Featured Article

We did not find national reports on ruptured aneurysms treated in the context of the pandemic, this being one of the first studies that demonstrate the impact of the COVID-19 pandemic in patients with ruptured intracranial aneurysm. The population should be educated on how to act in case of specific symptoms such as sudden intense headache, neurological deficit, or acute chest pain, which should receive timely care, immediate referral, and priority of treatment in referral hospitals in order to reduce morbidity and mortality of complex neurological pathologies.

The alteration at the anatomical and/or functional level, both motors, sensory and cognitive, a product of the sudden exchange of mechanical energy caused by an external force on the skull, is what defines a traumatic brain injury (TBI). Clinical observation in mild TBI includes observing children under 2 years of age with trauma without fracture or admission criteria clinically for 2 to 4 hours and observing children with symptoms or mechanism of fall for 4 to 6 hours not known. We studied mild TBI at Baca Ortiz Pediatric Hospital, Ecuador, from January 2016 to December 2019.

Traumatic Brain Injury (TBI) is the disruption of brain function and architecture. The Glasgow Coma Scale (GCS) is the most widely used TBI severity classification; however, it assesses the functional status of the brain resulting from highly heterogeneous lesions and has little accuracy. The Neurological Severity Classification System (NSC System), a clinical-tomographic instrument designed to overcome lesion heterogeneity, assesses brain function and structure in determining the severity of BTI.

Petroclival meningiomas constitute 3 to 10% of meningiomas of the posterior fossa, they originate in the petroclival fissure, in the upper part of the clivus, petrosal apex, and medial to the trigeminal nerve. Resection of these tumors is a neurosurgical challenge. The combined partial petrosectomy approach associated with a sub-temporal approach is a technique described by various authors; however, its performance is considered highly complex. We report the case of a petroclival meningioma operated successfully in our hospital using this combined approach

Orbital schwannoma is a rare pathology, which constitutes approximately 1 to 6.5% of orbital tumors, and can originate from the ophthalmic branch of the 5th cranial nerve or from perioptic sympathetic nerves. The first-line treatment is surgery, and total resection provides a good prognosis.  We presented a case of 12-year-old woman, with a 9-year illness, characterized by a progressive decrease in right visual acuity until reaching amaurosis.

True fetal or fetal type posterior communicating artery aneurysms (PComA) are a technical challenge for the neurosurgeon in both endovascular and microsurgical treatment. Microsurgical clipping using minimally invasive approaches is a safe and optimal alternative solution. We presented a case of a 53-year-old patient who had subarachnoid hemorrhage from a true fetal PComA.

Pneumocephalus is mainly associated with traumatic injuries, being a rare complication but with high mortality rates. The symptoms are not specific, but in the event of trauma it is necessary to suspect this entity to carry out a timely diagnosis and treatment, since being the product of the skull base fracture it can cause communication with the outside, and the appearance of cerebrospinal fluid (CSF) leak. We present a 38-year-old male patient who suffers trauma from a pyrotechnic explosion.

We evaluated the effectiveness of isolated choroid plexus coagulation (CPC) as a treatment for hydrocephalus in various clinical settings and the variables associated with its success. We found that Choroid Plexus Coagulation (CPC) is a viable treatment alternative in the management of hydranencephaly, choroid plexus hyperplasia (CPH), and in selected cases of hydrocephalus without the aforementioned characteristics. However, studies are needed to compare CPC with shunt therapies before qualifying it as the first line of treatment.

Currently, endoscopic third ventriculostomy with choroid plexus coagulation (ETV / CPC) has been positioned as a reasonable alternative to cerebrospinal fluid (CSF) shunt in the treatment of hydrocephalus, both in developing countries and in non-limited settings of resources. The results show that the short-term outcomes strongly depend on the age of the patient at the time of the procedure, the etiology of the hydrocephalus, anatomical characteristics, and previous procedures.

