{"id":26832,"date":"2016-05-31T00:25:07","date_gmt":"2016-05-31T00:25:07","guid":{"rendered":"http:\/\/2063.19"},"modified":"2016-05-31T00:25:07","modified_gmt":"2016-05-31T00:25:07","slug":"hombre-de-51-anos-con-perdida-subita-de-la-fuerza","status":"publish","type":"post","link":"https:\/\/www.icesi.edu.co\/blogs\/blog\/lista\/hombre-de-51-anos-con-perdida-subita-de-la-fuerza","title":{"rendered":"HOMBRE DE 51 A\u00d1OS CON P\u00c9RDIDA SUBITA DE LA FUERZA"},"content":{"rendered":"<p>Se trata de un paciente de 51 a\u00f1os, con antecedentes de hipertensi\u00f3n arterial y diabetes. Tuvo una p\u00e9rdida s\u00fabita de la fuerza en el lado izquierdo del cuerpo (miembro superior e inferior) asociado a p\u00e9rdida del campo visual izquierdo. Al examen f\u00edsico se confirmaron estos hallazgos. El d\u00e9ficit visual consist\u00eda en una hemianopsia hom\u00f3nima izquierda.\u00a0La imagen\u00a0muestra:<\/p>\n<p><a href=\"https:\/\/www.icesi.edu.co\/blogs\/neuroblog\/files\/2016\/05\/corioidea.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-20\" src=\"https:\/\/www.icesi.edu.co\/blogs\/neuroblog\/files\/2016\/05\/corioidea-300x167.jpg\" alt=\"corioidea\" width=\"300\" height=\"167\" \/><\/a><\/p>\n<p>En esta secuencia de difusi\u00f3n de una resonancia magn\u00e9tica se aprecia una lesi\u00f3n isqu\u00e9mica (\u00e1rea blanca)\u00a0en la c\u00e1psula interna derecha, en la parte m\u00e1s posterior del brazo posterior. Por esta raz\u00f3n el paciente no tiene comprometida la cara.<\/p>\n<p>&nbsp;<\/p>\n<p>Interpretaci\u00f3n: Un compromiso por cl\u00ednica del tracto \u00f3ptico derecho (hemianopsia hom\u00f3nima derecha) asociado a un d\u00e9ficit motor de origen capsular (miembro inferior y superior), nos indica que ha un compromiso\u00a0 del territorio de la arteria coroidea anterior. Esta arteria es rama directa de la arteria car\u00f3tida interna, en su segmento comunicante. Emerge despu\u00e9s de la arteria comunicante posterior y se dirige hacia atr\u00e1s por la cisterna ambiens. Tiene dos segmentos, uno cisternal y otro plexal.\u00a0 El primero da las ramas cr\u00edticas a la c\u00e1psula interna, tracto \u00f3ptico (bajo el cual discurre), y algo del temporal. El segundo se introduce en el ventr\u00edculo lateral y ayuda a formar el plexo coroideo del ventr\u00edculo.<\/p>\n<p>Su obstrucci\u00f3n puede ocurrir por un atero embolismo proveniente de la arteria car\u00f3tida interna, de placas ateromatosas propias de la arteria coroidea o de manera iatrog\u00e9nica (originada por intervenci\u00f3n m\u00e9dica) durante una cirug\u00eda de aneurisma de aarteria comunicante posterior.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se trata de un paciente de 51 a\u00f1os, con antecedentes de hipertensi\u00f3n arterial y diabetes. Tuvo una p\u00e9rdida s\u00fabita de [&hellip;]<\/p>\n","protected":false},"author":42165232,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[2001],"tags":[],"class_list":["post-26832","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"aioseo_notices":[],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"Javier Mauricio Lobato Polo","author_link":"https:\/\/www.icesi.edu.co\/blogs\/blog\/lista\/author\/91481284"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/www.icesi.edu.co\/blogs\/blog\/lista\/category\/sin-categoria\" rel=\"category tag\">Sin categor\u00eda<\/a>","rttpg_excerpt":"Se trata de un paciente de 51 a\u00f1os, con antecedentes de hipertensi\u00f3n arterial y diabetes. Tuvo una p\u00e9rdida s\u00fabita de [&hellip;]","_links":{"self":[{"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/posts\/26832"}],"collection":[{"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/users\/42165232"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/comments?post=26832"}],"version-history":[{"count":0,"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/posts\/26832\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/media?parent=26832"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/categories?post=26832"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icesi.edu.co\/blogs\/wp-json\/wp\/v2\/tags?post=26832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}