Complications are the chief concern of patients and physicians when considering spine surgery. The authors seek to assess incidence complications in undergoing surgery identify risk factors for their occurrence.Prospective study from 1 February 2013 2014. Epidemiological characteristics during surgical hospitalization were recorded analyzed.The sample comprised 95 (mean age, 59 years). Overall, 23% obese (BMI =30). mean BMI was 25.9. Approximately 53% had comorbidities. occurred cases; site...

Idiopathic normal pressure hydrocephalus (iNPH) is characterized by gait disturbance, dementia and /or urinary incontinence, dilation of the ventricular system opening cerebrospinal fluid pressure. Shunt surgery standard treatment iNHP. Diversions with programmable valves are recommended, once drainage can be changed. However, well-defined protocols still lack guiding steps to attain proper for each patient. Methods: In our study, we reported experience shunting 24 patients iNPH using...

To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14.Cross-sectional study accomplished through information derived from medical records of presented emergency room Pediatric Trauma Centre level I, May 2007 2008.1888 patients were included. The mean age was 7.6 + or - 5.4 years; 93.7% had 15; among 13/14, 46.2% (p<0.001) suffered multiple traumas 52.1% abnormal cranial computed tomography (CCT) scan. In neurosurgery...

Ventricular neuroendoscopy represents an important advance in the treatment of hydrocephalus. High-power (surgical) Nd:YAG laser and low-level therapy (using 685-nm-wavelength diode laser) have been used conjunction with favorable results. This study evaluated use surgical 980-nm-wavelength for neuroendoscopic ventricular diseases.Nine patients underwent a procedure 980-nm laser. Complications follow-up were recorded.Three in-hospital postoperative complications recorded (1 intraventricular...

To verify the prevalence of acute hyperglycemia in children with head trauma stratified by Glasgow coma scale (GCS).A prospective cross-sectional study carried out information from medical records pediatric patients presenting injury emergency room a referral hospital during one year period. We considered cut-off value 150 mg/dL to define hyperglycemia.A total 340 were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present 9% mild cases; 30.4% those moderate 49%...

Patients with craniocervical junction malformations (CCJM) tend to suffer more frequently from sleep respiratory disturbances, which are frequent and severe in patients basilar invagination. Here we evaluate if CCJM disorders (SRD) present smaller airway dimensions than without SRD.Patients CCCM disturbances were evaluated clinically by Bindal's score, modified Mallampati classification, full-night polysomnography upper cone beam tomography.Eleven had (SRD), nine performed control group SRD....

Objective Programmable valves provide an equal or superior neurological outcome when compared with fixed pressure ones, fewer complications, in treating idiopathic normal hydrocephalus (iNPH) patients. Long-term costs of these treatments have not been properly literature. We sought to compare costs, efficacy, and safety 1-year treatment iNPH patients programmable valve Sphera Pro a valve. Materials Methods A prospective cohort treated was historical Our primary mean direct cost up 1 year....

To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans.Patients aged from 0 to 19 years presenting the Emergency Department of a centre Salvador City, Brazil, between May 2007 and 2008.A total 1888 were admitted; mean age was 7.4 (+/-5.5) years. A 1956 734 CCT scans performed. About 44.4% Glasgow coma score (GCS) 13 55.4% GCS 14 had abnormal scans. In multiple traumas, 16% findings on scans.We strongly...

Análise da tramitação dos projetos de lei ordinária (PL) apresentados na Câmara Deputados (CD) entre 1999 e 2006 também um subgrupo PL relacionados à saúde (PL-Saúde), no mesmo período. Foram elaborados: banco dados (a partir planilhas do Centro Informática CD, contendo variáveis aferidas em 07 março 2007) uma classificação temática para os PL-Saúde. Observou-se que: a) foram 15.246 CD a (com padrão temporal similar 51ª 52ª Legislaturas); b) 2,8% convertidos 74,8% arquivados; c) 96,7% eram...

Abstract Chronic subdural hematoma (CSDH) is a common entity in daily neurosurgical practice. It considered benign condition. Idiopathic normal pressure hydrocephalus (INPH) characterized by gait disturbance, dementia and/or urinary incontinence added to dilation of ventricular system due disturbance cerebrospinal fluid (CSF) circulation with CSF pressure. We describe an experience conservative treatment based the physiopathology and ability control programmable valves. The adjustment valves...

Resumo O xantoastrocitoma pleomórfico é uma neoplasia rara, classificada como grau II ou III pela Organização Mundial da Saúde, a depender do aspecto histopatológico. Descrevemos dois casos de portadores pleomórfico, cujo tratamento escolhido foi cirúrgico. A associação com quimioterapia realizada em um dos pacientes. Haja vista baixa freqüência desse tipo neoplasia, torna-se fundamental realização novos estudos para o desenvolvimento protocolos que vislumbrem diminuição taxa recidivas.

Introdução: A válvula programável é a primeira escolha para o tratamento de pacientes com Hidrocefalia Pressão Normal (HPN) e também indicada cistos aracnoide hipertensão intracraniana idiopática. O objetivo deste estudo foi confirmar segurança desempenho clínico da Sphera Pro.

Introduction: Due to increased number of available alternative therapies the treatment back pain and sometimes a difficult access specialized medical evaluations, there is widespread use for pain. Case Description: We describe case with catastrophic consequence massage therapy in patient initial symptoms resulting definitive paraplegia discuss needs diagnosis any treatment. Discussion Conclusion: potencial harms when initiating questionable method, which are late diagnosis, direct physical...

Abstract Introduction Reoperations are a common scenario among glioma patients. There is crescent evidence of its benefit in low- and high-grade gliomas. Here we discuss our experience with inert expanded polytetrafluoroethylene (ePTFE) dura substitute surgeries. Technical note We generally put the ePTFE below patient, even if it intact. This membrane should be sutured place using tension-free technique, 4-0 polypropylene. Expanded minimizes tissue attachment fibrosis when performing...