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7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP
BWJ EGW\ICBD@J ;
GENG\AGHJH @G\GL\I^JP@WCJ\
@JVXWCI :6
@J\CIP GHWJ\HI \D^G\J I\HIG_
\GPDHGEXG DD JI# EGW\ICIBJ# NJ@WCXJH HG AGHD@DEJ#WED^G\PDHJH EJ@DIEJCHG @ICIALDJ% LIBIX%
BG\AE GE\DZWG V\G_ \V\INGPI\ AGHD@DEJ DEXG\EJ% WED^G\PDHJH EJ@DIEJC HG@ICIALDJ
@I\\GPVIEHGE@DJg!ajdc? bgpgrgzrFuejc%ghu%`i
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG ! :27 !
BWDJ EGW\ICIBD@J ;
EX\IHW@@DE
Cj trialisds vgeisj `grglrjc y hg cis sgeis vgeisis +XP^@$ gs uej pjticibj
qug i`urrg ge tihis cis brupis hg ghjhgs# `ie his pd`is hg de`dhge`dj# getrg
cis egiejtis y itri ge cj tgr`grj h`jhj hg cj vdhj# prgngrdlcgagetg auogrgs ge
ghjh nrtdc +:#
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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! :2> ! X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG
BWDJ EGW\ICIBD@J ;
Hgetri hg cis sdbeis y setiajs hg ni`jcdzj`de eguricbd`j sg de`cuyge hnd`dts hg ci`jcdzj`die
`getrjc tjeti aitirgs iai sgesdtdvis# jnjsdj y kgadjeipsdj% @jrj`tgrstd`j# pgri pi`i nrg`ugetg#
gs cj i`urrge`dj hg setiajs kgadsnrd`is uedcjtgrjcgs `iai kgadpjrgsdj i jnjsdj sgbudhis pir
setiajs hgc kgadsngrdi ietrjcjtgrjc ge gc trjes`ursi hg kirjs i hjs% Gsti sg hglg jc hgsjrricci hgcgsdiegs irtd`jcgs ge jalis cjhis hgc sgei sjbdtjc supgrdir trialisjhi% @ujehi sg iapriagtg
gc sdstgaj vgeisi prinuehi +sgei rg`ti y sus rjajs$ sg `jusje cgsdiegs hg ci`jcdzj`de `getrjc#
sdgehi cjs ci`jcdzj`diegs tjcad`js ldcjtgrjcgs cjs as rgprgsgetjtdvjs +Ndburj:$ +4$%
Gc `ujhri sdetiatd`i pughg dr hgshg `jaldis `iapirtjagetjcgs pjsjehi pir gc hgcdrdua#
cj jaegsdj# gc autdsai y kjstj jctgrj`diegs sgvgrjs hgc gstjhi hg `ie`dge`dj +:6$% @ujehi
i`urrg ue denjrti dsquad`i i kgairrbd`i uedcjtgrjc hg brjehgs pripir`diegs sg i`jsdiej ue
ngeagei `iaprgsdvi silrg gc hdge`njci y gc tjcci `grglrjc# `iehu`dgehi jc pj`dgetg jc `iaj y
`iesg`ugetgagetg j cj augrtg pir kgredj`de `grglrjc sd ei sg trjtj j tdgapi% Cj prgsge`dj hg
`gnjcgj# gagsds y jtjxdj hg destjcj`de jbujhj i suljbuhj hglg kj`gr sispg`kjr ge trialisds hg
