Stereotactic body radiation therapy and minimally invasive surgery in the management of spinal metastases: a change in the paradigm.
-García EM Abstract The main goal of treatment in spinal metastatic patients is local control of the disease, pain relief and the maintenance of ambulation. Traditionally, wide surgical resection of the tumour followed by adjuvant radiation and/or chemotherapy has been recommended. Currently, single-fraction or hypofractionated stereotactic body radiation therapy (SBRT) yields a one-year local control rate of over 95% with minimum morbidity, even for tumours previously considered radioresistant. In addition, by posterolateral and circumferential decompression and stabilisation of the spinal cord, it is feas...
Source: Neurocirugia - October 23, 2019 Category: Neurosurgery Authors: Delgado-López PD, Roldán-Delgado H, Corrales-García EM Tags: Neurocirugia (Astur) Source Type: research

Mobile application to analyse surgical experience.
CONCLUSIONS: The Electronic Neurosurgical Register is an innovative technological tool that supports the fields of care, teaching and research. It records the exact number of patients who have undergone surgery at a particular time, providing valuable information for the proper management of resources. The data obtained can be used to identify areas of opportunity in the training of residents, facilitating the development of continuous improvement strategies in the training of competent neurosurgeons. PMID: 31668628 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - October 23, 2019 Category: Neurosurgery Authors: Garcia-Estrada E, Morales-Gómez JA, Delgado-Brito M, Martínez-López AA, Flores-Huerta LE, Martínez-Ponce de León ÁR Tags: Neurocirugia (Astur) Source Type: research

Trigeminal root massage in microsurgical treatment of trigeminal neuralgia patients without arterial compression: When, how and why.
CONCLUSIONS: The described maneuver provides an easy and simple alternative way in cases where during a microsurgical exploration of trigeminal root, where we don't find a clear arterial compression, with similar results than other possibilities such as partial sensory rhizotomy or more complicated and time consuming surgery as "nerve combing". Nevertheless, a 40% of pain recurrence after an average follow-up of 5 years means that is a good alternative, but not a definitive technique at the moment for permanent cure of trigeminal neuralgia without arterial compression. PMID: 31668629 [PubMed - as supplied by...
Source: Neurocirugia - October 23, 2019 Category: Neurosurgery Authors: Urculo E, Elua A, Arrazola M, Torres P, Torres S, Undabeitia J Tags: Neurocirugia (Astur) Source Type: research

Atlantoaxial subluxation secondary to retropharyngeal abcess in adults (Grisel's syndrome). Review of literature about a clinical case.
We present the case of a 68-year-old patient with a history of chronic myeloid leukemia, who presented with infectious polyarthritis, cervicalgia, torticollis and cervical impotence. Cervical radiography, CT, and MRI showed a C1-C2 subluxation adjacent to a pharyngeal abscess, so GS was diagnosed. After antibiotic therapy, the patient had to undergo surgery due to the failure of the closed reduction. Due to its low incidence, there are no clinical guidelines for the management of these patients; The interdisciplinary collaboration is fundamental to establish the opportune diagnosis that allows to establish the conservative...
Source: Neurocirugia - October 13, 2019 Category: Neurosurgery Authors: Andermatten JA, Elua Pinin A, Samprón Lebed N, Armendariz Guezala M, Arrazola Schlamilch M, Úrculo Bareño E Tags: Neurocirugia (Astur) Source Type: research

Medical humanism values for neurosurgery resident.
PMID: 31615692 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - October 13, 2019 Category: Neurosurgery Authors: Al-Ghanem R, Abdullah El-Rubaidi O Tags: Neurocirugia (Astur) Source Type: research

Vancomycin powder for the prevention of surgical site infection in posterior elective spinal surgery.
CONCLUSION: In posterior elective spinal surgery, prophylaxis with vancomycin powder did not result in a significantly reduced incidence of superficial and deep SSI. There was a trend towards a higher incidence of deep SSI caused by gram negative microorganisms among those treated with vancomycin. PMID: 31611139 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - October 11, 2019 Category: Neurosurgery Authors: Delgado-López PD, Martín-Alonso J, Martín-Velasco V, Castilla-Díez JM, Galacho-Harriero A, Ortega-Cubero S, Herrero-Gutiérrez AI, Rodríguez-Salazar A Tags: Neurocirugia (Astur) Source Type: research

