Dexamethasone treatment in chronic subdural haematoma.

Introduction: Neurosurgeons are familiar with chronic subdural haematoma (CSH), a well-known clinical entity, which is usually treated by some modality of trepanation. Despite the excellent outcomes obtained by surgery, complications may occur, some of which may be potentially severe or fatal. Furthermore, up to 25% recurrence rate is reported.

Metastatic meningioma to the eleventh dorsal vertebral body: total en bloc spondylectomy. Case report and review of the literature.

Introduction: One in every thousand intracranial meningiomas metastatize extracranially. Lung and intraabdominal organs are most frequently affected. Only 7% involve vertebrae and just a dozen cases have been reported in the literature.

[Morbimortality in carotid endarterectomy].

Objective: To assess perioperative and long-term morbidity in patients diagnosed of carotid stenosis submitted to our Department for surgical endarterectomy.

Patients And Methods: A retrospective study of 97 endarterectomies performed by six neurosurgeons in 90 patients treated between January 1995 and December 2003. Ten patients were women.

[First steps in neuronavigation].

Introduction: We try to evaluate the introduction of a neuronavigation system widely used in a neurosurgical department.

Material And Methods: We analyze the surgical procedures performed since the introduction of a neuronavigator in our hospital, the advantages and the problems related with its use.

Results: From 21/12/00 to 31/12/01, 64 cranial and 5 spinal procedures were performed in our centre with the aid of the BrainLAB neuronavigation system.