cj vgej grglgcisj% Gstis kjccjzbis gste nrg`ugetgagetg jsi`djhis jc iapriadsi `ie`iadtjetghg cis sgeis cjtgrjcgs y gc sgei rg`ti%
Gc sgei jvgreisi hrgej cj sjebrg hg cjs irldtjs j trjvs hg cjs vgejs intcad`js y hg cj pir`de
jetgrdir hg cj ljsg hgc `grglri j trjvs hg cjs vgejs grglrjcgs aghdjcgs y gc sgei gsngei!pjrdgtjc%
Hgldhi j su ci`jcdzj`de# cj trialisds hgc sgei `jvgreisi gstj ge rgcj`de `ie cj gxtgesde
hg pri`gsis deng``disis qug tdgege su irdbge ge cj `jrj i sdeusdtds gsngeidhjc% Cis pj`dgetgs
sg prgsgetje `ie `gnjcgj# ndglrg# ghgaj pgrdirldtjrdi# qugaisds# priptisds y intjcaipcgoj
hicirisj% I`jsdiejcagetg gc `ujhri tdgeg uej prgsgetj`de as desdhdisj# `ie pjrcdsds hgc
sgxti egrvdi `rjegjc sici i ge `ialdej`de `ie cis egrvdis tri`cgjr y i`uciaitir# qugaisds
cgvg y priptisds% Cj trialisds hgc sgei `jvgreisi rgprgsgetj `gr`j hgc 7 pir `dgeti hg
tihis cis `jsis hg X^P@%
Gc sehriag hg kdpgrtgesde detrj`rjegjej
jdscjhj +KDJ$ `jrj`tgrdzjhi pir `gnjcgj# ejusgjs!
gagsds# vdsde lirrisj +pjpdcghgaj$ y hdpcipj#
hgldhi j cj `iaprgsde hgc sgxti egrvdi `rjegjc#
sg `iestdtuyg `iai gc pjtre as kiaibegi
hg prgsgetj`de `ced`j ge pj`dgetgs `ie X^P@#
prgsgetehisg ge
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG ! :22 !
BWDJ EGW\ICIBD@J ;
qug cj `iaprgsde gxtgrej hgldhj jc juageti ge cj prgsde hgc cqudhi `gnjcirrjquhgi +C@\$
pihrj gxpcd`jr gc `jaldi hg `jcdlrg hg cjs gstru`turjs vgeisjs +::$%
Ge jcbueis gstuhdis prispg`tdvis# cj kgairrjbdj detrj`rjegjej +KD@$ i`urrg ge 07!76 pir
`dgeti hg cis `jsis hg X^P@ +
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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! :2; ! X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG
BWDJ EGW\ICIBD@J ;
Cj jsi`dj`de getrg cj X^P@ y gc galjrjzi y gc pugrpgrdi gstj `cjrjagetg gstjlcg`dhj y sg
ajetdgeg iai uej jusj dapirtjetg hg airtjcdhjh y airldcdhjh ajtgrej ge cis pjsgs ge vj hg
hgsjrricci% Ge cis gstuhdis guripgis# cj X^P@ jsi`djhj jc galjrjzi i`urrg ge ue 2!:8 pir dgeti#
sdgehi gc pugrpgrdi gc aiageti ge gc `ujc sg prgsgetje cj ajyirj hg cis `jsis% Ge gc gstuhdi
pulcd`jhi pir Cjesmj y `ics#
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG ! :24 !