Spinal cord compression secondary to traumatic intradural arachnoid cyst.
We present the case of a male patient with traumatic spinal arachnoid cyst, together with a review of the cases published to date. Finally, we explain the different surgical options for this pathology relating them to the physiopathological theories that try to explain the origin of these lesions. PMID: 31611140 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - October 11, 2019 Category: Neurosurgery Authors: Jiménez Zapata HD, Utiel Monsálvez E, Jiménez Arribas P, Dueñas Carretero M, Sánchez Fernández C, Fernández García A, Ayuso Hernández M, Rodríguez Arias CA Tags: Neurocirugia (Astur) Source Type: research

Vertebral instrumentation and Phlegmasia cerulea dolens.
This article shows the need to perform a scrupulously scrutinize of the screws both intra and postoperatively when we are close to the great vessels. PMID: 31611141 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - October 11, 2019 Category: Neurosurgery Authors: Sainz González F, Palacios Cabezas P, Lorente Gómez A, Sánchez Galán Á, Lorente Moreno R Tags: Neurocirugia (Astur) Source Type: research

Spinal osteoid osteoma recurring as an aggressive osteoblastoma.
We report an uncommon case of osteoid osteoma recurring as an aggressive osteoblastoma of the spine. A 15-years-old male consulted in our department with long-term painful scoliosis. The CT-scans and MRI revealed a sclerotic bone forming tumor of 7mm diameter consistent with a osteoid osteoma. A percutaneous radiofrequency ablation was performed with complete resolution of the symptoms. After 6 months, the symptoms recurred. A new CT and a MRI showed a growth of the nidus on the right L4 lamina, with a size of 15mm. Therefore, a marginal resection by laminectomy of L4 was performed. Pathology confirmed an epithelioid osteo...
Source: Neurocirugia - September 2, 2019 Category: Neurosurgery Authors: López-Puerta JM, Fernández-Marín MR, Martín Benlloch JA, Lorente R Tags: Neurocirugia (Astur) Source Type: research

Neuromonitoring in the severe traumatic brain injury. Spanish Trauma ICU Registry (RETRAUCI).
CONCLUSIONS: Our study shows a picture of ICP monitoring in severe TBI patients in our environment. Use of cerebral oximetry techniques is very limited. PMID: 31466814 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - August 26, 2019 Category: Neurosurgery Authors: Llompart-Pou JA, Barea-Mendoza JA, Sánchez-Casado M, González-Robledo J, Mayor-García DM, Montserrat-Ortiz N, Enríquez-Giraudo P, Cordero-Lorenzana ML, Chico-Fernández M, en representación del Grupo de Trabajo de Neurointensivismo y Trauma de la SEM Tags: Neurocirugia (Astur) Source Type: research

Decompressive craniectomy in malignant middle cerebral artery infarction: family perception, outcome and prognostic factors.
CONCLUSIONS: We present a 21 patients group where the best outcome was achieved in patients ≤60 years old. The severe neurological sequelae in patients with malignant infarction subjected to decompressive hemicraniectomy are tolerated and accepted by most families to the benefit of survival. We must not let this family satisfaction hide the prognosis, having to contextualize it within the real ambulatory situation of the patients. PMID: 31445797 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - August 21, 2019 Category: Neurosurgery Authors: García-Feijoo P, Isla A, Díez-Tejedor E, Mansilla B, Palpan Flores A, Sáez-Alegre M, Vivancos C Tags: Neurocirugia (Astur) Source Type: research

Choroid plexus papilloma of the third ventricle. A case report.
We describe the case of a 3-month-old boy who was admitted to our centre with signs of raised intracranial pressure. Neuroimaging studies showed a third ventricular mass with associated hydrocephalus. The patient underwent complete tumour removal through a transfrontal approach and ventriculo-peritoneal shunt surgery. Postoperative course of the child was uneventful and follow-up magnetic resonance imaging revealed no residual tumour. Histopathology of the resected lesion confirmed the diagnosis of choroid plexus papilloma. We discuss the clinical, radiological and histological features of this infrequent type of tumours. ...
Source: Neurocirugia - August 7, 2019 Category: Neurosurgery Authors: Castro Castro J, Lista Martínez O, Cuevas Álvarez EC, Iglesias Meleiro JM, Pérez López C Tags: Neurocirugia (Astur) Source Type: research

