Featured Article

The goal of this study is to present the outcomes of endovascular treatment performed on a group of patients diagnosed with ruptured aneurysms in the anterior communicating artery. The effectiveness of the treatment will be assessed based on the degree of packing observed in both immediate and subsequent angiography control.

A giant cerebral aneurysm is one that reaches a size greater than 25 mm in diameter, and whose complications are rupture and a mass effect like a tumor. The complex anatomy of the posterior communicating segment and the size of the aneurysm make it challenging to treat surgically, so the best definitive treatment option for this type of pathology is the Endovascular route, which seeks obliteration and exclusion of the aneurysm

Polycystic Kidney Disease (PKD) is a common hereditary kidney disease that can be accompanied by the appearance of intracranial lesions. Among these lesions, cerebral aneurysms are often found in patients with PKD, which can lead to increased morbidity and mortality. These aneurysms can have clinical and surgical implications, making them a serious concern for patients with PKD.

In epilepsy refractory to medical treatment which presents multiple and bilateral epileptogenic foci such as Lennox Gastaut syndrome (LGS) the surgical alternative is disconnection surgery such as callosotomy. Posterior callosotomy is indicated in cases of atonic seizures with posterior resection, leading to better seizure control. We present the case of a patient with Lennox Gastaut syndrome who required a posterior callosotomy achieving complete control of atonic seizures.

Diabetes insipidus is a rare complication in cerebral vascular pathology. Although its presentation is associated with surgery for pituitary tumors, few cases have been reported after the evacuation of cerebral hemorrhages. We present a patient with Diabetes insipidus in a patient with ventriculostomy due to intraventricular hemorrhage.

Herniation of the nucleus pulposus (HNP) is the leading cause of sciatica. The standard diagnostic test is magnetic resonance imaging and treatment can be conservative or surgical. The most common surgical technique is lumbar microdiscectomy. The objective of the study was to know the epidemiological and clinical profile, as well as the surgical results of patients undergoing lumbar microdiscectomy at the Almenara Hospital from January 2018 to August 2021.

In recent years, spinal endoscopy has become increasingly common in our setting; however, its use is not recent. The first reported cases date back to the early 2010s by a team from the Cayetano Heredia Hospital in charge of Drs. Wesley Alaba and Jerson Flores. Although other minimally invasive procedures such as nucleoplasty, nucleolysis, or percutaneous rhizotomies had already been used since the 2000s, it was not until 2011 that endoscopy was used for the first time in a standardized manner in spinal surgery with the endoscope as the only element of vision, successfully resecting a vertebral lesion.

Spinal tuberculosis TB represents 1% of all TB cases and 50 - 60 of osteoarticular TB cases. Certain atypical clinical and radiological presentations of spinal tuberculosis are described infrequently. The lack of recognition of these presentations can lead to a delay in diagnosis and the initiation of treatment. We present the case of a patient with atypical vertebral tuberculosis operated on in our hospital.

Calcified thoracic disc herniations are rare and their approach represents a surgical challenge when they are giant and symptomatic Surgery is indicated in cases of intractable back pain with medical management. We present the case of a patient with a giant calcified thoracic hernia who was successfully operated on in our hospital using an extrapleural transthoracic approach.

Case Report
First experience using 5-ALA for high grade gliomas in the Almenara Hospital
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Prognostic factors in the survival of patients operated of astrocytoma grade II
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Decompressive Craniectomy in the Management of Refractory PostTraumatic Intracranial Hypertension
Jean Marcel Castelo V. MD, Aurelio Asto A.MD
Jan 2010, Volume 5, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | | PDF (Spanish)