Featured Article

Robotic technology has helped medicine to reduce exposure time and offer greater efficiency and precision in surgical interventions. The goal of using an articulated robotic arm for X-ray (Rx) guided minimally invasive surgery and interventional assistance is to reduce direct and secondary radiation on physicians. The use of a collaborative robotic arm (COBOT) that replaces the operating arm of the surgeon-interventionist physician to avoid exposure to X-rays is described.

Nosocomial Infections (NIs) occurred in a third of the patients; increasing in those with traumatic pathology, undergoing surgery, admitted to the ICU, and prolonged hospital stay; thereby increasing mortality. It is unavoidable to consider the presence of Gram-negatives and enterobacteria when using antimicrobials in the treatment of NI in neurosurgical patients.This study shows the epidemiology of NIs inhospitalized in the Neurosurgery Service of Cayetano Heredia Hospital (HCH), between April 2020 and March 2021.

Acute spontaneous intracerebral hemorrhage is a life-threatening disease of global importance, with a poor prognosis and few effective treatments. For supratentorial intracerebral hemorrhage, early evacuation (<24 hours after hemorrhage onset) with standard craniotomy is considered lifesaving in deteriorating patients. In cases where the hemorrhage is less than 1 cm from the cortical surface, the clinical benefit is even greater.

Cerebral venous thrombosis (CVT) is a rare type of cerebrovascular disease that can occur at any age and represents 0.5% to 1.5% of the total.1 Superior sagittal venous sinus thrombosis (SSVST) secondary to brain injury (BTI) is reported worldwide only as single cases or in small series.3,4 Headache is the most frequent symptom (90%). The most common focal signs are aphasia and hemiparesis. Papilledema occurs in 25% of cases and epilepsy in about 40%.1,4 Diagnosis is made by venous phase angiography, or by magnetic resonance imaging (MRI) with gadolinium or computed tomography (CT)1,2.

An intracranial foreign body granuloma is a chronic inflammatory reaction, due to materials used in cranial surgery; this complication is rarely reported in neurosurgery. The definitive diagnosis is by pathological anatomy since the images are very similar to those of a brain tumor. Treatment is total resection of the lesion.

The first case of pediatric spindle cell / pleomorphic sarcoma associated with Haberland syndrome or Encephalocraniocutaneous Lipomatosis, a rare ectomesodermal dysgenesis defined by the triad that includes ocular, skin, and central nervous system involvement, which is usually unilateral, is described. This disorder is attributed to a postzygotic mutation responsible for dysgenesis of the neural tube and crest.

Wounded Glioma Syndrome (WGS) is a clinical picture described after resection of high-grade tumors. It is characterized by the presence of hemorrhage and postoperative edema that is difficult to manage, leading to significant sequelae and in some cases death. Pre and postoperative conditions play an important role in WGS, as well as factors related to surgery such as modification of tumor and peritumoral blood flow, altered coagulation, among others.

Problems with appearance may negatively affect the mental health of individuals with disfigurement so, cranioplasty has an important role in improving the physical appearance of patients as well as their psychological symptoms. This study aims to highlight the aesthetic as well as the psychological outcomes of cranioplasty using the two most widely used synthetic graft materials; polymethyl methacrylate (PMMA) and titanium mesh.

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.

Original Article
Articulated robotic arm for assistance in interventional radiology
ROLANDO ORTEGA, IVAN ORTEGA, DEISY ACOSTA, JORGE POMA, LUZ CASTAÑEDA
Oct-Dec 2021, Volume 3, Issue 4, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | | PDF (Spanish)
Case Report
Intracerebral hemorrhage of basal ganglia, surgical management through transinsular transylvian approach. case report
GIUSEPPE ROJAS P.1a, JESÚS FLORES Q.2b
Oct-Dec 2021, Volume 3, Issue 4, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | | PDF (Spanish)
Original Article
Aesthetic and psychological outcomes of cranioplasty, polymethyl methacrylate versus titanium mesh
ESSAM M. YOUSSEF, MD, DINA A. SELEEM, MD, MOHAMED A. YAHIA, MD
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) |
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 | PDF (English) | PDF (Spanish)
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 | PDF (English) | PDF (Spanish)
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 | PDF (English) | PDF (Spanish)
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 | PDF (English) | PDF (Spanish)
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)

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