Brainstem venous congestion due to a direct carotid-cavernous fistula: Case report.
We describe a case of direct FCC with venous congestion in the brainstem and fluctuating symptoms with a considerable clinical and imaging improvement after treatment. PMID: 31377094 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - July 31, 2019 Category: Neurosurgery Authors: Otiniano Sifuentes R, Vélez Rojas M, Flores Mendoza M, Torres Ramírez L, Solís Chucos F Tags: Neurocirugia (Astur) Source Type: research

Streptococcus intermedius posterior fossa abscess after a minor dental procedure in an immunocompetent woman.
lah O Abstract A 52-year-old woman with no relevant previous medical history was diagnosticated of an infratentorial bulky cerebellar mass. The mass showed restricted diffusion on MR images, which was consistent with cerebellar abscess. The patient had undergone a minor dental procedure three weeks before. Microbiological analysis after surgical evacuation of the mass confirmed the presence of Streptococcus intermedius. PMID: 31377095 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - July 31, 2019 Category: Neurosurgery Authors: Vargas López AJ, Galicia Bulnes JM, Al Ghanem Ghanem R, El Rubaidi Abdullah O Tags: Neurocirugia (Astur) Source Type: research

Hemangiopericytoma/Solitary Fibrous Tumor in the central nervous system. Experience with surgery and radiotherapy as a complementary treatment: A 10-year analysis of a heterogeneous series in a single tertiary center.
te;nez-Rolan R, de la Lama Zaragoza A, Conde Alonso C Abstract Hemangiopericytoma and Solitary Fibrous Tumor are tumors with low incidence. They have a tendency to recur locally and to metastasize. The WHO integrated both tumors into a new entity but one of the pending issues is to demonstrate the effectiveness of surgery plus complementary radiotherapy (RT) and standardize the use of it. We reviewed the data from 10 years. We assessed pathologic and radiologic characteristics. The operation records were evaluated to determine the features and extent of tumor resection. We compared the outcomes in patients using o...
Source: Neurocirugia - July 24, 2019 Category: Neurosurgery Authors: González-Vargas PM, Thenier-Villa JL, Sanromán Álvarez P, Serantes Combo A, Calero Félix L, Galárraga Campoverde RA, Azevedo González E, Martín-Gallego Á, Martínez-Rolan R, de la Lama Zaragoza A, Conde Alonso C Tags: Neurocirugia (Astur) Source Type: research

Surgical anatomy of the orbit. A systematic and clear study of a complex structure.
CONCLUSION: A systematisation of the orbital anatomy was performed with clear illustrations to simplify its study. The understanding of the anatomy of the orbit is vital to classify lesions and provides a solid basis when choosing the most appropriate approach for their treatment. PMID: 31221573 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - June 17, 2019 Category: Neurosurgery Authors: Villalonga JF, Sáenz A, Revuelta Barbero JM, Calandri I, Campero Á Tags: Neurocirugia (Astur) Source Type: research

Glossopharyngeal schwannoma: Clinical case report.
We present the case of a 42-year-old patient with a syndrome of angulopentocerebellar syndrome, posterior torn (jugular) hole syndrome + anterior condyle (Collet-Sicard). The treatment used was surgical with transcondylar lateral extreme approach, with monitoring of cranial nerves and trans-operative evoked potentials. PMID: 31213391 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - June 15, 2019 Category: Neurosurgery Authors: Ordoñez-Granja J, Rivera Velazquez JE, Martinez Albarrán LA, Castillo-Rangel C Tags: Neurocirugia (Astur) Source Type: research

Intrathecal baclofen as a treatment for spasticity: Review of the cases treated in our hospital.
CONCLUSIONS: Intrathecal baclofen is a simple technique with good results for improving the quality of life of patients with spasticity. PMID: 31208871 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - June 14, 2019 Category: Neurosurgery Authors: Santin-Amo JM, Flores-Justa A, Román-Pena P, Raposo-Furelos M, Frieiro-Dantas C, Serramito García R, Villa JM, Gelabert-González M Tags: Neurocirugia (Astur) Source Type: research

Spinal angiolipoma: Presentation of two cases and review of the literature for the years 2012-2017.
CONCLUSIONS: Angiolipomas are considered to be sporadic, yet theories concerning their pathogenesis include reaction to harmful stimuli and congenital malformation of the adipose tissue. Fine needle biopsy may be mistakenly considered non-diagnostic, due to the presence of well-differentiated adipocytes. PMID: 31186156 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - June 8, 2019 Category: Neurosurgery Authors: Apostolakis S, Karagianni A, Mitropoulos A, Mantas C, Mavridis I, Filias P, Eftychiadis C, Vlachos K Tags: Neurocirugia (Astur) Source Type: research

