Neurocirugia最新文献

{"title":"O-08 - MÁS ALLÁ DE LA CRANEOTOMÍA: PREFERENCIAS COSMÉTICAS DEL PACIENTE EN LAS INCISIONES EN CIRUGÍA DE BASE DE CRÁNEO","authors":"M. Sáez Alegre, L. González Bonet, W.C. Jean, B. Choque Cuba, K. Cano Couto, Ó. Cortés Andrés","doi":"10.1016/S1130-1473(26)00039-4","DOIUrl":"10.1016/S1130-1473(26)00039-4","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115058"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148235769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OC-29 - HERNIA DISCAL TORÁCICA CENTRAL CALCIFICADA CON MIELOPATÍA GRAVE TRATADA MEDIANTE CIRUGÍA FULL-ENDOSCOPIC TRANSFORAMINAL: TÉCNICA PASO A PASO EN PATOLOGÍA DE ALTA COMPLEJIDAD. ¿CAMBIO DE PARADIGMA?","authors":"F.D.B. Arteaga Romero, J.C. García Romero, C. Butrón Díaz, O. Ramos, I. Martín Schrader","doi":"10.1016/S1130-1473(26)00112-0","DOIUrl":"10.1016/S1130-1473(26)00112-0","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115131"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-016 - PNEUMOENCÉFALO MASIVO SECUNDARIO A NECROSIS DEL CLIVUS POR CONSUMO CRÓNICO DE COCAÍNA: MANEJO MULTIDISCIPLINAR","authors":"G. Muñoz Martí, J. Pérez Bovet, I. Puerto Curto, P. Benito Peña, M. Castellví Juan, C. Joly Torta, P. Escobar Guerra, M. Paniagua Tuesta, A. Ortega Rodríguez, J.L. Caro Cardera","doi":"10.1016/S1130-1473(26)00082-5","DOIUrl":"10.1016/S1130-1473(26)00082-5","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115101"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-003 - APOPLEJÍA HIPOFISARIA CON PARÁLISIS COMPLETA DEL III PAR Y PROPTOSIS: MANIFESTACIÓN POCO DESCRITA EN LA LITERATURA","authors":"M.A. Ruiz Ginés, J.A. Ruiz Ginés","doi":"10.1016/S1130-1473(26)00069-2","DOIUrl":"10.1016/S1130-1473(26)00069-2","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115088"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OC-16 - REPERCUSIÓN CLÍNICA Y ECONÓMICA DEL BLOQUEO CAUDAL INTRAOPERATORIO EN CIRUGÍA DE RAQUIS","authors":"G. Pérez Prat, A. Bescós Cabestre, C. Meza, C. Saa, H. Calvo-Rubio, F. Arikan","doi":"10.1016/S1130-1473(26)00099-0","DOIUrl":"10.1016/S1130-1473(26)00099-0","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115118"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148231256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-020 - TUMOR NEUROENDOCRINO HIPOFISARIO (PITNET) ECTÓPICO DE CLIVUS QUE SIMULA UN CORDOMA","authors":"D. Miranda Zambrano, R.J. Rinnhofer, L.C. Cuenca, J.C. Lobaton Poma, M.C. Correa Blandon, A. Moreno Flores, A. Browrigg Gleeson, M. Jaramillo Pimienta, M. Ortega Martínez","doi":"10.1016/S1130-1473(26)00086-2","DOIUrl":"10.1016/S1130-1473(26)00086-2","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115105"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148231457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Técnica de reparación con hemoclip: evaluación preliminar de un método seguro y práctico para el cierre de la duramadre en la hemilaminectomía","authors":"Mehmet Aktoklu,&nbsp;Mehmet Orbay Bıyık,&nbsp;Ali Samet Topsakal,&nbsp;Ali Rıza Güvercin,&nbsp;Ertuğrul Çakır,&nbsp;Yağmur Kurak","doi":"10.1016/j.neucir.2025.500730","DOIUrl":"10.1016/j.neucir.2025.500730","url":null,"abstract":"<div><h3>Purpose</h3><div>In the surgical management of spinal tumours, haemilaminectomy is frequently the preferred approach due to its minimal invasive nature and the ability to preserve stability. However, the repair of the dura mater defect is technically very difficult and a challenging problem for neurosurgeons because of the high incidence of complications related to postoperative cerebrospinal fluid (CSF) leakage. This study presents a novel haemoclip-assisted technique that has been developed for the purpose of providing s</div><div>afe and rapid dura repair in spinal tumour surgery involving haemilaminectomy.</div></div><div><h3>Material and methods</h3><div>In 12 patients who underwent haemilaminectomy for spinal intradural extramedullary tumours between 2023 and 2024, dura mater defects were repaired with haemoclips. The technique is to present the results of cases in which the dura edges were closed with non-penetrating haemoclips. The results were evaluated in terms of dura repair time, postoperative complications and presence of CSF leakage.</div></div><div><h3>Results</h3><div>The mean dural repair time was found to be significantly shorter when compared to conventional suture methods. Postoperative cerebrospinal fluid leakage and related complications were not observed in any patient. The technique significantly facilitated surgical practice, especially in the haemilaminectomy window, which provides a limited field of view. Furthermore, the absence of artefacts in magnetic resonance imaging (MRI) appears to be a significant additional criterion in patient follow-up.</div></div><div><h3>Conclusion</h3><div>Haemoclip-assisted dura repair is a safe, fast and practical alternative for spinal tumour surgery with haemilaminectomy. The technique has the potential to reduce complication rates by facilitating dura repair.