BWDJ EGW\ICIBD@J ;
jsi`djhj j deng``de sdstad`j y ci`jc# rgspg`tdvjagetg +7$% Cj trialisds hg sgeis `jvgreisis
gstj hdrg`tjagetg rgcj`diejhj ie deng``diegs hg cis sgeis pjrjejsjcgs# gspg`djcagetg gtaidhjc y
gsngeidhjc# cj irldtj i cj `jrj% Pde galjrbi# j pgsjr hg gstuhdis adeu`disis y hg cj hgs`rdp`de hg
eugvis `jsis cj gtdicibj hg cj X^P@ sg hgs`iei`g kjstj ge ue 07 pir `dgeti +$%
VJXIBEGPDPPg kje pripugsti his ag`jedsais hdstdetis pjrj pihgr getgehgr cis sdbeis y setiajs hg cj
X^P@# `ie cj sjcvghjh hg qug ge cj ajyirj hg cis pj`dgetgs gstis pri`gsis i`urrge hg niraj
sdauctegj% Gc prdagri# cj trialisds hg cjs vgejs `grglrjcgs# prihu`g setiajs tjcgs `iai
gc ghgaj `grglrjc ci`jcdzjhi y gc denjrti vgeisi hgc tgrrdtirdi hrgejhi% Gc gstuhdi pjticbd`i
gvdhge`dj vgejs ghgajtdzjhjs# juagetjhjs hg tjaji# kgairrjbdj pgtgqudjc +Ndburj
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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! :;6 ! X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG
BWDJ EGW\ICIBD@J ;
sd ei kjy `iapriadsi hg cj pir`de pistgrdir hgc sgei sjbdtjc supgrdir i sd cj XJ@ gs tiajhjhurjetg cis `de`i prdagris hjs cugbi hgc ded`di hg cis setiajs +7$% Itris sdbeis hdrg`tis `iai
cj vdsujcdzj`de hg uej dajbge hgesj `irrgspiehdgetg j uej vgej `irtd`jc trialisjhj +sdbei
hg cj `ugrhj$ y gc sdbei hgc trdjebuci hgesi# `irrgspiehdgetg j cj prgsge`dj hg ue triali
nrgs`i ge cj pjrtg pistgrdir hgc sgei sjbdtjc supgrdir# sg jprg`dje ge pi`js i`jsdiegs% Cj XJ@
rgvgcj `ie nrg`uge`dj sdbeis degspg`nd`is tjcgs `iai ghgaj `grglrjc ci`jc i bgegrjcdzjhi
+86!26'$# rgjc`g detgesi hg cj njcx grglrdy hgc tgetirdi cugbi hgc suadedstri hg `ietrjstg +
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG ! :;: !
BWDJ EGW\ICIBD@J ;
hgc triali +
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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! :;< ! X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG
BWDJ EGW\ICIBD@J ;
`ujcqudgr jsi jctjagetg subgstdvi sde kjccjzbis
sund`dgetgs ge cj \A `ievge`diejc% Hurjetg
au`kis jis sg utdcdzi cj pjejebdibrjnj hg
`ujtri vjsis `iai gc gstjehjr hg iri gegc hdjbestd`i hg X^P@ +7#
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG ! :;0 !
BWDJ EGW\ICIBD@J ;
Ndburj 2% ^geibrjnj pir \A `ietrjstjhj ie bjhi!
cdedi% Pg ilsgrvj uej rg`iestru``de hgs sdstgaj
vgeisi qug rgjczj cugbi hg cj denusde hgc `ietrjstg%
Ei kjy trialis%
cj prdirdhjh gs hi`uagetjr cj prgsge`dj i
jusge`dj hg uej cgsde qug i`upg gspj`di y hg
sd su `jusj gs rgjcagetg uej ilstru``de hgc
ncuoi vgeisi pir trialisds% Pd ei kjy `ietrj!dehd`j`diegs tjcgs `iai denjrtis dsquad`is
hg brjehgs hdagesdiegs i kgairrjbdjs sg
pughg rgjcdzjr uej pue`de cualjr `ie gc
nde hg aghdr cj prgsde hg C@\ y jcdvdjr cis
setiajs qug hg gccj hgrdvje%
JEXD@IJBWCJ@DECj ip`de tgrjputd`j pripugstj pjrj
`ietrjrrgstjr cj gxtgesde hgc pri`gsi tria!ltd`i gstj nuehjagetjhj ge cj jetd`ijbucj`de
pcgej `ie KEN# qug jhgas prgvdgeg `iapcd!
