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Filar cyst on lumbar sonography prior to neonatal spinal anaesthesia
Quiste filar en ecografía previa a raquianestesia neonatal
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Inferior: misma imagen con recursos explicativos.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">C: cuerpo vertebral; L: lámina; LCR: líquido cefalorraquídeo; ME: médula espinal.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Línea amarilla: quiste filar. Línea azul: saco dural. Línea roja: cono medular. Línea verde: cauda equina y filum terminale.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Eizaga Rebollar, A. Alonso Ojembarrena" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Eizaga Rebollar" ] 1 => array:2 [ "nombre" => "A." 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Alonso Ojembarrena" "autores" => array:2 [ 0 => array:4 [ "nombre" => "R." "apellidos" => "Eizaga Rebollar" "email" => array:1 [ 0 => "ramonchueizaga@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." 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Bottom: same image with explanatory resources.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">C: vertebral body; L: sheet; CSF: cerebrospinal fluid; MC: spinal cord.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Yellow line: filar cyst. Blue line: dural sac. Red line: conus medullaris. Green line: cauda equina and filum terminale.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Full-term newborn of 12 days—ASA-II risk and weight 3100 g—with prenatal diagnosis of bilateral uretero-hydronephrosis and suspected posterior urethral valves, scheduled for diagnostic-therapeutic cystoscopy under spinal anaesthesia. In the lumbar ultrasound prior to the spinal block, an anechoic and fusiform image of 7 × 2 mm caudal to the conus medullaris was observed in the oblique paramedial sagittal plane (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Filar cysts are incidental findings on foetal and neonatal ultrasound, with an incidence of up to 14%. They are considered variants of normality that usually regress and resolve spontaneously without clinical repercussion. On rare occasions (.5%) they can increase in size—especially when associated with filar lipomas—and cause tethered cord syndrome with the potential need for surgical treatment.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 2375 "Ancho" => 1591 "Tamanyo" => 296089 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Upper: ultrasound image on the oblique paramedial sagittal plane. Bottom: same image with explanatory resources.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">C: vertebral body; L: sheet; CSF: cerebrospinal fluid; MC: spinal cord.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Yellow line: filar cyst. Blue line: dural sac. Red line: conus medullaris. Green line: cauda equina and filum terminale.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/unassign/S234119292400057X/v1_202403161144/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23411929/unassign/S234119292400057X/v1_202403161144/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119292400057X?idApp=UINPBA00004N" ]