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 3","pages":"Article 500730"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147827982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisión sistemática de la hernia discal intradural: perspectiva de un neurocirujano","authors":"Alberto Morello,&nbsp;Enrico Lo Bue,&nbsp;Ayoub Saaid,&nbsp;Stefano Colonna,&nbsp;Alessandro Pesaresi,&nbsp;Federica Bellino,&nbsp;Marco Ajello,&nbsp;Alessandro Fiumefreddo,&nbsp;Diego Garbossa,&nbsp;Fabio Cofano","doi":"10.1016/j.neucir.2025.500743","DOIUrl":"10.1016/j.neucir.2025.500743","url":null,"abstract":"<div><div>Intradural disk herniation (IDH) refers to the protrusion of the nucleus pulposus into the dural sac. While disk herniation is a relatively frequent condition, the intradural variant is exceptionally rare. Patients diagnosed with IDH often exhibit more pronounced clinical symptoms compared to those with extradural herniations. Establishing a definitive preoperative diagnosis remains challenging, as the pathophysiology and radiological features are not yet fully understood. Differentiating IDH from other intradural extramedullary pathologies, including schwannomas, neurofibromas, meningiomas, or metastatic lesions, can be complex.</div><div>A systematic review was conducted on the diagnosis and treatment of cervical, thoracic and lumbar IDH, following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and retrieving potentially relevant literature from PubMed and Embase. The search strategy included combinations of the terms “transdural” OR “intradural” AND “disc” AND “herniation”. Age, sex, symptoms, herniated disk level, history of trauma, location of disk mass, imaging examination, pre- or intraoperative diagnosis and clinical outcomes were studied through the medical records. The type of surgery, the ventral dural defect management and the postoperative leakage of cerebrospinal fluid were also evaluated.</div><div>One hundred and sixty-one articles involving 285 patients were selected. Cases of IDHs occurred at the lumbar (64.3%), thoracic (21.9%) and cervical (13.8%) levels. The most common level IDH was located at L4–L5 (27.6%). 49 patients exhibited cauda equina syndrome. Only 44 patients (15.4%) were diagnosed as having IDH preoperatively, while most patients were diagnosed intraoperatively. Neurological functions improved variably according to cervical, thoracic and lumbar locations (respectively 2.5%, 5.6% and 21.7%).</div><div>IDH mostly involves the lumbar spine. Patients with IDH generally experience more severe symptoms than those with extradural disk herniation and have incomplete recovery of postoperative neurological functions. Diagnosing IDH remains challenging given its clinical presentations and radiographic features, and it is likely an underdiagnosed and underestimated condition.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 3","pages":"Article 500743"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147827988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"¿Síndrome de espalda fallida o ciática extrarraquídea? Síndrome isquiofemoral como causa de dolor radicular persistente tras 4 cirugías de columna lumbar","authors":"Andrés Barriga Martín ,&nbsp;Orlando Paredes Muñóz ,&nbsp;Miguel Peral Alarma ,&nbsp;Luis María Romero Muñóz ,&nbsp;Joint Halley Guimbard Pérez","doi":"10.1016/j.neucir.2025.500737","DOIUrl":"10.1016/j.neucir.2025.500737","url":null,"abstract":"<div><div>Most cases of sciatica are caused by compression of lumbar nerve roots, although some originate from extraradicular structures, such as in ischiofemoral impingement syndrome. We present the case of a 64-year-old man with a 10-year history of right-sided sciatic pain occurring only while seated. He underwent several lumbar surgeries for spinal stenosis (L4–L5, then L3–L4, and later L5–S1 with fusion to S1), as well as multiple infiltrations and pulsed radiofrequency, without improvement. Neurophysiological and imaging studies showed no significant compression, except for edema at the ischial insertion of the quadratus femoris muscle. A diagnostic local anesthetic infiltration temporarily resolved the pain, confirming ischiofemoral impingement syndrome. He was treated with osteotomy of the lesser trochanter, achieving complete pain resolution and functional recovery. This case highlights the importance of considering extraradicular causes in patients with persistent sciatic pain after spinal surgery.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 3","pages":"Article 500737"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147827989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-015 - PITUICITOMA SELAR SIMULANDO MACROADENOMA HIPOFISARIO: A PROPÓSITO DE UN CASO","authors":"R. López Serrano,&nbsp;L. Carretero,&nbsp;C. García de Julián,&nbsp;D. Espinal,&nbsp;Y. López Ramírez,&nbsp;J. Bernal,&nbsp;P. Poveda,&nbsp;J. Ortega,&nbsp;J.C. Gómez-Angulo Giner,&nbsp;N. Ruiz Aguilera,&nbsp;J.A. Aramburu González,&nbsp;P. Jerez,&nbsp;P. Aragonés,&nbsp;M. Tamarit","doi":"10.1016/S1130-1473(26)00081-3","DOIUrl":"10.1016/S1130-1473(26)00081-3","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115100"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}