Dos nuevos neurocirujanos en la privada

Desde abril de 2015 Policlínica Nuestra Señora del Rosario de Ibiza ha incorporado dos nuevos neurocirujanos a su plantilla, con la intención de ampliar la cartera de servicios y ofrecer las técnicas más novedosas tanto en cirugía cerebral como en cirugía de columna vertebral.

El acuerdo cerrado en los últimos días con el Ib-salut refleja que el centro privado atenderá todos los casos de Neurocirugía urgentes derivados de la seguridad social, lo que supone una gran ventaja para la población, ya que Policlínica va a proporcionar un servicio que en la mayoría de los casos es vital para el paciente, evitando traslados a Mallorca y demoras en el tratamiento urgente. Según explica la especialista Elsa González se pueden llegar a ganar “de dos a tres horas” de tiempo de reacción en unos minutos “que son muy importantes para el paciente porque en poco tiempo puede empeorar” su situación.

Los casos de Neurocirugía urgentes suelen ser graves y requieren de una atención lo más inmediata posible. Entre ellos, destacan los traumatismos cráneo-encefálicos graves, fracturas vertebrales y hemorragias cerebrales. En todos estos casos, tanto los pacientes del Ib-salut como los de seguros privados, tendrán garantizado, explican desde la Policlínica, el cumplimiento de los protocolos establecidos de transcurso de tiempo entre un accidente y la intervención.

Los dos profesionales que se han incorporado son la doctora Elsa González Pérez y el doctor Pedro Llinàs Amengual, ambos médicos especialistas en Neurocirugía, formados en el Hospital Universitario Son Dureta/Son Espases, por lo que cuentan con una amplia experiencia sobre los casos urgentes tratados en la isla de Ibiza y que han precisado traslado a Mallorca en ausencia de este convenio.

Ambos son además miembros de la European Spine Society (Sociedad Europea de Cirugía de Columna) y de la Sociedad Española de Neurocirugía, cuentan con amplia experiencia en la cirugía craneoencefálica y cirugía de columna y apuestan por la aplicación de las nuevas tecnologías a las técnicas quirúrgicas.

Hoy: XX Congreso Nacional Neurocirugía (SENEC)

El Palacio de Congresos Baluarte de Pamplona acoge esta semana, del 19 al 22 de mayo, el XX Congreso Nacional de Neurocirugía (SENEC 2015), una cita organizada por el Servicio de Neurocirugía del Complejo Hospitalario de Navarra que contará con la presencia de más de 600 neurocirujanos de España, Brasil, Estados Unidos, Dinamarca, Francia, Alemania, Italia, Portugal, Croacia y Kenia, entre otros países.

El tema central de este año será ‘La atención multidisciplinar al paciente: la neurocirugía y su relación con las neurociencias’, y se trabajará de manera especial en el papel de cada especialidad en el tratamiento integral del paciente. Durante cuatro jornadas se expondrán los últimos avances en diversos campos de la neurocirugía como la neuro-oncología, la neurocirugía vascular, la cirugía raquídea y la cirugía de la base del cráneo. Las sesiones estarán enfocadas desde un punto de vista multidisciplinar, con especialistas de diversos campos relacionados con las neurociencias y teniendo en cuenta el impacto de las nuevas tecnologías sobre la profesión, que siempre están en constante cambio. Por último, según informa el Palacio de Congresos Baluarte en su página web, habrá espacio para reflexionar sobre el papel de la Sociedad Española de Neurocirugía de cara a los nuevos retos a los que se enfrenta.