Trends and attitudes of spine surgeons regarding osteoporosis.
CONCLUSIONS: Greater participation of the spine surgeon could improve the diagnosis and preoperative treatment of osteoporosis in spinal arthrodesis surgery and pseudarthrosis. In vertebral fractures, there is greater awareness of the optimisation of treatment and monitoring of osteoporosis. PMID: 31175021 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - June 4, 2019 Category: Neurosurgery Authors: Díaz-Romero Paz R, Sosa Henríquez M, Armas Melián K, Coloma Valverde G Tags: Neurocirugia (Astur) Source Type: research

Cauda equina syndrome due to disk herniation: Long-term functional prognosis.
S, Rodríguez-Salazar A Abstract OBJECTIVE: Cauda equina syndrome (CES) caused by lumbar disk extrusion is classically considered an indication of urgent surgery. CES can be subdivided into CESI (incomplete CES) and CESR (complete CES with urinary retention and incontinence). This paper evaluates the long-term functional outcome of a CES cohort operated on due to disk herniation. METHODS: Single-center retrospective observational study. CES patients due to disk herniation that underwent surgery between 2000 and 2016 were included in the study. Demographic data, time intervals to diagnosis and surgery, p...
Source: Neurocirugia - June 2, 2019 Category: Neurosurgery Authors: Delgado-López PD, Martín-Alonso J, Martín-Velasco V, Castilla-Díez JM, Galacho-Harriero A, Ortega-Cubero S, Rodríguez-Salazar A Tags: Neurocirugia (Astur) Source Type: research

Central nervous system granulocytic sarcoma: Report of 2 cases and review of the literature.
MLÁ Abstract Granulocytic sarcomas are solid, extramedullary-located neoplasms composed of immature myeloid cells, associated with myeloproliferative syndromes. Central nervous system involvement is very rare and may develop either after complete remission, coexist with or precede the systemic disease, being the last one that guides the radiological diagnosis and marks the prognosis. In this work, we report 2 pathologically-verified cases of intracranial granulocytic sarcoma treated by surgical means. Their clinical, diagnostic, therapeutic and prognostic features are discussed in the light of the most rel...
Source: Neurocirugia - May 31, 2019 Category: Neurosurgery Authors: Vilariño A, Carrasco Moro R, Sosa FP, Ley Urzaiz L, Vicente MLÁ Tags: Neurocirugia (Astur) Source Type: research

A1 asynchrony, a potential risk factor for the rupture of anterior communicating artery aneurysms: A computational fluid dynamics study.
CONCLUSIONS: In asynchrony, LSA increased in the absence of A1 asymmetry and low A1/A2 angles, potentially increasing the risk of aneurysm rupture in this location. PMID: 31155281 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - May 30, 2019 Category: Neurosurgery Authors: Thenier-Villa JL, Riveiro Rodríguez A, Martínez-Rolán RM, Gelabert-González M, González-Vargas PM, Calero-Félix L, Galarraga Campoverde RA, De La Lama Zaragoza AR, Pou J, Alonso CC Tags: Neurocirugia (Astur) Source Type: research

Postoperative CSF leakages after transsphenoidal surgery for pituitary adenomas: Analysis of a series of 302 surgical procedures.
CONCLUSIONS: The incidence of postoperative CSF leakage in our series was 2,3% (in accordance with similar published studies). It was possible to correlate intraoperative CSF leakage with two variables: pituitary macroadenoma and tumors with suprasellar extension (P
Source: Neurocirugia - May 23, 2019 Category: Neurosurgery Authors: Riesgo P, Mariño P, Platero A, Tarazona FJ, Fajardo C, Llácer JL, Rovira V, Rodríguez R, Flor-Goikoetxea A, Piquer J Tags: Neurocirugia (Astur) Source Type: research

