{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T05:27:10Z","timestamp":1705469230825},"reference-count":0,"publisher":"Sociedad Chilena de Pediatria","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Chil Pediatr"],"abstract":"<jats:p>La neuropat\u00eda ci\u00e1tica es una entidad infrecuente y de dif\u00edcil diagn\u00f3stico en Pediatr\u00eda. Su evoluci\u00f3n a largo plazo no ha sido claramente definida.Objetivo: Analizar la presentaci\u00f3n cl\u00ednica y evoluci\u00f3n de un grupo de ni\u00f1os con neuropat\u00eda ci\u00e1tica.Pacientes y M\u00e9todo: An\u00e1lisis retrospectivo de las caracter\u00edsticas cl\u00ednicas de pacientes pedi\u00e1tricos con neuropat\u00eda ci\u00e1tica atendidos en 2 hospitales de Santiago, entre 2014-2018. Se evalu\u00f3 examen motor, trofismo muscular, reflejos osteotend\u00edneos, marcha, sensibilidad y dolor. Se estudi\u00f3 neuroconducci\u00f3n de nervio ci\u00e1tico, electromiograf\u00eda (EMG) y en 3 pacientes, Resonancia Magn\u00e9tica (RM).Resultados: Se incluyeron 6 pacientes, edad promedio 11,8 a\u00f1os. Hubo 2 causas traum\u00e1ticas, 2 compresivas, 1 vascular y 1 tumoral. Los 6 pacientes debutaron con pie ca\u00eddo e hiporreflexia\/arreflexia aquiliana; 5 pacientes presentaron dolor neurop\u00e1tico severo. La EMG mostr\u00f3 en todos los casos compromiso en nervios y musculatura dependientes del nervio ci\u00e1tico. En 2 casos se realiz\u00f3 RM de cintura p\u00e9lvica y extremidades inferiores, mostrando compromiso muscular selectivo en pierna en territorio ci\u00e1tico. En 1 caso, se realiz\u00f3 RM de plexo lumbosacro, y luego estudio histol\u00f3gico, que concluyeron un tumor neural benigno. En los 3 pacientes que tuvieron seguimiento mayor a un a\u00f1o, se observaron secuelas motoras, con marcha alterada.Conclusi\u00f3n: La neuropat\u00eda ci\u00e1tica en este grupo fue secundaria a diversas etiolog\u00edas, predominando las traum\u00e1tico-compresivas. En los 3 casos que tuvieron seguimiento a largo plazo se observaron secuelas motoras significativas. En la mayor\u00eda la lesi\u00f3n se asoci\u00f3 a causas prevenibles como accidentes y posicionamiento en ni\u00f1os con compromiso de conciencia, lo que resulta fundamental en la prevenci\u00f3n de una patolog\u00eda con alto grado de secuelas.<\/jats:p>","DOI":"10.32641\/rchped.v91i1.1355","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T02:13:10Z","timestamp":1580955190000},"page":"85","source":"Crossref","is-referenced-by-count":2,"title":["Neuropat\u00eda ci\u00e1tica en pediatr\u00eda: presentaci\u00f3n cl\u00ednica y seguimiento a largo plazo"],"prefix":"10.32641","volume":"91","author":[{"given":"Carlos","family":"Jaque-Almendras","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal G.","family":"Escobar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Caicedo-Feijoo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda De Los Angeles","family":"Beyt\u00eda-Reyes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Correa-P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Gejman-Enr\u00edquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Pablo","family":"Cruz-Quiroga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Contreras-Olea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Avila Smirnow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17639","published-online":{"date-parts":[[2020,2,6]]},"container-title":["Revista Chilena de Pediatr\u00eda"],"original-title":[],"link":[{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/1355\/1478","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/1355\/1478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T18:28:10Z","timestamp":1618252090000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/view\/1355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,2,6]]}},"URL":"https:\/\/doi.org\/10.32641\/rchped.v91i1.1355","relation":{},"ISSN":["0370-4106","0370-4106"],"issn-type":[{"value":"0370-4106","type":"electronic"},{"value":"0370-4106","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,6]]}}}