Original Article
Impact of the COVID-19 pandemic on patients with rupture of intracranial aneurysm at the Dos de Mayo National Hospital in Lima Peru
JOSÉ LUIS ACHA S., JULIO JOSYMAR QUISPE D.
Jul-Sep 2021, Volume 3, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | |
Original Article
Mild cranioencephalic trauma in the child population. Experience at the Baca Ortiz Hospital, Quito-Ecuador, 2016-2019
ANDREA PAEZ T., ALICIA TORRES M., ADRIANA GONZÁLEZ G., RODOLFO BERNAL C., JESÚS CASTRO V.
Jul-Sep 2021, Volume 3, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | |
Case Report
Presigmoid transpetrous approach (partial petrosectomy) combined with subtemporal transtentorial approach for petroclival meningioma
FERNANDO PALACIOS S., MANUEL LAZON A., EDUARDO ROMERO V., ROMMEL RODRIGUEZ B.
Jul-Sep 2021, Volume 3, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | |
Case Report
Orbital schwannoma, a rare entity. case report
JOHN VARGAS U., CAMILO CONTRERAS C., FERNANDO PALACIOS S., EDUARDO ROMERO V.
Jul-Sep 2021, Volume 3, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | |
Original Article
Choroid plexus coagulation as an isolated procedure in the treatment of hydrocephalus
STEFANO SMOQUINA, S., JOSÉ MANUEL ZULUETA.
Apr-Jun 2021, Volume 3, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Extradural minipterional approach in clipping of ruptured and unruptured complex aneurysms in the “Luis N. Saenz” PNP Hospital Complex: case report
CRISTIAN SALAZAR C, ALLEN DIAZ I, RICARDO ROJAS D, MIGUEL GAITAN C, ARMANDO LUCAR F.
Apr-Jun 2021, Volume 3, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Experience of endovascular management of a unruptured thalamus-mesencephalic arteriovenous malformation associated with venous aneurysm in a pediatric patient. case report
ANNEL MURGA V., JESÚS FLORES Q., GIANCARLO SAAL Z., OSMAR ORDINOLA C., RODOLFO RODRÍGUEZ V.
Apr-Jun 2021, Volume 3, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Evacuation of intracerebral hematomas by Neuroendoscopy: results in a series of cases
JERSON FLORES C.
Jan-Mar 2021, Volume 3, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Definitive treatment of cerebral aneurysms at the Cayetano Heredia National Hospital in Lima Peru: a case series results.
GONZALO ROJAS D., JUAN GARAY H., WESLEY ALABA G., CÉSAR RODRIGUEZ C., ROLANDO LOVATON E., RELIX HUAMAN H.
Jan-Mar 2021, Volume 3, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Magnetic Resonance Tractography integrated to Neuronavigation in the surgical planning of a temporal arteriovenous malformation at the Dos de Mayo National Hospital. Case report.
JOSÉ LUIS ACHA S., MIGUEL AZURÍN, ADRIANA BELLIDO.
Jan-Mar 2021, Volume 3, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Transsphenoidal endoscopic surgical treatment of pituitary tumors at the Cayetano Heredia National Hospital in Lima Peru: outcomes of a series of cases
JUAN GARAY H, GONZALO ROJAS D, WESLEY ALABA G, JERSON FLORES C, RÓMULO RODRIGUEZ C, YVAN SALCEDO F.
Oct-Dec 2020, Volume 2, Issue 4, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Endoscopy-assisted microsurgery in the resection of epidermoid tumor of the pontocerebellar angle
JERSON FLORES C., GONZALO ROJAS D., WESLEY ALABA G., RÓMULO RODRIGUEZ C.
Oct-Dec 2020, Volume 2, Issue 4, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Microsurgical resection of a pontine cavernoma through a far lateral infratentorial supracerebellar approach
CARLOS VASQUEZ P., GONZALO ROJAS D., JOSÉ CALDERÓN S., YELIMER CAUCHA M.
Oct-Dec 2020, Volume 2, Issue 4, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Neurosurgical treatment of unstable cervical spine due to rheumatoid arthritis: case series
JORGE ZUMAETA S, ELAR CARI C, ALFONSO BASURCO C, CESAR POLO D, JESUS CABREJOS B, PABLO PINO L, JUAN SALAS G, EDUARDO LAOS P, ROBERT BURGOS C.
Jul-sep 2020, Volume 2, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Recurrent lumbar disc prolapse, causative factors and outcome in bangladeshi people
MOSHIUR RAHMAN, MD, EZEQUIEL GARCIA-BALLESTAS, MD, LUIS RAFAEL MOSCOTE-SALAZAR, MD
Jul-sep 2020, Volume 2, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)

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