Cervical injury is common in the hills north of India. Rare types of clinical syndromes are seen due to falls from overweight height in the head. Anterior subluxation of the neck occurs most commonly in the mobile segment of the cervical region 4 (50% in the C5/6 joint), high or very low subluxations are rarely reported. We report an unusual case of complete cervical lesion with overlap and antero-position of the C7-T1 segment.

The present prospective and descriptive study is about of six cases of pyogenic brain abscess, treated at the Hospital II EsSalud Hospital in Cajamarca, Peru, from 1990 to 2006. The average age was 42 years, 3 cases of males and 3 of females. The primary foci were: bronchiectasis, chronic otitis media, dental abscess, chronic sinusitis, cardiogenic origin and in 1 case was not determined. The associated medical conditions were: malnutrition, HIV positive, diabetes mellitus and bacterial endocarditis.

Odontoid type II fractures are relatively frequent and its therapeutic approach continues to be subject to considerable debate by the different column groups, both national and international. It is a young woman who suffered a traumatic brain injury in a traffic accident although there was no neurological compromise, persistent neck pain led to the diagnosis of a type II odontoid fracture.

The author present his results of the endovascular treatment of carotid-cavernous fistulas (CCF) in 21 patients treated between October 1994 and July 2004 and conclude that endovascular embolization of his present series proved to be very effective and safe treatment, managing to cure or improve in a significant and permanent way a vast majority of patients with results comparable to those reported in the international reference centers.

The authors presented the first report in Peru of Endoscopic Endonasal Approach for pituitary surgery carried out in the Cayetano Heredia Hospital in december 2008. Although microscopic approaches allow a secure and efective tumoral resection, the endoscopic approach has certain advantages such a better visualization of surgical field  and preservation of sinus nasal funcion, shorter hospital stay and lower rate of complications.