Agenda 19-5-2015

CURSO 1
Anatomía microquirúrgica
y abordajes quirúrgicos

CURSO 2
Cirugía selar endoscópica

CURSO 3 ENFERMERÍA
Hidrocefalia y sistemas de derivación de LCR

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2015


May



31st Annual Meeting of the Cervical Spine Research Society – European Section

London/GB

27.05.2015 – 28.05.2015

Further Information

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20th Congress of the Euroacademia Multidisciplinaria Neurotraumatologica (EMN)

May 28 — May 30

Zagreb, Croatia

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15th Live Microneurosurgery Course

May 31 — June 5

Helsinki, Finland

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EANS HandsOn Course – Lyon

June 1, 2015 — June 5, 2015

Lyon, France

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Microscopic and Endoscopic Approaches to the Skull Base

June 3, 2015 — June 5, 2015

Strasbourg, France

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Curso José Andres Fernández de Valderrama “Traumatismos Vertebro Medulares”

Pre-GEER2015p

4 de junio del 2015
Málaga


SIOP-E BT 3rd European Neuro-Oncology Education Day & Training Workshop

June 4

Heidelberg, Germany

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Ultrasound in Neurosurgery

June 4 — June 5

Trondheim, Norway

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XXIX Congreso Nacional GEER

5 y 6 de junio de 2015.

Málaga

geer2015



66th Annual Meeting of the German Society of Neurosurgery, DGNC Friendschip Meeting with the Italian Society of Neurosurgery, SINch

June 7 — June 10

Karlsruhe, Germany

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6th Istanbul Microneurosurgery Course: Part I

June 10 — June 13

Istanbul, Turkey

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XI Northern Lights Symposium on Brain Tumours

June 10 — June 13

Middelfart, Denmark

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Live Surgery and Intensive ECIC Bypass Hands-On Dissection Course

June 12 — June 13

Usti nad Labem, Czech Republic

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valencia2015



Overview in Neurooncology. Current state in te management of brain gliomas and new perspectives. Ten Years of Neurosurgery in Ciudad Real

Ciudad Real
13 y 14 de junio

Programa


2nd International Endoscopic Skull
Base Course

JUNE 17-19, 2015
Amsterdam,
Netherlands
WEB SITE


IV International Conference on Interventional Pain Medicine & Neuromodulation & VIII Hands-on Cadaver Workshop

June 18, 2015 — June 20, 2015

Torun, Poland

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NSpine 2015: the Craniocervical to Cervicothoracic Spine

June 22, 2015 — June 28, 2015

Nottingham, UK

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2015 Symposium

June 28 – July 1, 2015

Santa Fe, New Mexico

Scientific Sessions: Santa Fe Convention Center

http://www.nationalneurotraumasociety.org/symposium/symposium-current/


4th International Moyamoya Meeting

JULY 2-4, 2015

Berlin, Germany

WEB SITE: www.cns.org/meetings/
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International Summer School: Transnasal Endoscopic Surgery: From Sinuses to Skull Base

July 13 — July 17

Brescia, Italy

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Monza Microsurgery Course (led by Rosmarie Frick)

July 14 — July 17

Monza, Italy

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British Neurosurgical Trainee Course ‘Tumours’

July 22 — July 24

Liverpool, UK

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 Agosto

XXIII Congreso Mexicano de Cirugía Neurológica “POR LA EXCELENCIA EN CIRUGÍA NEUROLÓGICA”

Puerto de Mazatlán del 2 al 7 de agosto del 2015


aanc2015


4th Annual World Course in Advanced Techniques in Neurosurgical Oncology

July 8 — July 12

London, UK

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Course Directors

Carl Snyderman, MD, MBA
Paul Gardner, MD
Juan Fernandez-Miranda, MD
Eric W. Wang, MD

August 16-19, 2015: (Guest Faculty: Drs. James Evans and Marc Rosen)

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The 3rd Annual SLU Department of Neurosurgery Combined Ventricular and Skull Base Endoscopy Course for Neurosurgeons: Hands-On Cadaver Course

August 27 — August 30

Saint Louis, MO, USA

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Septiembre

WFNS – 15th Interim Meeting of the World Federation of Neurosurgical Societies 

SEPTEMBER 8-12 | 2015

Rome-Italy

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II International Symposium on Clinical and Basic Investigation Glioblastoma

September 9 — September 12

Toledo, Spain

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BMBD 2015

September 14 — September 16

Lund, Sweden

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Hydrocephalus 2015

September 18 — September 21

Banff, Alberta, Canada

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The Brain and Gliomas: When the Connections are Crucial