Paravertebral lipomatous ganglioneuroma with intraspinal extension. Case report and literature review.
We present the case of a 34 year old patient with a paravertebral right lesion L1-L4 with intraspinal extension and secondary neurological deficit, who underwent surgery in our hospital. The pathological anatomy showed a yellowish encapsulated neoplasm, which under microscopic evaluation showed areas of ganglioneuroma admixed with areas of mature fat. In the follow up, the patient was asymptomatic, had recovered paresis in the right lower extremity and in the last image control did not present data of lesion recurrence. Fewer than 10 cases of lipomatous ganglioneuromas have been reported in the literature, being this the f...
Source: Neurocirugia - May 22, 2019 Category: Neurosurgery Authors: Lista Martínez O, Castro Castro J, Moreno Barrueco VM, Varela Rois P, Cuevas Álvarez EC, Pastor Zapata A Tags: Neurocirugia (Astur) Source Type: research

MRI-guided frame-based stereotactic brainstem biopsy procedure: A single-center experience.
CONCLUSIONS: MRI-guided frame-based stereotactic biopsy can be considered as a safe and efficient diagnostic method for brainstem lesions when its diagnostic yield and its morbidity and/or mortality rates are evaluated. Choosing the best trajectory for each lesion, using MRI as guidance for targeting, taking a limited number of biopsy samples are valuable criteria for the decreased morbidity rates in stereotactic brainstem biopsy procedures. PMID: 31000332 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - April 15, 2019 Category: Neurosurgery Authors: Akay A, Işlekel S Tags: Neurocirugia (Astur) Source Type: research

Evaluation of temporal muscle trophism in relation to the manipulation time and infiltration of 0.5% isobaric bupivacaine through a pterional approach.
rcía-González U Abstract INTRODUCTION: There are different techniques for the reconstruction of the temporal muscle (TM) in the pterional approach (PA) in order to avoid and reduce atrophy, it has not been able to avoid it in its entirety. The administration of bupivacaine generates regeneration of muscle fibres. There are no studies in the medical literature that evaluate the time of TM manipulation and the use of bupivacaine for the treatment of atrophy after pterional approach, the present investigation aim is to describe the effects of these variables. PATIENT AND METHODS: Longitudinal study...
Source: Neurocirugia - April 8, 2019 Category: Neurosurgery Authors: Valdivia-Chiñas H, Córdoba-Mosqueda ME, Cruz-Cruz EF, Ochoa-Cacique D, Medina-Carrillo Ó, García-González U Tags: Neurocirugia (Astur) Source Type: research

Ventriculostomy and endoscopic biopsy of pineal mass with hydrocephalus and unexpected definitive diagnosis.
lah O Abstract A 72-year-old female with no relevant medical history consulted in the emergency room for a two-week history of headache, vomiting and gait disturbance. Head CT scan revealed obstructive hydrocephalus secondary to a pineal mass with compression of the third ventricle. Magnetic Resonance showed another mass located in the right Lushcka foramen. Endoscopic third-ventriculostomy and biopsy of pineal mass were performed. Pathological analysis was consistent with metastasis of carcinoma. Full-body CT scan showed a lung mass related to primary carcinoma. The patient received systemic treatment for metasta...
Source: Neurocirugia - March 13, 2019 Category: Neurosurgery Authors: Vargas López AJ, Luque Barona R, Galicia Bulnes JM, Al Ghanem Al Ghanem R, El Rubaidi Abdullah O Tags: Neurocirugia (Astur) Source Type: research

Surgeons, physicians and some other habits.
ntilde;ez J PMID: 30797682 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - February 20, 2019 Category: Neurosurgery Authors: Ibáñez J Tags: Neurocirugia (Astur) Source Type: research

Intracranial cystic meningiomas: A series of six patients.
CONCLUSION: It is important to note MRI changes specific to cystic meningioma and include meningiomas in the differential diagnosis of intracranial cystic lesions. The use of sodium fluorescein (Na-Fl) under a YELLOW 560nm microscope filter is a useful tool to differentiate the brain-tumor interface, as well as to identify the cyst wall in order to fully resect the tumor with the cystic component to avoid recurrence and achieve better clinical results. PMID: 30792109 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - February 18, 2019 Category: Neurosurgery Authors: Altunrende ME, Göker B, Dolgun M, Akçakaya MO, Kasımcan MÖ, Şencan F, Hamamcıoğlu MK, Kırış T Tags: Neurocirugia (Astur) Source Type: research

