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...

Normal pressure hydrocephalus (NPH) is characterized by gait disturbance, dementia and/or urinary incontinence associated with dilation of ventricular system normal opening cerebrospinal fluid pressure. Wide scientifical evidence confirms association between NPH and psychiatric symptoms. We selected 35 patients idiopathic from January 2010 to 2012 in a Brazilian tertiary hospital performed formal evaluation identify disorders. Psychiatric disorders were present 71% these patients, especially...

One of the feared consequences craniovertebral junction diseases is apnea. Although several cases patients with central apnea have been described, obstructive sleep has identified as most frequent manifestation respiratory disorder. Neuronal involvement may be responsible for both and apneas. The objective this work was to study effect posterior fossa decompressive surgery on parameters during in malformations breathing-related disorders.In study, prospectively enrolled consecutive...

✓ The upward odontoid displacement observed in basilar invagination (BI) is generally associated with a horizontal clivus and craniocervical kyphosis, conditions that exert ventral compression at the spinomedullary junction. Ventral brainstem decompression by reduction or elimination of part desired treatment. authors describe case BI an adult, who was effectively treated easy safe via cervical traction. Normalization kyphosis craniovertebral junction vertical position both previously...

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...

Hydrocephalus is an entity which embraces a variety of diseases whose final result the enlarged size cerebral ventricular system, partially or completely. The physiopathology hydrocephalus lies in dynamics circulation cerebrospinal fluid (CSF). consequent CSF stasis interferes with and system development. Children adults who sustain congenital acquired brain injury typically experience diffuse insult that impacts many areas brain. Development recovery after such injuries reflects both...

Spine is the primary bone site affected by systemic metastasis. Although there are scales that attempt to manage these patients, their real applicability unknown. The Tokuhashi Scoring System (TSS) a widely used prognostic tool. At time of treatment, data necessary complete TSS may be incomplete, making its application impossible. Objective To evaluate number scores completed clinical therapeutic decision was made. Methods From July 2010 January 2012, we selected patients who were diagnosed...

SUMMARY OBJECTIVE To evaluate the survival of patients with brain metastases treated surgically according to potentially involved factors. METHODS 71 were analyzed diagnosis during period from January 2011 November 2014, totaling 47 months follow-up. The Kaplan-Meier curve method was used for analysis. Results We evaluated surgically, 44 female and 27 male, mean age 60.1 years. According Karnofsky scale, classified greater than or equal 70 inferior 70. Lung primary site most commonly found....

Spontaneous intracerebral hemorrhage (SICH) still presents a great heterogeneity in its clinical evaluation, demonstrating differences the enrollment criteria used for study of (ICH) treatment. The aim current was to assess ICH Score, simple and reliable scale, determining 30-day mortality one-year functional outcome. Consecutive patients admitted with acute SICH were prospectively included study. Scores ranged from 0 4, each increase Score associated an progressive decrease good outcome...

Spine is the most common site for skeletal metastasis in patients with malignancy. Vertebral involvement quantification, neurological status, general health status and primary tumor histology are factors to set surgical planning therapeutic targets. We evaluated impact of clinical histologic type surgery survival. Method : The study sample consisted consecutive admitted from July 2010 January 2013 treatment. Results Sixty eight were evaluated. 23 female 45 male. Main neoplasic sites were:...

Aging is a major risk factor for poor outcome in patients with ruptured or unruptured intracranial aneurysms (IA) submitted to treatment. It impairs several physiologic patterns related cerebrovascular hemodynamics and homeostasis. Objective Evaluate clinical, radiological prognostic factors of subarachnoid hemorrhage (SAH) according age. Method Three hundred eighty nine aneurismal SAH from Brazilian tertiary institution (Hospital do Servidor Público Estadual de São Paulo) were consecutively...