192918300088/v3_201803240409/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Hidden bifid spine at preanaesthetic consultation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "181" "paginaFinal" => "182" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P. Mesa Suárez, C. Montes Durán, F.J. Hidalgo Ramos, M.L. Calvo Castilla" "autores" => array:4 [ 0 => array:4 [ "nombre" => "P." "apellidos" => "Mesa Suárez" "email" => array:1 [ 0 => "mesa.pms@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" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Montes Durán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F.J." "apellidos" => "Hidalgo Ramos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M.L." "apellidos" => "Calvo Castilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología, Hospital Universitario de Puerto Real, Puerto Real, Cádiz, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario de Puerto Real, Cádiz, Puerto Real, Cádiz, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Detección de espina bífida oculta en la consulta de preanestesia" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1584 "Ancho" => 1584 "Tamanyo" => 276139 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Axial lumbar magnetic resonance imaging. The arrow shows the posterior lumbosacral dysraphism.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 32-year-old obese (weight 85<span class="elsevierStyleHsp" style=""></span>kg, height 165<span class="elsevierStyleHsp" style=""></span>cm, BMI 31) woman with hypothyroidism (150<span class="elsevierStyleHsp" style=""></span>μg/daily levothyroxine) was seen in the pre-anaesthesia clinic for perianal fistula repair. The physical examination revealed a midline lumbosacral lipoma covered by sparse fine black hair, which the patient reported had been present since birth (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Given the suspicion of spina bifida, a nuclear magnetic resonance study was requested, which confirmed our suspicion: cord tethered at L3, with extramedullary intrathecal lipoma (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) and posterior lumbosacral dysraphism (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). The patient was informed about this incidental finding, and about the relative contraindication of locoregional anaesthesia due to the risks associated with both this surgical procedure and obstetric epidural (incomplete block, subdural block, spinal cord trauma, spinal haematoma, accidental dural puncture) if this should be requested in the future. The patient was referred to Neurosurgery, where a conservative approach was taken due to the absence of clinical symptoms. The patient was given a copy of her pre-anaesthesia assessment report, which described this incidental finding.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></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: Mesa Suárez P, Montes Durán C, Hidalgo Ramos FJ, Calvo Castilla ML. Detección de espina bífida oculta en la consulta de preanestesia. Rev Esp Anestesiol Reanim. 2018;65:181–182.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1030 "Ancho" => 1582 "Tamanyo" => 101615 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Photograph of the patient.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2092 "Ancho" => 2833 "Tamanyo" => 354148 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Sagittal lumbar magnetic resonance imaging. The arrows show the cord tethered at L3 and the extramedullary intrathecal lipoma.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1584 "Ancho" => 1584 "Tamanyo" => 276139 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Axial lumbar magnetic resonance imaging. The arrow shows the posterior lumbosacral dysraphism.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006500000003/v3_201803240409/S234119291830009X/v3_201803240409/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006500000003/v3_201803240409/S234119291830009X/v3_201803240409/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119291830009X?idApp=UINPBA00004N" ]
Journal Information
Vol. 65. Issue 3.
Pages 181-182 (March 2018)
Share
Download PDF
More article options
Vol. 65. Issue 3.
Pages 181-182 (March 2018)
Image of the month
Hidden bifid spine at preanaesthetic consultation
Detección de espina bífida oculta en la consulta de preanestesia
Visits
3
This item has received
Article information
These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail