Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento

La silla turca vacía (STV) es una condición anatómica caracterizada por la herniación intraselar del espacio subaracnoideo supraselar, que resulta frecuentemente en un aplastamiento parcial o completo de la glándula hipófisis por el líquido cefalorraquídeo. En Colombia no se reportan publicaciones a...

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Autores:: Cano Riaño, Hernán Darío

Tipo de recurso:

Fecha de publicación:: 2017

Institución:: Universidad Autónoma de Bucaramanga - UNAB

Repositorio:: Repositorio UNAB

Idioma:: spa

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dc.title.spa.fl_str_mv	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
dc.title.translated.eng.fl_str_mv	Prevalence of empty sella turcica in a Colombian population and its association with cognitive alterations and aging
title	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
spellingShingle	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento Empty sella syndrome Cognitive disorders Aging Medicine Radiology Diagnostic images Diagnostic imaging X-rays Investigations Analysis The empty sella turcica Síndrome de silla turca vacía Alteraciones cognitivas Envejecimiento Medicina Radiología Imágenes diagnósticas Diagnóstico por imagen Radiografías Investigaciones Análisis La silla turca vacía
title_short	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
title_full	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
title_fullStr	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
title_full_unstemmed	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
title_sort	Prevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimiento
dc.creator.fl_str_mv	Cano Riaño, Hernán Darío
dc.contributor.advisor.spa.fl_str_mv	Lubinus Badillo, Federico Guillermo Wandurraga Sánchez, Edwin Antonio Ochoa, Miguel Enrique
dc.contributor.author.spa.fl_str_mv	Cano Riaño, Hernán Darío
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dc.contributor.scopus.*.fl_str_mv	https://www.scopus.com/authid/detail.uri?authorId=56027001700
dc.subject.keywords.eng.fl_str_mv	Empty sella syndrome Cognitive disorders Aging Medicine Radiology Diagnostic images Diagnostic imaging X-rays Investigations Analysis The empty sella turcica
topic	Empty sella syndrome Cognitive disorders Aging Medicine Radiology Diagnostic images Diagnostic imaging X-rays Investigations Analysis The empty sella turcica Síndrome de silla turca vacía Alteraciones cognitivas Envejecimiento Medicina Radiología Imágenes diagnósticas Diagnóstico por imagen Radiografías Investigaciones Análisis La silla turca vacía
dc.subject.lemb.spa.fl_str_mv	Síndrome de silla turca vacía Alteraciones cognitivas Envejecimiento Medicina Radiología Imágenes diagnósticas Diagnóstico por imagen Radiografías Investigaciones Análisis
dc.subject.proposal.spa.fl_str_mv	La silla turca vacía
description	La silla turca vacía (STV) es una condición anatómica caracterizada por la herniación intraselar del espacio subaracnoideo supraselar, que resulta frecuentemente en un aplastamiento parcial o completo de la glándula hipófisis por el líquido cefalorraquídeo. En Colombia no se reportan publicaciones acerca de la estimación de las tasas de prevalencia de Silla turca vacía (STV), con lo cual el siguiente estudio estimó estos datos epidemiológicos en el área metropolitana de Bucaramanga de pacientes que se realizaron (resonancia magnética nuclear cerebral) así como también determió la asociación del hallazgo de STV con el número de embarazos, alteraciones cognitivas y envejecimiento establecidas estas últimas dos mediante unas pruebas validadas para el país. Dichas asociaciones no se han dilucidado aún y hasta esta fecha en nuestro conocimiento como investigadores no existe literatura publicada al respecto.
publishDate	2017
dc.date.issued.none.fl_str_mv	2017
dc.date.accessioned.none.fl_str_mv	2020-06-26T20:07:19Z
dc.date.available.none.fl_str_mv	2020-06-26T20:07:19Z
dc.type.driver.none.fl_str_mv	info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv	Tesis
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dc.identifier.instname.spa.fl_str_mv	instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv	reponame:Repositorio Institucional UNAB
url	http://hdl.handle.net/20.500.12749/1864
identifier_str_mv	instname:Universidad Autónoma de Bucaramanga - UNAB reponame:Repositorio Institucional UNAB
dc.language.iso.spa.fl_str_mv	spa
language	spa
dc.relation.references.spa.fl_str_mv	Cano Riaño, Hernán Darío (2017). Prevalencia de silla turca vacía en una población colombiana y asociación con alteraciones cognitivas y envejecimiento. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNAB De Marinis L, Bonadonna S, Bianchi A, Maira G, Giustina A. Primary empty sella. J. Clin Endocrinol Metab. 2005; Sep. 90(9):5471-7. Moore KL, Dalley AE. Clinically Oriented Anatomy. 4ª edición, Médica Panamericana-Sans Tache-Williams Et Wilkins, Buenos Aires, 3ª Edición, 2003. Melmed S, Polonsky KS, Larsen PR, Kronenberg HM; Williams Texbook of Endocrynology. 12ª edición, Philadelphia: Elsevier Saunders. 2011. McLachlan MSF, Williams ED, Doyle FH. Applied anatomy of the pituitary gland and fossa: a radiological and histopathological study based on 50 necropsies. Br J Radiol 1968; 41:782-8. Bergland RM, Ray BS, Torack RN. Anatomical variations in the pituitary gland and adjacent structures in 225 human autopsy cases. J. Neurosurg. 1968; 28:93-99. Bjerre P. The empty sella. A reappraisal of etiology and pathogenesis. Acta Neurol Scand Suppl. 1990;130:1-25. FJ Escalada. Primary empty sella syndrome. Diagnosis, treatment and follow-up; Endocrinol. Nutr. 2007;54(9):479-84. Komatsu M, Kondo T, Yamanouchi K, Yokokawa N, Ichikawa K, Ishihara M, et al. Antipituitary antibodies in patients with the primary empty sella syndrome. J Clin Endocrinol Metab. 1988;67:633-8. Escalada San Martín FJ. Silla turca vacía primaria Endocrinol Nutr. 2007;54(9):479-84 Atherton WW, Kettner NW. The Empty Sella. Journal of Manipulative and Physiological Therapeutics, Sept. 1999:22(7), pp478-82. Sage MI, Blumbergs PE. Primary empty sella turcica: A radiological–anatomical correlation; Australasian Radiology 2000; 44, 341–348. Brodsky MC, Vaphiades M. Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 1998; 105:1686-93. Sacco Vinci V, Maioli A, Citro G, De Marca S, Vinci ML. The primary empty sella syndrome: a clinical and neuroradiological study of 10 cases. Medicina (Firenze) 1990; Jul-Sep 10(3):273-7. Ghatnatti V, Sarma D, Saikia U. Empty sella syndrome - beyond being an incidental finding. Indian J Endocrinol Metab. 2012 Dec;16(Suppl 2):S321-3. doi: 10.4103/2230-8210.104075. Akiyama Y, Yamasaki T, Kagawa T, Moritake K. Empty sella síndrome. Nihon Rinsho. 1993 Oct;51(10):2731-6. Rani PR, Maheshwari R, Reddy TK, Prasad N R, Reddy P A. Study of prevalence of endocrine abnormalities in primary empty sella. Indian J Endocr Metab 2013;17:125-6 Robinson DB, Michaels RD. Empty sella resulting from the spontaneous resolution of a pituitary macroadenoma. Arch Intern Med 1992;152:19203. Rothman KJ, Greenland S. Case-control studies. en: Modern epidemiology. 2nd ed. Lippincott, Raven, 1998: 93-115. Greenland S. Modeling and variable selection in epidemiologic analysis. American Journal of Public Health. 1989; 79:340 – 349 Bensing S, Rorsman F, Crock P, Sanjeevi C, Ericson K, Kampe O, Brismar K, Hulting AL 2004 No evidence for autoimmunity as a major cause of the empty sella syndrome. Exp Clin Endocrinol Diabetes 112:231–235 Hodgson SF, Randall RV, Holman CB, MacCarty CS 1972 Empty sella syndrome:report of 10 cases. Med Clin North Am 56:897–907 Degens H. Age-related skeletal muscle dysfunction: causes and mechanisms. J Musculoskelet Neuronal Interact 2007; 7:246. Carlson BM, Faulkner JA. Muscle transplantation between young and old rats: age of host determines recovery. Am J Physiol 1989; 256:C1262. Moreno-Torres A, Pujol J, Soriano-Mas C, et al. Age-related metabolic changes in the upper brainstem tegmentum by MR spectroscopy. Neurobiol Aging 2005; 26:1051. Walhovd KB, Westlye LT, Amlien I, et al. Consistent neuroanatomical age-related volume differences across multiple samples. Neurobiol Aging 2011; 32:916. Lee NJ, Park IS, Koh I, et al. No volume difference of medulla oblongata between young and old Korean people. Brain Res 2009; 1276:77. Sastry PS, Rao KS. Apoptosis and the nervous system. J Neurochem 2000; 74:1. Dorszewska J. Cell biology of normal brain aging: synaptic plasticity-cell death. Aging Clin Exp Res 2013; 25:25. van der Zee EA. Synapses, spines and kinases in mammalian learning and memory, and the impact of aging. Neurosci Biobehav Rev 2015; 50:77. Barkan AL. Pituitary atrophy in patients with Sheehan's syndrome. Am J Med Sci 1989; 298:38. Keleştimur F. Sheehan's syndrome. Pituitary 2003; 6:181. Feinberg EC, Molitch ME, Endres LK, Peaceman AM. The incidence of Sheehan's syndrome after obstetric hemorrhage. Fertil Steril 2005; 84:975. Zargar AH, Singh B, Laway BA, et al. Epidemiologic aspects of postpartum pituitary hypofunction (Sheehan's syndrome). Fertil Steril 2005; 84:523 Wilson RS, Beckett LA, Barnes LL, et al. Individual differences in rates of change in cognitive abilities of older persons. Psychol Aging 2002; 17:179. Salthouse T. Consequences of age-related cognitive declines. Annu Rev Psychol 2012; 63:201. Cognitive Neuroscience of Aging: Linking Cognitive and Cerebral Aging, Cabeza R, Nyberg L, Park D. (Eds), Oxford University Press, New York 2004. Draganski B, Lutti A, Kherif F. Impact of brain aging and neurodegeneration on cognition: evidence from MRI. Curr Opin Neurol 2013; 26:640. Tam HM, Lam CL, Huang H, et al. Age-related difference in relationships between cognitive processing speed and general cognitive status. Appl Neuropsychol Adult 2015; 22:94. Harada CN, Natelson Love MC, Triebel KL. Normal cognitive aging. Clin Geriatr Med 2013; 29:737. Yang AC, Huang CC, Yeh HL, et al. Complexity of spontaneous BOLD activity in default mode network is correlated with cognitive function in normal male elderly: a multiscale entropy analysis. Neurobiol Aging 2013; 34:428. Taffet GE, Schmader KE, Libman H, Normal aging; Up to date; 2017; Topic 14605 Version 21.0 Frisoni GB, Fox NC, Jack CR Jr, et al. The clinical use of structural MRI in Alzheimer disease. Nat Rev Neurol 2010; 6:67. Clegg A, Young J, Iliffe S, et al. Frailty in elderly people. Lancet 2013; 381:752. 44. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56:M146. Kiely DK, Cupples LA, Lipsitz LA. Validation and comparison of two frailty indexes: The MOBILIZE Boston Study. J Am Geriatr Soc 2009; 57:1532. Bandeen-Roche K, Xue QL, Ferrucci L, et al. Phenotype of frailty: characterization in the women's health and aging studies. J Gerontol A Biol Sci Med Sci 2006; 61:262. Woods NF, LaCroix AZ, Gray SL, et al. Frailty: emergence and consequences in women aged 65 and older in the Women's Health Initiative Observational Study. J Am Geriatr Soc 2005; 53:1321. Cawthon PM, Marshall LM, Michael Y, et al. Frailty in older men: prevalence, progression, and relationship with mortality. J Am Geriatr Soc 2007; 55:1216. Handforth C, Clegg A, Young C, et al. The prevalence and outcomes of frailty in older cancer patients: a systematic review. Ann Oncol 2015; 26:1091. Rodríguez-Mañas L, Féart C, Mann G, et al. Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project. J Gerontol A Biol Sci Med Sci 2013; 68:62. Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc 2013; 14:392. Robinson TN, Walston JD, Brummel NE, et al. Frailty for Surgeons: Review of a National Institute on Aging Conference on Frailty for Specialists. J Am Coll Surg 2015; 221:1083. Buta BJ, Walston JD, Godino JG, et al. Frailty assessment instruments: Systematic characterization of the uses and contexts of highly-cited instruments. Ageing Res Rev 2016; 26:53. Avila-Funes JA, Amieva H, Barberger-Gateau P, et al. Cognitive impairment improves the predictive validity of the phenotype of frailty for adverse health outcomes: the three-city study. J Am Geriatr Soc 2009; 57:453. Sternberg SA, Wershof Schwartz A, Karunananthan S, et al. The identification of frailty: a systematic literature review. J Am Geriatr Soc 2011; 59:2129. Robinson TN, Walston JD, Brummel NE, et al. Frailty for Surgeons: Review of a National Institute on Aging Conference on Frailty for Specialists. J Am Coll Surg 2015; 221:1083. Walston JD, Bandeen-Roche K. Frailty: a tale of two concepts. BMC Med 2015; 13:185. Song X, Mitnitski A, Rockwood K. Prevalence and 10-year outcomes of frailty in older adults in relation to deficit accumulation. J Am Geriatr Soc 2010; 58:681. Buta BJ, Walston JD, Godino JG, et al. Frailty assessment instruments: Systematic characterization of the uses and contexts of highly-cited instruments. Ageing Res Rev 2016; 26:53. Makary MA, Segev DL, Pronovost PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg 2010; 210:901. Garonzik-Wang JM, Govindan P, Grinnan JW, et al. Frailty and delayed graft function in kidney transplant recipients. Arch Surg 2012; 147:190. Yao X, Hamilton RG, Weng NP, et al. Frailty is associated with impairment of vaccine-induced antibody response and increase in post-vaccination influenza infection in community-dwelling older adults. Vaccine 2011; 29:5015. Rothman MD, Leo-Summers L, Gill TM. Prognostic significance of potential frailty criteria. J Am Geriatr Soc 2008; 56:2211. Woo J, Yu R, Wong M, et al. Frailty Screening in the Community Using the FRAIL Scale. J Am Med Dir Assoc 2015; 16:412. Boyle PA, Buchman AS, Wilson RS, et al. Physical frailty is associated with incident mild cognitive impairment in community-based older persons. J Am Geriatr Soc 2010; 58:248. Robertson DA, Savva GM, Coen RF, Kenny RA. Cognitive function in the prefrailty and frailty syndrome. J Am Geriatr Soc 2014; 62:2118.
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dc.publisher.faculty.spa.fl_str_mv	Facultad Ciencias de la Salud
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spelling	Lubinus Badillo, Federico Guillermo00d95c52-cc02-44d8-8cc6-ac6cb2075662-1Wandurraga Sánchez, Edwin Antonio5fa2192c-e67b-4220-8462-a44b20361ed6-1Ochoa, Miguel Enrique0e25e672-953a-43bf-b315-98e84cf9b840-1Cano Riaño, Hernán Darío0832f73d-d88a-4fb4-8b0e-f2bd8df7ec0f-1https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001475567https://scholar.google.es/citations?hl=es#user=_j9J_3EAAAAJhttps://www.scopus.com/authid/detail.uri?authorId=560270017002020-06-26T20:07:19Z2020-06-26T20:07:19Z2017http://hdl.handle.net/20.500.12749/1864instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABLa silla turca vacía (STV) es una condición anatómica caracterizada por la herniación intraselar del espacio subaracnoideo supraselar, que resulta frecuentemente en un aplastamiento parcial o completo de la glándula hipófisis por el líquido cefalorraquídeo. En Colombia no se reportan publicaciones acerca de la estimación de las tasas de prevalencia de Silla turca vacía (STV), con lo cual el siguiente estudio estimó estos datos epidemiológicos en el área metropolitana de Bucaramanga de pacientes que se realizaron (resonancia magnética nuclear cerebral) así como también determió la asociación del hallazgo de STV con el número de embarazos, alteraciones cognitivas y envejecimiento establecidas estas últimas dos mediante unas pruebas validadas para el país. Dichas asociaciones no se han dilucidado aún y hasta esta fecha en nuestro conocimiento como investigadores no existe literatura publicada al respecto.RESUMEN DEL PROYECTO……..….11 1. DESCRIPCIÓN DEL PROYECTO……..