September 24 — September 26

Brescia, Italy

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65th CNS Annual Meeting

September 26, 2015 — September 30, 2015

New Orleans, Louisiana, USA

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EANS 2015 Annual Meeting

October 18, 2015 — October 21, 2015

Madrid, Spain

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3rd AIIMS Neurotrauma Conference (ANTC 2015)

October 28 — October 31

New Delhi, India

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7th IFNE World Congress of Neuroendoscopy

November 1 — November 4

Puerto Vallarta, Mexico

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5th ISIN Congress and Educational Course

November 9, 2015 — November 14, 2015

Rio de Janeiro, Brazil

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 Course Directors

Carl Snyderman, MD, MBA
Paul Gardner, MD
Juan Fernandez-Miranda, MD
Eric W. Wang, MD

November 18-21, 2015: (Guest Faculty: Drs. Franco DeMonte and Ehab Hanna)


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28 Noviembre
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Cambridge Lectures in Neurosurgical Anatomy

December 5 — December 6

Cambridge, UK

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2016

Annual Scandinavian Course in Neurosurgery

March 13, 2016 — March 18, 2016

Beitostolen, Norway

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Septiembre

EANS2016: 16th European Congress of Neurosurgery

September 4, 2016 — September 8, 2016

Athens, Greece

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66th CNS Annual Meeting

September 24, 2016 — September 28, 2016

San Diego, California, USA

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Multiportal approaches to the Skull Base “1st International Hands-on Course”

September 27, 2016 — September 29, 2016

Vienna, Austria

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12th EANO Congress

October 13-16 2016
Heidelberg, Germany

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2017

Marzo

Annual Scandinavian Course in Neurosurgery

March 19, 2017 — March 24, 2017

Beitostolen, Norway

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Agosto

WFNS 2017

XIII Congreso Internacional de Neurocirugia, México – Mayo 2015

XIII Congreso Internacional de Neurocirugia, México – Mayo 2015

Mayo 19 al 23, 2015

Sede: Av. Baja Velocidad No. 284, San Jerónimo Chicahualco, Metepec, Estado de México.

Paises invitados: Brasil. Argentina. Colombia

Avales académicos: Sociedad Mexicana de Cirugía Neurológica S.A., Universidad Autónoma del Estado de México , Colegio de Enfermeras del Estado de México Hospital de Alta Especialidad Centro Medico ISSEMyM Toluca Mexico

Más informacion

Update: Olfactory groove schwannoma

Olfactory groove schwannoma

J.Sales-Llopis

Neurosurgery Department, University General Hospital of Alicante, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Alicante, Spain

According to past reports, subfrontal schwannomas are occasionally described as olfactory schwannomas or olfactory groove schwannomas.

Epidemiology

They are very rare tumors, leaving the issue of their origin controversial.

In 94 patients with anterior skull base (ASB) and sinonasal schwannomas, 44 (46.8%) were exclusively sinonasal, 30 cases (31.9%) were exclusively intracranial, 12 (12.8%) were primarily intracranial with extension into the paranasal sinuses, and 8 (8.5%) were primarily sinonasal with intracranial extension 1).

Li et al. gathered previous literatures and reported that results in 35 cases of olfactory schwannomas (between 1974 and 2010) has shown that 14 out of 30 cases (47%) (with the exclusion of five cases due to unknown olfactory function) had preserved olfactory function, but that the remaining 16 (53%) experienced either anosmia or hyposmia. Regarding the attachment sites of the schwannomas, they summarized that 12 cases were on the cribriform plate, 10 cases were on the olfactory groove, and 5 cases were on the skull base and skull base dura. When the tumor was attached to the cribriform plate, the rate of olfaction preservation was relatively high [9 of 11 cases (82%), excluding one case due to unknown olfactory function], compared to olfactory groove attachment [2 of 7 cases (29%), excluding three cases due to unknown olfactory function].


