Publications by authors named "Alvaro Otero-Rodriguez"

Rhabdoid meningiomas (RM) are a rare meningioma subtype with a heterogeneous clinical course which is more frequently associated with recurrence, even among tumors undergoing-complete surgical removal. Here, we retrospectively analyzed the clinical-histopathological and cytogenetic features of 29 tumors, from patients with recurrent (seven primary and 14 recurrent tumors) vs. non-recurrent RM ( = 8).

View Article and Find Full Text PDF

Hemangioblastoma (HB) is a Central Nervous System (CNS) tumor with a generally favorable behavior and prognosis, classified as WHO grade 1. Sporadic HB is not related to any inherited disease, and it usually appears in a single location. Sporadic or VHL-related HBs show variable patterns of growth velocity.

View Article and Find Full Text PDF

Background: Diagnosis of idiopathic normal pressure hydrocephalus (iNPH) is based on clinical, radiological, and hydrodynamic data of cerebrospinal fluid (CSF) obtained by invasive methods such as lumbar infusion test, which is used to determine the resistance to CSF outflow (Rout). However, Rout has limitations, and its value as predictor of valve response is questioned. Other variables can be obtained by lumbar infusion test, such as the time to reach the plateau (TRP) and the slope until reaching the plateau (SRP).

View Article and Find Full Text PDF

Background And Objective: Intraoperative neurophysiological monitoring allows us to predict the functional status of the facial nerve after vestibular schwannoma surgery. Due to the great variability of the neurophysiological protocols used for it, the goal of this study is to determine the prognostic ability of our neurophysiological protocol.

Material And Methods: We have performed a statistical analysis of the neurophysiological monitoring data collected from patients operated between March 2009 and July 2021 at the Neurosurgery Service of Salamanca according to their functional status, both in the immediate post-surgical period and one year after surgery.

View Article and Find Full Text PDF

Objectives: The large number of infected patients requiring mechanical ventilation has led to the postponement of scheduled neurosurgical procedures during the first wave of the COVID-19 pandemic. The aims of this study were to investigate the factors that influence the decision to postpone scheduled neurosurgical procedures and to evaluate the effect of the restriction in scheduled surgery adopted to deal with the first outbreak of the COVID-19 pandemic in Spain on the outcome of patients awaiting surgery.

Design: This was an observational retrospective study.

View Article and Find Full Text PDF

Objective: To assess the effect of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients in Spain.

Settings: The initial flood of COVID-19 patients overwhelmed an unprepared healthcare system. Different measures were taken to deal with this overburden.

View Article and Find Full Text PDF

Background And Objective: To study the prognostic value of the resistance to the cerebrospinal fluid outflow (Rout) obtained in the lumbar infusion test in idiopathic normal pressure hydrocephalus (iNPH), as well as the pulse pressure amplitudes in the different periods of the test and other new variables extracted by Neuropicture® software.

Material And Methods: Patients with 'probable iNPH' who underwent a lumbar infusion test were retrospectively revised. The positive predictive values (PPV) of the cutoff point of the best prognostic accuracy of the Rout, the basal pulse pressure amplitude (AMPo), the pulse pressure amplitude during the first 10 min (AMP), the plateau pulse pressure amplitude (AMPmes), the Rout pulse pressure amplitude (AMP), the time to reach the plateau (T), and the slope until reaching the plateau were determined.

View Article and Find Full Text PDF

Background And Objective: To study the prognostic value of the resistance to the cerebrospinal fluid outflow (Rout) obtained in the lumbar infusion test in idiopathic normal pressure hydrocephalus (iNPH), as well as the pulse pressure amplitudes in the different periods of the test and other new variables extracted by Neuropicture® software.

Material And Methods: Patients with ́probable iNPH́ who underwent a lumbar infusion test were retrospectively revised. The positive predictive values (PPV) of the cutoff point of the best prognostic accuracy of the Rout, the basal pulse pressure amplitude (AMP0), the pulse pressure amplitude during the first 10minutes (AMP), the plateau pulse pressure amplitude (AMPmes), the Rout pulse pressure amplitude (AMP), the time to reach the plateau (T), and the slope until reaching the plateau were determined.

View Article and Find Full Text PDF
Article Synopsis
  • Abdominal pseudocysts are a rare complication of ventriculoperitoneal shunts for cerebrospinal fluid (CSF), and their causes, diagnosis, and treatment methods are still debated since their first identification in 1954.
  • The most common signs of pseudocysts are vague abdominal symptoms, often linked to infections in the CSF shunt system, which require antibiotic treatment and possible changes to the shunt itself.
  • The proposed treatment approach in this review aims to minimize recurrence rates and considers various complications related to the shunt, highlighting the need for a careful, systematic management strategy.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to identify radiologic indicators that could predict positive results in lumbar infusion tests for diagnosing idiopathic normal pressure hydrocephalus, in order to avoid invasive testing.
  • Researchers analyzed 107 patients and found that specific imaging features, such as an acute callosal angle and the width of temporal horns, were significantly associated with positive CSF outflow resistance.
  • High positive predictive values (>80%) for certain radiological markers suggest that the lumbar infusion test may be unnecessary if those indicators are present; however, if some markers are negative, the test should still be conducted.
View Article and Find Full Text PDF

Background: Since 1957, the Simpson grading system has been considered a predictive system for meningioma recurrence. However, since then, surgical equipment and neurosurgical technique have developed extensively, so this grading system should be re-evaluated. This study aims to assess if the recurrence rate and recurrence-free survival (RFS) are different after Simpson grade I, II, and III resections in World Health Organization (WHO) grade I meningiomas.

View Article and Find Full Text PDF