Abandoned techniques in spine surgery.
z-Salazar A Abstract In spine surgery, certain surgical techniques and devices are currently in marked decline or have been completely abandoned. Although used in thousands of patients, such treatments failed to demonstrate durable and sound effectiveness, and sometimes associate inacceptable morbidity. Chemopapain injections, percutaneous discectomy, laser discectomy or antiadhesion gels are examples of abandoned therapies. Some other techniques are in frank decline like implantation of interspinous devices or lumbar disc prosthesis. In general, a technique is abandoned due to inefficacy, excessive associated mor...
Source: Neurocirugia - February 18, 2019 Category: Neurosurgery Authors: Delgado-López PD, Rodríguez-Salazar A Tags: Neurocirugia (Astur) Source Type: research

Spinal dural closure without suture: Minimizing the risk of CSF leakage with a flat non-penetrating titanium U-clip.
CONCLUSIONS: We describe, for the first time, the use of this type of U-clip with a flat inner side. The non-penetrating titanium U-clip facilitates effective and rapid dural closure at all spinal levels due to its flat internal face when closed. The U-clips did not cause significant artefacts or distortions on the magnetic resonance imaging. PMID: 30782504 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - February 16, 2019 Category: Neurosurgery Authors: Marin Laut FM, Gómez Cárdenas EA, Dormido JR, Molina NM, López López JA Tags: Neurocirugia (Astur) Source Type: research

Shape-based interpolation method in measuring intracranial volume for pre- and post-operative decompressive craniectomy using open source software.
CONCLUSION: The shape-based interpolation method with 1-in-10 sampling strategy gave comparable results in estimating ICV compared to manual segmentation. Thus, this method could be used in clinical settings for rapid, reliable and repeatable ICV estimations. PMID: 30782505 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - February 16, 2019 Category: Neurosurgery Authors: Abdullah JY, Rajion ZA, Martin AG, Jaafar A, Ghani ARI, Abdullah JM Tags: Neurocirugia (Astur) Source Type: research

The appointment of an internal medicine practitioner to a neurosurgical department: Advantages, and clinical and professional implications.
We describe her medical activity duties, the advantages our department gains from her daily work, and the professional and working implications derived. PMID: 30770321 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - February 12, 2019 Category: Neurosurgery Authors: Galacho-Harriero AM, Delgado-López PD, Rodríguez-Salazar A Tags: Neurocirugia (Astur) Source Type: research

LINAC radiosurgery treatment for vestibular schwannoma.
brera I, Arráez-Sánchez MÁ Abstract OBJECTIVE: The aims of our study were to evaluate tumour response in a series of patients with vestibular schwannoma (VS) treated with linear accelerator stereotactic radiosurgery (LINAC-RS), to describe the complications and to analyze the variables associated with the response to treatment. MATERIAL AND METHODS: This retrospective descriptive study included 64 patients treated from 2010 to 2016 with a minimum follow-up of one year, excluding patients with neurofibromatosis. Clinical-radiological parameters were evaluated. The treatment was performed u...
Source: Neurocirugia - February 12, 2019 Category: Neurosurgery Authors: Ros-Sanjuán Á, Iglesias-Moroño S, Troya-Castilla M, Márquez-Márquez B, Herruzo-Cabrera I, Arráez-Sánchez MÁ Tags: Neurocirugia (Astur) Source Type: research

Reply to «Considerations in traumatic brain injury in the emergency department».
Reply to «Considerations in traumatic brain injury in the emergency department». Neurocirugia (Astur). 2019 Feb 12;: Authors: Yuguero Torres O PMID: 30770323 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - February 12, 2019 Category: Neurosurgery Authors: Yuguero Torres O Tags: Neurocirugia (Astur) Source Type: research

Transcranial cerebellar herniation following craniotomy: Case report and literature review.
dez Alen JA, Castaño León AM, Paredes I Abstract To report a case of post-surgical encephalocele through craniotomy burr holes following the resection of a meningioma of the posterior fossa. A 49-year-old female presented in the emergency room with cephalea. The MRI showed a meningioma of the convexity of the posterior fossa. A resection was performed and the bone flap replaced. The patient recovered uneventfully and was discharged. After 30 days the patient consulted referring cephalea, vomiting and imbalance. Brain MRI revealed a trans-cranial cerebellar herniation through the craniotomy burr holes...
Source: Neurocirugia - January 21, 2019 Category: Neurosurgery Authors: Panero Pérez I, Eiriz Fernández C, García Pérez D, Lagares A, Jiménez Roldán L, Fernández Alen JA, Castaño León AM, Paredes I Tags: Neurocirugia (Astur) Source Type: research

