Early endovascular therapy of a ruptured giant aneurysm associated with intracerebral hematoma avoids the need for clipping of the aneurysm, thereby avoiding the need for greater brain retraction, edema, transient clipping, as well as the possibility of intraoperative rupture, thus achieving timely and adequate management of this pathology.

Tumors of the central nervous system (CNS) in children between 0 and 2 years of age are infrequent, so their diagnosis and treatment constitute an important challenge for every pediatric neurosurgical center, to which is added the comorbidities typical of this age. The objective of this study was to describe the diagnostic and therapeutic experience of a neurosurgical Department of national reference in Quito, Ecuador.

Neurosurgery as a medical discipline has always been on the cutting edge of technology and the latest advancements. It’s not a surprise why modern neurosurgeons actively utilize various social media platforms, in order to share the latest news or showcase interesting cases they face daily. From Twitter to LinkedIn neurosurgical professionals of the world share the knowledge and connect with each other in order to advance their skills to the next level.

Rosai-Dorfman disease is a pathology of histiocytic, proliferative, idiopathic and benign type characterized by sinus histiocytosis and massive lymphadenopathy. The most frequent clinical presentation is painless bilateral cervical lymphadenopathy. Extra-nodal involvement occurs in 43% of cases and central nervous system (CNS) involvement in 4%. We present a case of this rare entity.

The Minipterional craniotomy is reliable, less invasive, it maintains the advantages of the pterional approach but avoids greater exposure of the parenchyma and tissue manipulation. Aneurysms of the anterior circulation, ruptured and unruptured, can be treated safely and effectively with limited bone extraction, good cosmetic results and good temporomandibular function.

Endoscopic aqueductoplasty with stent placement in the Silvio aqueduct is an effective measure in cases of isolated cyst in the fourth ventricle, achieving good clinical and imaging evolution compared to other therapeutic options. We present the case of a 34-year-old patient with a history of neurocysticercosis who received antiparasitic treatment and the placement of a DVP, presenting multiple dysfunction with severe dilatation of the IV ventricle. 

Endovascular treatment of non-ruptured intracranial aneurysms with flow diverter devices is a technique that currently has many indications for its use. We present a retrospective review of consecutive cases treated with flow diverters at our institution. Since October 2012 to April 2017, twenty-one patients were treated with a total of 29 non-ruptured aneurysms.

Arteriovenous malformations (AVM) are typically treated by arterial approach. In selected cases, venous embolization is an option with good results. We present the case of a ruptured thalamic arteriovenous malformation treated successfully with transvenous embolization using Onyx, achieving complete obliteration of the nidus.

Cerebral aneurysms are formed due to a weakness in the arterial wall, this cause a dilation and the subsequent risk of rupture, conditioning subarachnoid hemorrhage, being one of the causes of cerebrovascular disease with higher risk of morbidity or death. We presented the first brain revascularization microsurgery for the treatment of a complex cerebral aneurysm performed at the Dos de Mayo National Hospital.

Mini-pterional Craniotomy is a minimally invasive surgery for brain aneurysms, which maintains the advantages of the standard pterional approach, but it minimizes the exposure of brain parenchyma and soft tissue manipulation. It is a valid surgical alternative in selected cases, mainly from PComA and MCA aneurysms.