`j`diegs hgrdvjhjs hgc ngeagei trialtd`i
tjcgs `iai gc galicdsai pucaiejr +07$% Pde
galjrbi# sg kj bgegrjhi brje `ietrivgrsdj
`ie rgspg`ti j su utdcdhjh hgldhi j cj tgehge`dj
hg cis denjrtis vgeisis j kj`gr trjesniraj`de
kgairrbd`j% Gsti kj`g pgesjr qug su usi
pihrj prg`dpdtjr i gapgirjr hd`kj `iehd`de% Pde galjrbi# Ngrri y `ics% jndraje qug `gr`j hgc
86 pir `dgeti hg cis pj`dgetgs `ie trialisds hg sgeis vgeisis denjrtis kgairrbd`is de`cusdvgjetgs hg ded`djr cj jetd`ijbucj`de +$% Ge ue jecdsds uctgrdir ljsjhi ge cjs gs`jcjs hg hgsgecj`g pjrj denjrti
`grglrjc ei sg cibri aistrjr uej hdngrge`dj gstjhstd`jagetg sdbednd`jtdvj getrg gc gng`ti
hg cj kgpjrdej y gc pcj`gli +02$%
Ge gc gstuhdi hg Ejbjrjoj y `ics ge :447 sg `iapjri gc gng`ti hg cj KEN D^ vs% pcj`gli
ge 72 auogrgs hg cj Dehdj qug tuvdgrie trialisds hg sgeis vgeisis hurjetg gc pugrpgrdi=
hgsjnirtuejhjagetg cis rgsuctjhis hg gstg gesjyi `jrg`ge hg vjcdhgz yj qug ei sg `ietjlj `ie
gc rg`ursi eg`gsjrdi pjrj `iendrajr gc hdjbestd`i +\AE i jebdibrjnj$ +0;$% Ge gc gesjyi hg Hg
Lrudoe y Ptja hg :444# sg `iapjr gc gng`ti hg uej hisds ndoj hg ejhripjrdej sul!`utegj vs%
pcj`gli ge >6 pj`dgetgs% Ei sg rgpirti hdngrge`dj gstjhstd`jagetg sdbednd`jtdvj y pir gc ietrjrdi#
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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! :;8 ! X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG
BWDJ EGW\ICIBD@J ;
gc gstuhdi rg`dld `rdtd`js dapirtjetgs hgldhi j qug ge gc pri`gsi hg sgcg``de y jcgjtirdzj`de
sg `iagtdgrie jcbueis grrirgs qug puhdgrie kjlgr njvirg`dhi jc brupi pcj`gli +04$% Ge his hg
cis gesjyis qug utdcdzjrie jhg`ujhjs kgrrjadgetjs dajbgeicbd`js pjrj gc hdjbestd`i#
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG ! :;7 !
BWDJ EGW\ICIBD@J ;
in sdeus vgeius tkrialisds% De? Gdekupc M#Mgapsmd I# Ljgtkajee J +ghs$ @grglrjc sdeus tkrialisds%Gxpgrdagetjc jeh cded`jc jspg`ts% Vcgeua Vrgss#Egw Tirm# :446?:84!:77%
]0Q @jetu @# Ljrrdejbjrrdagetgrdj N% @grglrjc vgeius tkrialisds jssi`djtgh wdtk prgbeje`y jeh pugrpgrdua%\gvdgw in >2 `jsgs% Ptrimg :440=
7/28/2019 Guia Neurologica Trombosis de Las Venas y Senos Cerebrales
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! :;> ! X\IALIPDPHGCJP^GEJPTPGEIP@G\GL\JCGP% \D^G\J @G# V\G_ BG
BWDJ EGW\ICIBD@J ;
hurjc sdeus tkrialisds? rgsucts in tkg Detgrejtdiejc Ptuhy ie @grglrjc ^gde jeh Hurjc Pdeus Xkrialisds+DP@^X$% Ptrimg >8!>26
]Q Liussgr AB% @grglrjc vgeius tkrialisds? hdjbeisds jeh ajejbgaget% O Eguric 7
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