"Prehabilitation" in degenerative spine surgery: A literature review.
"Prehabilitation" in degenerative spine surgery: A literature review. Neurocirugia (Astur). 2019 Jan 03;: Authors: Delgado-López PD, Rodríguez-Salazar A, Castilla-Díez JM Abstract Surgery for lumbar degenerative pathology, although effective, results in suboptimal outcome and degrees of disability in a relevant proportion of patients. Postoperative rehabilitation has failed to demonstrate efficacy in the mid and long term. So-called "prehabilitation" (physiotherapy and/or cognitive-behavioral therapy) focuses in augmenting patients' functional capacities before...
Source: Neurocirugia - January 3, 2019 Category: Neurosurgery Authors: Delgado-López PD, Rodríguez-Salazar A, Castilla-Díez JM Tags: Neurocirugia (Astur) Source Type: research

Severe hypertension and tachycardia during transforaminal endoscopic discectomy - Is indigocarmine to blame?
lu H Abstract Endoscopic transforaminal discectomy is a minimally invasive technique used for the surgical treatment of herniated discs. Indigocarmine is a dye which is widely used to identify the ureteral orifice in urologic procedures. Hemodynamic effects such as hypotension and anaphylaxis in addition to hypertension, bradycardia and atrioventricular block have been reported in intravenous application of indigocarmine. The aim of this case report is to prepare anesthesiologists for such cases and make them consider invasive blood pressure monitorization. Both patients had radicular pain radiating to the leg an...
Source: Neurocirugia - January 1, 2019 Category: Neurosurgery Authors: Kazbek BK, Yılmaz H, Kazancı B, Ekmekçi P, Sabuncuoğlu H Tags: Neurocirugia (Astur) Source Type: research

Morphometrical evaluation of decompression obtained through corpectomy. Heading towards to posterior approaches.
Pulido P, Sola RG Abstract INTRODUCTION: We analysed the decompression obtained by dorsal or dorsolumbar corpectomy measured by Cobb angle and the spinal area prior to and after surgery and compared the evolution of the technique over the last five years of the study. MATERIAL AND METHOD: A retrospective review of patients operated between 2005 and 2015 through anterior or posterior approaches was performed. RESULTS: 24 patients were studied and a significant improvement was observed between the preoperative and postoperative morphometrical measurement (4.18° correction of the kyphosis and an increas...
Source: Neurocirugia - December 20, 2018 Category: Neurosurgery Authors: Delgado-Fernández J, Gil Simoes R, García Pallero MÁ, Penanes Cuesta JR, Blasco G, Pulido P, Sola RG Tags: Neurocirugia (Astur) Source Type: research

Paraspinal muscle atrophy after posterior lumbar surgery with and without pedicle screw fixation with the classic technique.
CONCLUSIONS: Paraspinal muscle atrophy after lumbar spinal surgery is greater if an extensive approach is performed such as complete laminectomy with bilateral facetectomy and transpedicular fixation. A greater previous musculature regardless of age, sex and type of surgery also predicts greater postoperative atrophy. PMID: 30579798 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - December 19, 2018 Category: Neurosurgery Authors: Palpan Flores A, García Feijoo P, Isla Guerrero A Tags: Neurocirugia (Astur) Source Type: research

Increased detection of thromboembolic events in neurosurgical patients after updating the perioperative thromboprophylaxis protocol.
regas N, Valero R PMID: 30552011 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - December 11, 2018 Category: Neurosurgery Authors: Chanzá M, Hurtado P, Enseñat J, Fàbregas N, Valero R Tags: Neurocirugia (Astur) Source Type: research

3D microsurgical anatomy of the corticospinal tract and the lemniscus tract based on microdissection of fibres and demonstration through tractography.
-Rubiano EG PMID: 30545603 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - December 10, 2018 Category: Neurosurgery Authors: Ordóñez-Rubiano EG Tags: Neurocirugia (Astur) Source Type: research

Considerations in traumatic brain injury in the emergency department.
Gil A PMID: 30545604 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - December 10, 2018 Category: Neurosurgery Authors: Ruibal-Suarez JC, Rodríguez Adrada E, Gil V, Gil A Tags: Neurocirugia (Astur) Source Type: research