Figueiredo et al. systematically reviewed the literature concerning the anterior cranial fossa schwannomas to understand their pathogenesis, determine their origin, and standardize the terminology. They performed a MEDLINE, EMBASE, and Science Citation Index Expanded search of the literature; age, gender, clinical presentation, presence or absence of hyposmia, radiological features, and apparent origin were analyzed and tabulated. Cases in a context of neurofibromatosis and nasal schwannomas with intracranial extension were not included. Age varied between 14 and 63 years (mean = 30.9). There were 22 male and 11 female patients. The clinical presentation included seizures (n = 15), headache (n = 16), visual deficits (n = 7), cognitive disturbances (n = 3), and rhinorrhea (n = 1). Hyposmia was present in 14 cases, absent in 13 cases (39.3%), and unreported in five. Homogeneous and heterogeneous contrast enhancement was observed in 14 and 15 cases, respectively. The region of the olfactory groove was the probable site in 96.5%. Olfactory tract could be identified in 39.3%. The most probable origin is the meningeal branches of trigeminal nerve or anterior ethmoidal nerves. Thus, olfactory groove schwannoma would better describe its origin and pathogenesis and should be the term preferentially used to name it 2).

Etiology

Because the olfactory and optic nerves lack a Schwann cell layer, these are not prone to develop into a schwannoma.

Some hypotheses about the genesis of olfactory groove schwannoma are centered on its developmental and non-developmental origins.

The developmental hypotheses suggest whether mesenchymal pial cells to transform into ectodermal Schwann cells or neural crest cells to migrate within the substance of the central nervous system .

The non-developmental hypotheses postulate that intracranial schwannomas arise from the Schwann cells normally presenting in the adjacent structures, such as the perivascular nerve plexus, the meningeal branches of the trigeminal and anterior ethmoidal nerves innervating the anterior cranial fossa and olfactory groove 3) 4).

Yasuda et al. 5) proposed the concept of an olfactory ensheathing cell (OEC) tumor in 2006. Olfactory ensheathing cells are glial cells that ensheath the axons of the first cranial nerve. Microscopically, both olfactory ensheathing cells and Schwann cells have similar morphological and immunohistochemical features. However, immunohistochemically olfactory ensheathing cells are negative for Leu7 and Schwann cells positive 6).

Differential diagnosis

Often, these tumors can be confused for other entities, especially olfactory groove meningiomas and esthesioneuroblastomas.

Treatment

Because most olfactory region schwannomas have a benign nature, a complete resection of the tumor is the treatment of choice, and adjunctive therapy is not usually required 7) 8).

With the recent advances in endoscopic skull base surgery, various anterior skull base tumors (ASB) can be resected successfully using an expanded endoscopic endonasal transcribriform approach through a “keyhole craniectomy” in the ventral skull base. This approach represents the most direct route to the anterior cranial base without any brain retraction. Tumor involving the paranasal sinuses, medial orbits, and cribriform plate can be readily resected. In a video atlas report, Liu and Eloy demonstrate their step-by-step techniques for resection of an ASB olfactory schwannoma using a purely endoscopic endonasal transcribriform approach. They describe and illustrate the operative nuances and surgical pearls to safely and efficiently perform the approach, tumor resection, and multilayered reconstruction of the cranial base defect. The video can be found here: http://youtu.be/NLtOGfKWC6U 9).

Prognosis

The prognosis after complete resection is known to be favorable 10).

When the tumor is attached to the cribriform plate, the preservation rate of olfactory function is higher compared to nearby structures 11).

Case reports after 2012

2015

A case of a 49-year-old woman with an olfactory groove schwannoma attached to the cribriform plate without olfactory dysfunction. She had no specific neurological symptoms other than a headache, and resection of the tumor showed it to be a schwannoma. About 19 months after the operation, a follow-up MRI showed no evidence of tumor recurrence. Surgical resection through subfrontal approach could be one of the curative modality in managing an olfactory groove schwannoma. An olfactory groove schwannoma should be considered in the differential diagnosis of anterior skull base tumors 12).

2014

Okamoto et al. report two cases of subfrontal schwannomas treated with surgical resection. In one case, the tumor was located between the endosteal and meningeal layers of the dura mater. This rare case suggests that subfrontal schwannomas may originate from the fila olfactoria 13).


A 24 year old lady presented with hemifacial paraesthesias. Radiology revealed a large olfactory region enhancing lesion. She was operated through a transbasal approach with olfactory preservation. 14).


