The BTI in the paediatric patient has special characteristic clinical and epidemiological that separate it from the adult, characteristics that must be taken in bill for the implementation of a suitable plan of attention in emergency, improvement of the reference system and of  promotional preventive measurements with the purpose of decrese the morbimortalidad.

Myelomeningocele is the most frequent and complex congenital malformation that is compatible with life. Our institution as a reference center at the national level for pediatric neurosurgical pathology receives with relative frequency transfers of infants with open spina bifida. According to the Office of Institutional Statistics and Informatics in Peru, during 2006, congenital malformations were the main cause of hospitalization in the neurosurgery service, with myelomeningocele being the second cause after congenital hydrocephalus. 

Currently four types of treatment are used: Surgery, Radiotherapy (RT), Chemotherapy (QT) and Immunotherapy (IT). Surgery is the most common treatment for intracranial tumors. RT is the use of X-rays or gamma and its purpose is to eliminate tumor cells from the outside and reduce their size (external beam RT); RT can also be used by placing radioactive materials into the tumor, through thin plastic tubes, radioisotopes, in order to remove the tumor cells from the inside (internal RT).

A hundred years after his birth his memory is perpetuated in the Institute he founded and which today bears his name and in the hearts of those who had the privilege of being his disciples