Call to participate in the international study of traumatic brain injury results (Global Neurotrauma Outcomes Study).
This study is the first global neurosurgical study that aims to provide a comprehensive picture of the management and outcomes of patients undergoing emergency surgery for TBI worldwide. PMID: 30541676 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - December 9, 2018 Category: Neurosurgery Authors: Panero Pérez I, Castaño León AM, Gandía González ML, Kolias A Tags: Neurocirugia (Astur) Source Type: research

Treatment of spinal malignant fibrous histiocytoma, a case report and literature review.
CONCLUSION: Spondylectomy is an effective option for the treatment of spinal malignant fibrous histiocytoma that involves combined approaches. However the challenge is greater since it requires a knowledge of the great abdominal vessels and multidisciplinary intervention. PMID: 30527900 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - December 7, 2018 Category: Neurosurgery Authors: Quillo Olvera D, Quillo Olvera J, Quillo Resendiz J, Vega Sosa A Tags: Neurocirugia (Astur) Source Type: research

Intracranial hypertension caused by superior sagittal sinus stenosis secondary to a depressed skull fracture: Case report and review of the literature.
os D, García Romero JC Abstract Depressed fractures that occur on the superior sagittal sinus (SSS) cause stenosis or thrombosis of the sinus in 11.5% of cases. Despite this, the appearance of signs and symptoms derived from high intracranial pressure is an infrequent event. So far, only 17 cases of venous sinus injury causing intracranial hypertension have been documented. It is necessary to establish treatment immediately before clinical suspicion. Surgical treatment by craniectomy is a fast, effective and safe alternative according to the series. However, it is necessary to anticipate the possibility of ...
Source: Neurocirugia - November 15, 2018 Category: Neurosurgery Authors: Zabalo San Juan G, Vázquez Míguez A, Zazpe Cenoz I, Casajús Ortega A, García Campos M, de Frutos Marcos D, García Romero JC Tags: Neurocirugia (Astur) Source Type: research

Non-dysraphic intramedullary lipoma of the craniocervical region in an adult: Case report.
In this report, we present a case of craniocervical intradural intramedullary lipoma in an adult patient. The patient underwent surgery with excision of the mass, leaving a sheet of lipoma on the tumor bed. PMID: 30449709 [PubMed - as supplied by publisher] (Source: Neurocirugia)
Source: Neurocirugia - November 15, 2018 Category: Neurosurgery Authors: Iplikcioglu AC, Karabag H Tags: Neurocirugia (Astur) Source Type: research

Analysis of morphological measurements of the trigeminal nerve in the linac stereotactic radiosurgery simulation targeting the root entry zone in trigeminal neuralgia.
-Jiménez S Abstract PURPOSE: To describe the anatomical measurements of the trigeminal nerve in patients with trigeminal neuralgia (TN) during Linac (linear accelerator)-based stereotactic radiosurgery (SRS) simulation, targeting the root entry zone (REZ), with a 30% isodose line tangential to the pons, using 4-mm and 6-mm collimators. METHODS: In this retrospective study, 53 TN patients, who underwent Fiesta sequence scanning prior to any treatment modality, were assessed. Bilateral measurements were obtained from the cisternal segment of the trigeminal nerve, the trigeminal-pontine angle, and the lat...
Source: Neurocirugia - November 10, 2018 Category: Neurosurgery Authors: Medélez-Borbonio R, Perdomo-Pantoja A, Serrano-Rubio AA, Tomberlin C, Revuelta-Gutiérrez R, Moreno-Jiménez S Tags: Neurocirugia (Astur) Source Type: research

Assessment of the impact of glioma diagnostic reclassification following the new 2016 WHO classification on a series of cases.
acute;L, García Leal R Abstract BACKGROUND AND OBJECTIVES: The aim of this project is to assess diagnostic reclassification based on molecular data over morphology in a series of glial tumours since the introduction of the 2016 WHO classification of brain tumours. MATERIALS AND METHODS: Retrospective review of glial tumours (oligodendrogliomas and astrocytomas) treated in our centre between January 2012 and June 2016 in which a review of diagnosis was performed when molecular studies were added. Statistical analysis included evaluation of variables of epidemiology, morphology and molecular data (mainly...
Source: Neurocirugia - October 23, 2018 Category: Neurosurgery Authors: Valera-Melé M, Mateo Sierra O, Sola Vendrell E, Guzmán de Villoria L JA, Carvajal Díaz L, Gil de Sagredo Del Corral ÓL, García Leal R Tags: Neurocirugia (Astur) Source Type: research