….14 1.1 Planteamiento De La Pregunta O Problema De Investigación Y Su Justificación En Términos De Necesidades Y Pertinencia:……....14 1.2 Marco Teórico …………….15 1.3 OBJETIVOS…………18 1.3.1 Objetivo General…………18 1.3.2 Objetivos específicos…….….18 1.4 METODOLOGÍA………………19 1.4.1 Tipo De Estudio:………….19 1.4.2 Población:……………………20 1.4.3 Tamaño de la muestra………….20 1.4.4 Criterios De Inclusión:…….…....21 1.4.5 Criterios De Exclusión:…………..21 1.4.6 Definición De Variables………….21 1.4.7 Definicion de caso………….……….22 1.4.7.1 Definicion de control…….………..22 1.5 Procedimientos…………….24 1.5.1 Valoracion radiologica…….…..24 1.5.2 Definicion de criterios de silla turca vacía por RMN…………24 1.6 Instrumentos……….…..25 1.7 Procesamiento de información y análisis estadísticos……………26 1.8 Consideraciones Éticas……….27 1.9 Cronograma de actividades…………...29 2. RESULTADOS………………30 2.1 Resultados, productos esperados y potenciales beneficiarios….……..…..40 3. DISCUSIÓN……………..41 BIBLIOGRAFIA……………….49 Anexos…………………...……55EspecializaciónEmpty sella turcica (VTS) is an anatomical condition characterized by intrasellar herniation of the suprasellar subarachnoid space, frequently resulting in partial or complete crushing of the pituitary gland by cerebrospinal fluid. In Colombia, no publications are reported about the estimation of the prevalence rates of empty Turkish saddle (STV), with which the following study estimated these epidemiological data in the metropolitan area of Bucaramanga of patients who underwent (brain nuclear magnetic resonance) as well as it also determined the association of the finding of STV with the number of pregnancies, cognitive alterations and aging established the latter two through validated tests for the country. These associations have not yet been elucidated and to our knowledge as researchers there is no published literature on the matter to date.Modalidad Presencialapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 2.5 ColombiaPrevalencia de silla turca vacía en una población colombiana y su asociación con alteraciones cognitivas y envejecimientoPrevalence of empty sella turcica in a Colombian population and its association with cognitive alterations and agingEspecialista en Radiología e Imágenes DiagnósticasBucaramanga (Colombia)UNAB Campus BucaramangaUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Radiología e Imágenes Diagnósticasinfo:eu-repo/semantics/masterThesisTesishttp://purl.org/redcol/resource_type/TMEmpty sella syndromeCognitive disordersAgingMedicineRadiologyDiagnostic imagesDiagnostic imagingX-raysInvestigationsAnalysisThe empty sella turcicaSíndrome de silla turca vacíaAlteraciones cognitivasEnvejecimientoMedicinaRadiologíaImágenes diagnósticasDiagnóstico por imagenRadiografíasInvestigacionesAnálisisLa silla turca vacíaCano Riaño, Hernán Darío (2017). Prevalencia de silla turca vacía en una población colombiana y asociación con alteraciones cognitivas y envejecimiento. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNABDe Marinis L, Bonadonna S, Bianchi A, Maira G, Giustina A. Primary empty sella. J. Clin Endocrinol Metab. 2005; Sep. 90(9):5471-7.Moore KL, Dalley AE. Clinically Oriented Anatomy. 4ª edición, Médica Panamericana-Sans Tache-Williams Et Wilkins, Buenos Aires, 3ª Edición, 2003.Melmed S, Polonsky KS, Larsen PR, Kronenberg HM; Williams Texbook of Endocrynology. 12ª edición, Philadelphia: Elsevier Saunders. 2011.McLachlan MSF, Williams ED, Doyle FH. Applied anatomy of the pituitary gland and fossa: a radiological and histopathological study based on 50 necropsies. Br J Radiol 1968; 41:782-8.Bergland RM, Ray BS, Torack RN. Anatomical variations in the pituitary gland and adjacent structures in 225 human autopsy cases. J. Neurosurg. 1968; 28:93-99.Bjerre P. The empty sella. A reappraisal of etiology and pathogenesis. Acta Neurol Scand Suppl. 