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. 

Decompressive craniectomy (DC) has proved to be an effective method in reducing intracranial pressure (ICP) when other treatments have failed. ICP monitoring studies in the pre and post operative show that this reduction is immediate and sustained within 48 hours. However, little is known about the variation of the ICP during the performance of decompressive craniectomy. The authors report the case of a patient with severe TBI who underwent ICP monitoring during the performance of DC in the Guillermo Almenara Hospital in 2009.

Although stereotactic radiosurgery has been proven to be an effective and noninvasive treatment for some skull base meningiomas, complications such as swelling, radiation necrosis, and cranial nerve dysfunction are possible in some cases. As to date, a surgical treatment for radiation necrosis (induced by stereotactic radiosurgery) in order to treat skull base meningioma has yet to be reported in few cases.