The trauma cranioencephalic (TCE) in the paediatric patient has special characteristic clinical and epidemiological that separate it from the adult, characteristics that must be taken in bill for the implementation of a suitable plan of attention in emergency, improvement of the reference system and of promotional preventive measurements with the purpose of decrese the morbimortalidad.
The authors investigate Gamma Knife and LINAC radiosurgery technologies regarding technical aspects and clinical results. They concluded that Linac based radiosurgery is a practical treatment method with equivalent physical, radiobiological and clinical results compared to the gamma knife technology although its routine methodology requires multidisciplinary effort.
Surgical approachs to the skull base are usefull in the treatment of expansive and vascular lesions that localize there or near there, increasing significantly the exposition and reducing the need for brain retraction with minor risks of injury during their resection. This is a brief revision of the main approaches to the skull base that describes surgical techniques of them, taking as a reference the experience gained by the autor in a course directed by Dr. Antonio Bernardo.
Primary central nervous system lymphoma (PCNSL) is a rare form of non-Hodgkin lymphoma (NHL) which affects brain, spinal cord, leptomeninges and eyes. Its clinical course and radiological features are different in inmunocompetent patients comparated with inmunocomprised patients, especially in patients with acquired inmunodeficiency syndrome (AIDS).
The aim of the brain tumour surgery is the maximal tumour resection with the minor neurological post operatory deficit; however this is not always possible mainly in case of lesions near to functional areas. The awake craniotomy is a safe technique that allow us to evaluate the neurological status during the surgical act and to detect early any deficit in the function. The authors present the first report of case in Peru of awake craniotomy for low grade glioma resection, carried out in the Guillermo Almenara Hospital in February 2008.
The authors report six cases in which, was used an trans oral technique to deal with the upper cervical spine segment. The cases were: four cases of rheumatoid arthritis and 2 cases of basilar impression. We described the clinical picture and the surgical technique used. Then we described the techniques used for posterior stabilization in each case.
