{"id":3700,"date":"2025-10-19T23:46:16","date_gmt":"2025-10-19T21:46:16","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=3700"},"modified":"2025-10-19T23:46:16","modified_gmt":"2025-10-19T21:46:16","slug":"evacuacion-minimamente-invasiva-de-hemorragias-cerebrales-frente-a-tratamiento-conservador-resultados-de-un-ensayo-clinico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2025\/10\/19\/evacuacion-minimamente-invasiva-de-hemorragias-cerebrales-frente-a-tratamiento-conservador-resultados-de-un-ensayo-clinico\/","title":{"rendered":"Evacuaci\u00f3n m\u00ednimamente invasiva de hemorragias cerebrales frente a tratamiento conservador: resultados de un ensayo cl\u00ednico"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">La revista <a href=\"https:\/\/jamanetwork.com\/journals\/jamaneurology\">JAMA Neurology<\/a> ha publicado los resultados de un ensayo cl\u00ednico orientado a evaluar el beneficio de la evacuaci\u00f3n quir\u00fargica mediante cirug\u00eda m\u00ednimamente invasiva de las hemorragias intracerebrales espont\u00e1neas frente al manejo conservador.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Se trata de un tema en s\u00ed complejo y con publicaciones cient\u00edficas recurrentes que tratan de desentra\u00f1ar cu\u00e1l ha de ser la f\u00f3rmula m\u00e1s adecuada para su tratamiento. En el ensayo que describimos, titulado MIND, los autores incluyeron m\u00e1s de 200 pacientes repartidos en una proporci\u00f3n 2:1 para tratamiento quir\u00fargico frente a tratamiento m\u00e9dico.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Con una media de edad de 60 a\u00f1os, siendo casi dos tercios de los participantes varones, los autores apreciaron una mortalidad a los 30 d\u00edas del 7,2% en el grupo de pacientes operados frente al 9,8% en los no operados no resultando esta diferencia estad\u00edsticamente significativa. Tampoco se observ\u00f3 superioridad en las escalas funcionales a los 180 d\u00edas tras el tratamiento.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fuente:<\/strong> <a href=\"https:\/\/jamanetwork.com\/journals\/jamaneurology\/fullarticle\/2838201?resultClick=1\">Arthur AS, Jahromi BS, Saphier PS, Nickele CM, Ryan RW, Vajkoczy P, Schirmer CM, Kellner CP, Matouk CC, Arias EJ, Ullman JS, Levitt MR, Hage ZA, Fiorella DJ; MIND Study Investigators and Collaborators. Minimally Invasive Surgery vs Medical Management Alone for Intracerebral Hemorrhage: The MIND Randomized Clinical Trial. JAMA Neurol. 2025 Sep<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La revista JAMA Neurology ha publicado los resultados de un ensayo cl\u00ednico orientado a evaluar el beneficio de la evacuaci\u00f3n quir\u00fargica mediante cirug\u00eda m\u00ednimamente invasiva de las hemorragias intracerebrales espont\u00e1neas frente al manejo conservador. Se trata de un tema en s\u00ed complejo y con publicaciones cient\u00edficas recurrentes que tratan de desentra\u00f1ar cu\u00e1l ha de ser&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1771],"tags":[],"class_list":["post-3700","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-XG","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=3700"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3700\/revisions"}],"predecessor-version":[{"id":3702,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3700\/revisions\/3702"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=3700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=3700"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=3700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}