Publications by authors named "Silvia Vazquez-Sufuentes"
Article Synopsis
- * Surgical goals include repairing the defect, preserving brain tissue, ensuring skin coverage, and managing hydrocephalus, but many infants still face lasting disabilities.
- * A case study describes a newborn diagnosed with this condition, who underwent surgery and later developed hydrocephalus, eventually requiring palliative care after respiratory issues and dependency on a ventilator.
Article Synopsis
- The study examines the outcomes of surgical clipping for unruptured intracranial aneurysms, focusing on patients with single versus multiple aneurysms and identifying risk factors for complications and poor outcomes.
- It involved a retrospective analysis of 82 patients treated between 2020-2023, finding a 12.2% complication rate with 0% mortality and good functional outcomes in 98.9% of cases.
- Results suggest that microsurgery is a safe and effective treatment option, with a recommendation for a multimodal management approach based on both clinical and radiological findings.
We present a unique clinical case of venous congestive encephalopathy in the context of a cerebral arteriovenous fistula with clinical worsening secondary to valvular overdrainage. ICP monitoring, the different pressure settings of the programable CSF shunt and the detailed clinical description that is carried out offer us enough data to understand that this case provides important pathophysiological knowledge to a little-known disease.
View Article and Find Full Text PDFArticle Synopsis
- Subarachnoid haemorrhage (SAH) is a common neurosurgical emergency, often caused by a ruptured intracranial aneurysm, and post-SAH complications like hydrocephalus frequently require treatment through ventriculoperitoneal shunts.
- This study analyzed data from 359 SAH patients at Miguel Servet Universitary Hospital over a five-year period, identifying key risk factors for developing shunt-dependent hydrocephalus, with significant findings related to the modified Fisher scale and external ventricular drain (EVD) usage.
- The results indicated a 25.3% in-hospital mortality rate, with 11.7% of patients developing shunt-dependent hydrocephalus and a 17
Purpose: To review a multicentric series of lateral-type posterior fossa ependymomas operated in the last ten years and to analyze the factors related to clinical evolution and tumor survival.
Methods: Descriptive, retrospective study. Active members of the Spanish Society of Pediatric Neurosurgery were invited to participate in this multicentric study.
Diffuse midline glioma (DMG) is a highly aggressive and lethal brain tumor predominantly affecting children and young adults. Previously known as diffuse intrinsic pontine glioma (DIPG) or grade IV brain stem glioma, DMG has recently been reclassified as "diffuse midline glioma" according to the WHO CNS5 nomenclature, expanding the DMG demographic. Limited therapeutic options result in a poor prognosis, despite advances in diagnosis and treatment.
View Article and Find Full Text PDFIntroduction: Acute negative-pressure hydrocephalus is an uncommon, underrecognized patology with a high morbidity and mortality. We propose an algorithm to facilitate the management of these patients, promoting the early diagnosis and the use of endoscopic third ventriculostomy as initial therapeutic option.
Methods: We performed an observational retrospective study in which patients diagnosed with acute negative-pressure hydrocephalus were included.
The pineal region is a complex anatomical location with multiple surrounding important neurovascular structures. Several approaches to this region have been described, including posterior interhemispheric, transchoroidal, infratentorial supracerebellar, supracerebellar and infracerebellar trans-sinus, and their modifications. Neuroendoscopy and endoscope-assisted surgery have been widely applied to aid resection of pineal region lesions.
View Article and Find Full Text PDFBackground: 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.
Introduction: Acute negative-pressure hydrocephalus is an uncommon, underrecognized patology with a high morbidity and mortality. We propose an algorithm to facilitate the management of these patients, promoting the early diagnosis and the use of endoscopic third ventriculostomy as initial therapeutic option.
Material And Methods: We performed an observational retrospective study in which patients diagnosed with acute negative-pressure hydrocephalus were included.