1990;130:1-25.FJ Escalada. Primary empty sella syndrome. Diagnosis, treatment and follow-up; Endocrinol. Nutr. 2007;54(9):479-84.Komatsu M, Kondo T, Yamanouchi K, Yokokawa N, Ichikawa K, Ishihara M, et al. Antipituitary antibodies in patients with the primary empty sella syndrome. J Clin Endocrinol Metab. 1988;67:633-8.Escalada San Martín FJ. Silla turca vacía primaria Endocrinol Nutr. 2007;54(9):479-84Atherton WW, Kettner NW. The Empty Sella. Journal of Manipulative and Physiological Therapeutics, Sept. 1999:22(7), pp478-82.Sage MI, Blumbergs PE. Primary empty sella turcica: A radiological–anatomical correlation; Australasian Radiology 2000; 44, 341–348.Brodsky MC, Vaphiades M. Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 1998; 105:1686-93.Sacco Vinci V, Maioli A, Citro G, De Marca S, Vinci ML. The primary empty sella syndrome: a clinical and neuroradiological study of 10 cases. Medicina (Firenze) 1990; Jul-Sep 10(3):273-7.Ghatnatti V, Sarma D, Saikia U. Empty sella syndrome - beyond being an incidental finding. Indian J Endocrinol Metab. 2012 Dec;16(Suppl 2):S321-3. doi: 10.4103/2230-8210.104075.Akiyama Y, Yamasaki T, Kagawa T, Moritake K. Empty sella síndrome. Nihon Rinsho. 1993 Oct;51(10):2731-6.Rani PR, Maheshwari R, Reddy TK, Prasad N R, Reddy P A. Study of prevalence of endocrine abnormalities in primary empty sella. Indian J Endocr Metab 2013;17:125-6Robinson DB, Michaels RD. Empty sella resulting from the spontaneous resolution of a pituitary macroadenoma. Arch Intern Med 1992;152:19203.Rothman KJ, Greenland S. Case-control studies. en: Modern epidemiology. 2nd ed. Lippincott, Raven, 1998: 93-115.Greenland S. Modeling and variable selection in epidemiologic analysis. American Journal of Public Health. 1989; 79:340 – 349Bensing S, Rorsman F, Crock P, Sanjeevi C, Ericson K, Kampe O, Brismar K, Hulting AL 2004 No evidence for autoimmunity as a major cause of the empty sella syndrome. Exp Clin Endocrinol Diabetes 112:231–235Hodgson SF, Randall RV, Holman CB, MacCarty CS 1972 Empty sella syndrome:report of 10 cases. Med Clin North Am 56:897–907Degens H. Age-related skeletal muscle dysfunction: causes and mechanisms. J Musculoskelet Neuronal Interact 2007; 7:246.Carlson BM, Faulkner JA. Muscle transplantation between young and old rats: age of host determines recovery. Am J Physiol 1989; 256:C1262.Moreno-Torres A, Pujol J, Soriano-Mas C, et al. Age-related metabolic changes in the upper brainstem tegmentum by MR spectroscopy. Neurobiol Aging 2005; 26:1051.Walhovd KB, Westlye LT, Amlien I, et al. Consistent neuroanatomical age-related volume differences across multiple samples. Neurobiol Aging 2011; 32:916.Lee NJ, Park IS, Koh I, et al. 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Cognitive function in the prefrailty and frailty syndrome. J Am Geriatr Soc 2014; 62:2118.ORIGINAL2017_Tesis_Cano_Riaño_Hernan_Dario.pdf2017_Tesis_Cano_Riaño_Hernan_Dario.pdfTesisapplication/pdf1321015https://repository.unab.edu.co/bitstream/20.500.12749/1864/1/2017_Tesis_Cano_Ria%c3%b1o_Hernan_Dario.pdf0290418d739944555887cc1639049f83MD51open accessLicencia_Hernan.pdfLicencia_Hernan.pdfLicenciaapplication/pdf312858https://repository.unab.edu.co/bitstream/20.500.12749/1864/3/Licencia_Hernan.pdf7e1fbac984c5b700a0d3f72c357243bdMD53metadata only accessTHUMBNAIL2017_Tesis_Cano_Riaño_Hernan_Dario.pdf.jpg2017_Tesis_Cano_Riaño_Hernan_Dario.pdf.jpgIM Thumbnailimage/jpeg5679https://repository.unab.edu.co/bitstream/20.500.12749/1864/2/2017_Tesis_Cano_Ria%c3%b1o_Hernan_Dario.pdf.jpg9cd650545a1a060855d2908bdeda561eMD52open accessLicencia_Hernan.pdf.jpgLicencia_Hernan.pdf.jpgIM Thumbnailimage/jpeg11636https://repository.unab.edu.co/bitstream/20.500.12749/1864/4/Licencia_Hernan.pdf.jpgbdbc0717450fa3a7807056ff9fc636b2MD54metadata only access20.500.12749/1864oai:repository.unab.edu.co:20.500.12749/18642024-09-17 22:00:59.669open accessRepositorio Institucional \| Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co

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