Publications by authors named "Maria Martinez-Leon"

Article Synopsis
  • The study aimed to evaluate the effectiveness of endoscopic third ventriculostomy (ETV) for treating pediatric chronic communicating congenital hydrocephalus (CCCH).
  • A retrospective analysis included 11 children, tracking their symptoms, surgery details, and follow-up results, focusing on clinical and radiological improvements post-surgery.
  • Results indicated that ETV was generally successful, with most patients showing significant improvement and only three requiring additional shunt placement over an average follow-up of nearly 36 months.
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Article Synopsis
  • The ImageKids study aimed to create and validate the PEMPAC index for assessing perianal Crohn's disease in children using MRI scans across 21 global sites.
  • A total of 80 children were involved, with specific criteria for evaluating various aspects of their condition, leading to two statistical models that correlated well with existing assessment tools.
  • The study concluded that the PEMPAC index effectively measures disease severity in children, and the adult Van Assche index can also be applied reliably in this pediatric population.
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Background: The cystic spinal dysraphism of the cervical and upper thoracic region (CDCT) accounts for only 3.9 to 8% of spina bifida cystica lesions. The presence of external cerebrospinal fluid (CSF) leakage is infrequent and very few authors have reported about surgical complications.

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Background: Gangliogliomas are a relatively rare neoplasm with a major incidence in the pediatric population. As the temporal lobes are the most common site, patients usually present with seizures.

Case Report: We report the case of a 9-year-old child with an extensive suprasellar ganglioglioma presenting with a cerebral infarction due to direct compression of the medium cerebral artery.

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Cerebral venous sinus thrombosis (CVST) in childhood is uncommon. Certain diseases predispose patients to CVST, such as inflammatory bowel disease (IBD), which is considered a risk factor for developing thrombosis, which in turn is considered an extraintestinal manifestation of IBD. The use of prophylaxis in certain patients is a controversial topic.

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In congenital hydrocephalus, cerebrospinal fluid accumulation is associated with increased intracranial pressure (ICP), ischemia/hypoxia, metabolic impairment, neuronal damage, and astrocytic reaction. The aim of this study was to identify whether a metabolite profile revealing tissue responses according to the severity of hydrocephalus can be detected. The hyh mutant mouse used for this study exhibits 2 different forms of hydrocephalus, severe and moderate.

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Objective: There is no standardized endoscopic description of upper gastrointestinal [UGI] disease in Crohn's disease [CD]. We prospectively applied the Simple Endoscopic Score for CD [SES-CD] to the UGI tract as a planned sub-study of the multicentre prospective ImageKids study. We aimed to assess the utility of the UGI-SES-CD and its clinical significance in paediatric CD.

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Objectives: Data on the outcomes of children with perianal Crohn disease (pCD) are limited, although its presence is often used for justifying early use of biologics. We aimed to assess whether pCD in children is associated with more severe outcomes as found in adults.

Methods: Data were extracted from the ImageKids database, a prospective, multicenter, longitudinal cohort study.

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Residual giant-cystic craniopharyngiomas are amenable to intracavitary bleomycin treatment. Radiologic identification of potential cyst leaks is of paramount for treatment decisions. This report describes our experience in the use of intracystic Gadolinium (Gd)-enhanced MR imaging to determine potential communications between the tumoral cysts and other intra-axial spaces in 4 pediatric patients with residual giant-cystic craniopharyngiomas in whom intracavitary bleomycin treatment was planned after the injection of .

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Objectives: To show the imaging tests characteristics and differential diagnosis of masses located within the retroperitoneal perirenal area.

Methods: Diagnostic imaging tests (KUB x-ray, ultrasound, helical CT scan with IV contrast) and follow-up in one case of perirenal cell liposarcoma.

Results: The study of the surgical specimen after renal tumorectomy in a patient with a solitary kidney resulted in the present diagnosis.

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