Publications by authors named "Fernando Castro Soto"
Association between sociodemographic variables and delayed patient presentation among surgical neuro-oncology patients in Mexico City: a single institution experience.
J Neurooncol
January 2025
Article Synopsis
- Mexico has a high rate of nervous system cancer cases, and the study aimed to understand how sociodemographic factors influence the severity of clinical presentations in surgical neuro-oncology patients at a major hospital in Mexico City.
- The study involved analyzing medical records of 366 patients who underwent surgery in 2022, focusing on demographics like age, gender, marital status, and income levels, as well as their impact on clinical outcomes.
- Findings indicated that having more dependents and being divorced/separated were linked to worse clinical conditions, while being the primary provider and earning a higher monthly income were associated with better outcomes.
Predictors of poor functional outcomes in adults with type I Chiari Malformation: Clinical and surgical factors assessed with the Chicago Chiari Outcome Scale over long-term follow-up.
Clin Neurol Neurosurg
August 2024
Objective: This study aimed to identify clinical and surgical features associated with poor long-term postoperative outcomes in patients diagnosed with Type I Chiari Malformation (CMI) treated with posterior fossa decompression with duroplasty (PFDD), with or without tonsillar coagulation.
Methods: This retrospective, single-center study included 107 adult patients with CMI surgically treated between 2010 and 2021. The surgical technique involved a midline suboccipital craniectomy, C1 laminectomy, durotomy, arachnoid dissection, duroplasty, and tonsillar coagulation until 2014, after which tonsillar coagulation was discontinued.
This research aims to propose a neurological surgery care protocol for the lesbian, gay, bisexual, transgender, queer, questioning, intersex, or asexual (LGBTQIA+) community. In recent years, people belonging to the LGBTQIA+ community have started to come out and express their identity due to growing awareness and various factors like the implementation of legal protections and rights in several countries; it is well documented in the literature that this community faces unique health needs as well as barriers and inequalities in healthcare. The lack of tailored training for medical specialists affects the level of quality and access to medical care for these individuals, and neurosurgical care is no exception.
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- The text discusses a unique case of acute necrotizing encephalopathy in a 26-year-old male who tested positive for SARS-CoV-2, highlighting the scarcity of this condition following COVID-19 infection.
- It outlines the typical MRI findings, such as symmetrical lesions primarily in the thalamus as well as the brainstem and cerebellum, along with accompanying edema.
- The article emphasizes the importance of close monitoring and the inclusion of specific MRI sequences in diagnostic protocols for accurate identification of this challenging condition.
Article Synopsis
- - Glioblastoma multiforme is a highly aggressive brain tumor, constituting around 60% of brain tumors in adults, often leading to poor survival rates, with multifocal lesions linked to worse outcomes.
- - A case study details a 43-year-old transgender woman who developed symptoms such as hemiplegia and seizures after long-term hormone therapy, leading to a diagnosis of wild-type glioblastoma confirmed through imaging and pathology.
- - The report suggests that prolonged use of steroid hormones may increase the risk of developing multifocal glioblastoma, highlighting the need for healthcare providers to consider neoplasms in transgender patients experiencing neurological symptoms, rather than attributing them solely to HIV-related conditions.