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.
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Extradural minipterional approach in clipping of ruptured and unruptured complex aneurysms in the “Luis N. Saenz” PNP Hospital Complex: case report
The complexity of an intracranial aneurysm is defined by its location, size, previous treatment, presence or absence of collateral circulation, intraluminal thrombus, or calcification of the aneurysm wall. The treatment of these aneurysms must be based on the balance between the associated risks and the benefit for the patient; Within microsurgical techniques, the extradural minipterional approach is described.
Experience of endovascular management of a unruptured thalamus-mesencephalic arteriovenous malformation associated with venous aneurysm in a pediatric patient. case report
The treatment of arteriovenous malformations (AVMs) of the basal ganglia, the thalamus, and the insula is complex, due to the eloquence of the neural structures involved. They constitute between 4.3% and 11% of all AVMs and are associated with a high rate of morbidity and mortality due to the high risk of bleeding due to their inaccessible location. Recent advances in endovascular therapy have allowed obtaining good results with curative potential.
Intracerebral (ICH) and intraventricular (IVH) hemorrhage cause severe morbidity and a high mortality rate. Early surgical evacuation with minimal damage to brain tissue is essential. Endoscopic evacuation using an Endoport system is a promising technique. We present the results of the endoscopic evacuation of ICH and IVH in patients operated from 2010-2019 at the Almenara Hospital in Lima-Peru.
Definitive treatment of cerebral aneurysms at the Cayetano Heredia National Hospital in Lima Peru: a case series results.
Subarachnoid hemorrhage (SAH) due to rupture of a cerebral aneurysm continues to be a disease with high morbidity and mortality in our setting, despite advances in microsurgery and endovascular therapy. The objective of the present study was to determine the demography, vascular territory, and complications that occur in the perioperative management of patients with ruptured cerebral aneurysms treated at the Cayetano Heredia Hospital.
Magnetic Resonance Tractography integrated to Neuronavigation in the surgical planning of a temporal arteriovenous malformation at the Dos de Mayo National Hospital. Case report.
Complete resection of a cerebral arteriovenous malformation (AVM) eliminates the risk of bleeding. Although AVMs that adjoin eloquent areas have been studied with functional neuroimaging or intraoperative mapping, the usefulness of tractography has been limited to case reports or small series. Selecting the patient for surgery for an AVM close to an eloquent area is a challenge.
Transsphenoidal endoscopic surgical treatment of pituitary tumors at the Cayetano Heredia National Hospital in Lima Peru: outcomes of a series of cases
Transsphenoidal endoscopic surgery has become a surgical procedure of choice for the treatment of pituitary tumors. The objective of the present study was to describe the demographic, clinical characteristics, complications, and postoperative results of the patients who underwent transsphenoidal endoscopic resection. We present our results of this technique in patients operated from January 2016 to August 2018 at Neurosurgery Department of the Cayetano Heredia National Hospital.
Intracranial epidermoid tumors are rare, slow-growing, and histologically benign congenital neoplasms. The microsurgical approach with endoscopic assistance is described as a minimally invasive technique that facilitates the work of the neurosurgeon in the complete resection of an epidermoid tumor located in the cerebellopontine angle. We present a case where we use a combined microscopic and endoscopy technique.
Microsurgical resection of a pontine cavernoma through a far lateral infratentorial supracerebellar approach
Cavernomas on the posterolateral pontomesencephalic surface can be approached from an extreme lateral supracerebellar infratentorial corridor, although the theory is scarce. The brainstem has a dense concentration of nuclei and fibers that are responsible for a high rate of morbidity when treating brainstem lesions. The objective of this work is to demonstrate the safe microsurgical resection technique for the complete removal of a pontine cavernoma.