Neurocirugia最新文献_第8页

CIRUGÍA FUNCIONAL Y ESTEREOTÁXICA (COMUNICACIONES ORALES CORTAS) 功能性和类固醇手术（简短的口头交流）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00086-7

引用次数: 0

Utility of very high-pressure valves in persistent symptomatic shunt overdrainage 超高压阀在持续症状性分流过排中的应用

IF 0.7 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-05-02 DOI: 10.1016/j.neucir.2024.11.003

Iván Federico Narváez Moscoso, Bienvenido Ros López, Sara Iglesias Moroño, Julia Casado Ruiz, Raquel Simón Wolter, Miguel Ángel Arráez Sánchez

{"title":"Utility of very high-pressure valves in persistent symptomatic shunt overdrainage","authors":"Iván Federico Narváez Moscoso, Bienvenido Ros López, Sara Iglesias Moroño, Julia Casado Ruiz, Raquel Simón Wolter, Miguel Ángel Arráez Sánchez","doi":"10.1016/j.neucir.2024.11.003","DOIUrl":"10.1016/j.neucir.2024.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Shunt overdrainage is one of the long-term complications associated with ventriculoperitoneal shunts. Treatment of refractory cases may require further upgrading of both the valve opening pressure and antisiphon device. The aim of this paper is to describe the results of this combination in a selected group of patients.</div></div><div><h3>Methods</h3><div>Retrospective cohort study that included 18 pediatric patients between 2003–2022. Previous shunts were exchanged for the combination of a SOPHYSA Polaris® SPVA-300 valve and upgraded fixed or adjustable antigravitatory devices. The following variables were collected: etiology of the hydrocephalus, age at first shunt and type of valve, number of shunt revisions, other surgical procedures, age at inclusion, clinical and radiological outcomes, and follow-up time. A descriptive analysis was done with means, medians and ranges for quantitative variables; percentages and frequencies for the analysis of qualitative data.</div></div><div><h3>Results</h3><div>The median age at first shunt was two months (0–67). The mean number of shunt revisions before inclusion was three. Shunt removal was attempted in seven patients without success; temporary success was observed in two patients who underwent ETV. Two patients had previous cranial expansions. The mean age at inclusion was 9.1 years (2.7–15.2). After the shunt system was exchanged and upgraded, clinical improvement was observed in 94.4% (17/18) of patients, and radiological improvement was observed in 83.3% (15/18) of patients. The median follow-up was 21 months.</div></div><div><h3>Conclusions</h3><div>Before considering more invasive therapeutic measures, shunt system optimization by the combination of very high-pressure valves and upgraded in-line antisiphon devices is a valid and safe strategy for refractory symptomatic shunt overdrainage.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"36 3","pages":"Pages 161-168"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895896","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}

引用次数: 0

CIRUGÍA NEUROVASCULAR (COMUNICACIONES ORALES) 神经血管外科（口头交流）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00089-2

引用次数: 0

CIRUGÍA ESPINAL (COMUNICACIONES ORALES) 脊柱手术（口头交流）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00081-8

引用次数: 0

HIDROCEFALIA Y TRASTORNOS DEL LCR (COMUNICACIONES ORALES) 《儿童权利公约》（口头来文）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00096-X

引用次数: 0

NEUROANATOMÍA (COMUNICACIONES ORALES) 神经解剖学（口头来文）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00102-2

引用次数: 0

NEUROTRAUMATOLOGÍA Y CUIDADOS NEUROCRÍTICOS (COMUNICACIONES ORALES) 神经创伤学和神经批评性护理（口头交流）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00109-5

引用次数: 0

Neuroblastoma olfatorio: revisión de literatura y presentación de dos casos clínicos con diferentes infiltraciones tumorales y diferentes abordajes 嗅觉神经母细胞瘤：两个具有不同肿瘤浸润和不同治疗方法的临床病例的文献综述和介绍

IF 0.7 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-01-02 DOI: 10.1016/j.neucir.2024.10.002

Carlos A. Ferreira , Carlos E. Quevedo , Gina V. Vilardy , Mario Andrés Arias Depablos

{"title":"Neuroblastoma olfatorio: revisión de literatura y presentación de dos casos clínicos con diferentes infiltraciones tumorales y diferentes abordajes","authors":"Carlos A. Ferreira , Carlos E. Quevedo , Gina V. Vilardy , Mario Andrés Arias Depablos","doi":"10.1016/j.neucir.2024.10.002","DOIUrl":"10.1016/j.neucir.2024.10.002","url":null,"abstract":"<div><div>The olfactory neuroblastoma is a rare malignant neoplasm derived from the olfactory neuroepithelium. It can metastasize to cervical lymph node chains and distant organs through hematogenous or lymphatic routes. Two clinical cases are presented: the first, a 56-year-old man with no pathological history, exhibited symptoms evolving over 2 months, characterized by persistent rhinorrhea with frequent epistaxis, ipsilateral proptosis, left hemicranial pain, anosmia, and dysgeusia. Radiological images showed involvement of paranasal sinuses, left orbital cavity, and intracranial region. The second case involved a 46-year-old male with progressive symptoms over more than 1 year, including nasal obstruction, rhinorrhea, self-limited epistaxis, anosmia, weight loss in the last 3 months, and subjective decrease in visual acuity. A protruding mass in the left nasal fossa was observed without intracranial involvement. Both cases were pathologically and immunohistochemically consistent with olfactory neuroblastoma, Hyams grade 2.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"36 3","pages":"Pages 194-198"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143896029","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}

引用次数: 0

NEUROCIRUGÍA PEDIÁTRICA (PÓSTERES) 儿科神经外科（术后）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00107-1

引用次数: 0

NERVIO PERIFÉRICO (PÓSTERES) 神经递质（Poster）

IF 0.8 4区医学

Neurocirugia Pub Date : 2025-05-01 Epub Date: 2025-10-03 DOI: 10.1016/S1130-1473(25)00101-0

引用次数: 0