Coiling is the most common endovascular technique used for the treatment of aneurysms. Different types are available and Penumbra coils are a new option in the endovascular armamentarium.
Neuroendoscopy is a diagnostic and therapeutic method of various forms of neurocysticercosis. Extraparenchymal neurocysticercosis is able to produce bone and dural erosion, so must be considered in the differential diagnosis of cerebrospinal fluid.
The infiltrative nature of malignant gliomas make their resection a challenge to neurosurgeons. 5-aminolevulinic acid (5-ALA) is a drug that helps to properly delimit the edges of a high-grade glioma, by using a modified microscope, and thus increases the degree of tumor resection, ultimately improving the prognosis of the disease.
Survival of patients operated on Astrocytoma grade II in our hospital is 56.7 months, with the factors of better prognosis being the "low risk" group and the total resection. Its classification into prognostic risk groups based on pre-surgical clinical data helps us predict survival before surgery.
The authors study 51 patients with subarachnoid hemorrhage due to suspected intracranial aneurysms who underwent surgery in the Daniel A. Carrión Hospital, Peru, from May 2004 to Nov 2007, to determine the validity, sensitivity and specificity of 16 multislice spiral CT angiography (ATEM) in the diagnosis of cerebral aneurysms. They concluded that CT angiography is an excellent noninvasive test for the detection of intracranial aneurysms and to determinen their location.
Magnetic resonance spectroscopy allows a more accurate diagnosis of intraparenchymal brain lesions of uncertain etiology and occurs when the lesion is unique, brain neoplasia and tuberculomas, enabling better-targeted treatment for patients. The authors carried out a study in 24 patients aged between 02 and 72 years who underwent the brain structural and spectroscopic study univoxel with voxel of 20 mm x 20 mm x 20 mm (8 cc) located at the level of the lesion determined.
The authors present the case of a 32 year old patient with spinal cord compression syndrome of 10 months of evolution. Magnetic resonance imaging showed signal voids causing myelopathy that spinal angiography showed to be a type IVb spinal arteriovenous malformation (perimedular arteriovenous fistula type II) supplemented by a posterior spinal artery that originated next to the Adamkiewicz artery from the segmental artery T11 left.
Neurosurgery is successively founder Mauricio Dávila in 1944 at the Police Hospital, Esteban Roca in 1947 in the Obrero Hospital, Fernando Cabieses at the Institute of Neoplastic Diseases and Juan Franco the the Institute of Neurological Sciences . After these services have made many more, led by prominent and prestigious Neurosurgeons meeting in what today is the Peruvian Society of Neurosurgery.
Traumatic brain injury (TBI) is the leading cause of morbidity and mortality mainly in young people, and also one of the most common neurosurgical diseases in daily practice. Medical and surgical optimal treatment are essential to achieving shorter hospital stay, good Glasgow scale and GOS, reduce complications and mortality rate.The aim of this study is to present the results in 76 patients operated on at Almenara Hospital in 2008 and 2009.
Continuous monitoring of intracranial pressure (ICP) is a therapeutic guide for the proper management of Brain injured patients at risk of intracranial hypertension. Intracranial hypertension is associated with high morbidity and mortality in brain injury patients of different etiologies, hence the importance of timely recognize and treat this entity. For this reason the need for monitoring, analysis and interpretation of intracranial pathophysiological is an important part of multimodal neuromonitoring together with clinical and CT evaluation.
