- Meningioma and schwannoma management
- Head and Neck Surgical Oncology
- Pituitary Gland Disorders and Treatments
- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Sinusitis and nasal conditions
- Cerebrospinal fluid and hydrocephalus
- Glioma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Traumatic Brain Injury and Neurovascular Disturbances
- Growth Hormone and Insulin-like Growth Factors
- Adrenal Hormones and Disorders
- Ophthalmology and Eye Disorders
- Neurofibromatosis and Schwannoma Cases
- Facial Trauma and Fracture Management
- Spinal Fractures and Fixation Techniques
- Neurosurgical Procedures and Complications
- Airway Management and Intubation Techniques
- Cerebrovascular and Carotid Artery Diseases
- Trigeminal Neuralgia and Treatments
- Intracerebral and Subarachnoid Hemorrhage Research
- Nasal Surgery and Airway Studies
- Spine and Intervertebral Disc Pathology
- Craniofacial Disorders and Treatments
- Adrenal and Paraganglionic Tumors
Hospital Clínic de Barcelona
2016-2025
Universitat de Barcelona
2016-2025
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
2021-2025
Marqués de Valdecilla University Hospital
2024
Instituto de Neurociencias
2024
Neurological Surgery
2019-2023
Hospital Universitari de Vic
2017
International Neuroscience Institute
2010
Universitat Autònoma de Barcelona
2006
Endoscopic skull base surgery is now the preferred treatment option to remove tumors.To evaluate patient's sense of smell and mucociliary clearance time (MCT) after surgery.Patients with pituitary adenoma underwent a transnasal transsphenoidal endoscopic approach (TTEA group, n = 36), whereas patients other benign parasellar tumors an expanded endonasal (EEA 14) vascularized septal flap. Assessment symptoms (Visual Analogue Scale), olfactometry (Barcelona Smell Test, BAST-24), MCT (saccharin...
The recent development of the superior eyelid endoscopic transorbital approach (SETOA) offered a new route for management cavernous sinus and middle cranial fossa tumors. As result, constant anatomic landmark surgical pathway after drilling medial edge greater sphenoid wing (GSW) is represented by triangular-shaped bone ridge appearing as "crest."To perform an study to define this landmark, named "sagittal crest" (SC) seen from view.Four adult cadaveric specimens (8 sides) were dissected...
Virtual reality-based learning of neuroanatomy is a new feasible method to explore, visualize, and dissect interactively complex anatomic regions. We provide interactive photorealistic three-dimensional (3D) model sellar region microsurgical anatomy that allows side-by-side views exocranial endocranial surfaces be explored, with the aim assisting young neurosurgery residents in this region.
OBJECTIVE Different surgical routes have been used over the years to achieve adequate decompression of optic nerve in its canal including, more recently, endoscopic approaches performed either through endonasal corridor or transorbital one. The present study aimed detail and quantify amount bone removal around canal, achievable via medial-to-lateral lateral-to-medial trajectories. METHODS Five human cadaveric heads (10 sides) were dissected at Laboratory Surgical Neuroanatomy University...
Endoscopic transsphenoidal surgery is currently the optimal treatment for skull base tumors. This study was designed to assess patient's sinonasal symptoms and quality of life (QoL) after resection pituitary adenoma or tumors using vascularized septal flap (VSF) reconstruction.Patients with underwent transnasal endoscopic approach (TTEA; n = 38), patients other benign parasellar expanded endonasal (EEA; 17) VSF. Assessment QoL by 36-item Short-Form (SF-36) 31-item Rhinosinusitis Outcome...
Over the years, Meckel's cave pathologies have been judged off-limits because of high rates morbidity. Even though several studies defined various surgical routes with tolerable morbidity and mortality rates, controversies related to optimal avenue treat different categories cavernous sinus neoplasms persist. With unceasing energy cultivate minimally invasive neurosurgical approaches, endoscopic endonasal route has tested, approach effectively performed, provide a valid window these areas....
Purpose Spine biomechanics, particularly sagittal balance and spino-pelvic angulation are determinant factors in the understanding of lumbar degenerative disease. These concepts translated into objective measurements progressively being integrated clinical practice. The present study explores them as prognostic patients undergoing microdiscectomy, which could help identify those at higher risk surgical failure. Methods Prospective analysis treated with microdiscectomy ( n = 52) healthy...
Introducción y objetivos: El síncope, aunque raro, puede ser una manifestación de tumores cabeza cuello. Se han descrito tres cuadros clínicos: síndrome del seno carotideo, neuralgia – asistolia glosofaríngea, espacio parafaríngeo. Nuestro objetivo fue definir las características clínicas estos síncopes en nuestro hospital. Métodos: Estudio retrospectivo descriptivo pacientes con cuello que presentaron relacionados, diagnosticados entre enero 2012 abril 2022 el Hospital Universitario Marqués...
The tuberculum sellae is a bony elevation ridge that lines up the anterior aspect of sella, dividing it from chiasmatic groove. recent use endoscopic endonasal transtuberculum approach has provided surgeons with method to reach suprasellar area, offering new surgical point view somehow "opposite" this area. authors study aimed define as seen while also providing CT-based systematic measurements objectively detail anatomical features such structure, which was renamed "suprasellar notch."The...
Aneurysms arising from the vertebral and posterior inferior cerebellar artery complex account for only 0.5 to 3% of all aneurysms. Surgery these aneurysms is technically challenging because deep location intimate relation with medulla lower cranial nerves. The authors report case a patient right vertebral-posterior (VA-PICA) aneurysm that was successfully clipped via an extended endoscopic endonasal transclival approach.A 74-year-old woman sudden onset severe headache, nausea, vomiting...
Introduction . We present our experience in the reconstruction of these leaks depending on their size and location. Material Methods Fifty-four patients who underwent advanced skull base surgery (large defects,<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mrow><mml:mo>></mml:mo></mml:mrow></mml:math>20 mm) 62 with CSF different origin (small, 2–10 mm, midsize, 11–20 defects) were included retrospective study. Large defects reconstructed a nasoseptal pedicled flap...