Supracerebellar transtentorial approach for left parahippocampal cavernous malformation.

Background: Lesions in the temporomesial region can be reached by various approaches: subtemporal, transsylvian, transcortical, interhemispheric parieto-occipital, or supracerebellar transtentorial (SCTT). The choice varies according to the characteristics of the lesion and neighboring structures.

Case Description: In this clinical case, it is presented a 56-year-old man with long-term evolution of drug-resistant epilepsy secondary to a cavernoma in the left parahippocampal gyrus.

Recidiva of sacrococcygeal chordoma. Multidisciplinary collaboration.

Los cordomas son tumores derivados de los remanentes embrionarios de la notocorda. Son localmente invasivos y en estadios localizados la resección completa es el tratamiento de elección. Presentamos el caso de un varón de 77 años con recidiva de cordoma sacrococcígeo, intervenido por un grupo multidisciplinario formado por cirujanos coloproctólogos, plásticos y neurocirujanos, obteniendo resección en bloque y márgenes negativos.

[Comparison of the post-surgical analgesic effectiveness of tibial (at internal malleolus level) and common peroneal nerve block with infiltration of the surgical wound in Outpatient Surgery of the hallux valgus].

Introduction: To compare the post-operative analgesic effectiveness of blocking the posterior tibial and the common peroneal nerves against that of wound infiltration using local anaesthesia, in ambulatory surgery of hallux valgus.

Material And Methods: A randomised clinical study was conducted on ambulatory patients subjected to Hallux valgus surgery, assigned into two groups: BNP: peripheral nerve blockage: posterior tibial and the common peroneal with 80mg of lidocaine, 100mg of mepivacaine and 25mg of levobupivacaine. INF: surgical wound infiltration with 50mg of levobupivacaine.