One patient had intradural intracranial extension and required an extended endoscopic endonasal transcribriform approach with anterior skull base resection 15).

2013

A 66-year-old woman presented with a 1-year history of progressive headaches. Clinical examination revealed hypoesthesia of the nasal tip. CT-scan and MRI studies revealed a large subfrontal tumor thought preoperatively to be a meningioma. Intraoperatively, a large extra-axial tumor arising from the floor of the right frontal fossa was encountered. Histopathology identified the tumor as a schwannoma. This current case gives strong clinical presumption of an origin from the anterior ethmoidal nerve. We reviewed the literature in order to establish the epidemiology of these tumors, from which there appear to be divergent profiles depending on tumor origin and histology. Despite close similarities with olfactory groove meningiomas, patient history and radiological findings provide substantial evidence for differential diagnosis 16).

2012

Liu and Eloy demonstrate their step-by-step techniques for resection of an ASB olfactory schwannoma using a purely endoscopic endonasal transcribriform approach.


A case of schwannoma arising from the olfactory groove in a 16-year-old girl who presented with generalized seizures without olfactory dysfunction or other neurologic deficits. Computerized tomography (CT) scan showed a large mass with abundant calcification located in the olfactory groove, which was confirmed as a schwannoma by histology and totally resected via basal subfrontal approach.

The tumor was attached to the cribriform plate, and achieved gross total resection without compromising her olfactory function 17).

References

1) Sunaryo PL, Svider PF, Husain Q, Choudhry OJ, Eloy JA, Liu JK. Schwannomas of the sinonasal tract and anterior skull base: a systematic review of 94 cases. Am J Rhinol Allergy. 2014 Jan-Feb;28(1):39-49. doi: 10.2500/ajra.2014.28.3978. Review. PubMed PMID: 24717879.
2) Figueiredo EG, Soga Y, Amorim RL, Oliveira AM, Teixeira MJ. The puzzling olfactory groove schwannoma: a systematic review. Skull Base. 2011 Jan;21(1):31-6. doi: 10.1055/s-0030-1262945. PubMed PMID: 22451797; PubMed Central PMCID: PMC3312416.
3) Shenoy SN, Raja A. Cystic olfactory groove schwannoma. Neurol India. 2004;52:261–262.
4) Li YP, Jiang S, Zhou PZ, Ni YB. Solitary olfactory schwannoma without olfactory dysfunction: a new case report and literature review. Neurol Sci. 2012;33:137–142.
5) Yasuda M, Higuchi O, Takano S, Matsumura A. Olfactory ensheathing cell tumor: a case report. J Neurooncol. 2006;76:111–113.
6) Yamaguchi T, Fujii H, Dziurzynski K, Delashaw JB, Watanabe E. Olfactory ensheathing cell tumor: case report. Skull Base. 2010 Sep;20(5):357-61. doi: 10.1055/s-0030-1249572. PubMed PMID: 21359000; PubMed Central PMCID: PMC3023328.
7) Carron JD, Singh RV, Karakla DW, Silverberg M. Solitary schwannoma of the olfactory groove: case report and review of the literature. Skull Base. 2002;12:163–166.
8) , 10) Choi YS, Sung KS, Song YJ, Kim HD. Olfactory schwannoma-case report- J Korean Neurosurg Soc. 2009;45:103–106.
9) Liu JK, Eloy JA. Expanded endoscopic endonasal transcribriform approach for resection of anterior skull base olfactory schwannoma. J Neurosurg. 2012 Jan;32 Suppl:E3. PubMed PMID: 22251251.
11) , 12) Kim DY, Yoon PH, Kie JH, Yang KH. The olfactory groove schwannoma attached to the cribriform plate: a case report. Brain Tumor Res Treat. 2015 Apr;3(1):56-9. doi: 10.14791/btrt.2015.3.1.56. Epub 2015 Apr 29. PubMed PMID: 25977910; PubMed Central PMCID: PMC4426280.
13) Okamoto H, Mineta T, Wakamiya T, Tsukamoto H, Katsuta T, Nakagaki H, Matsushima T. Two cases of subfrontal schwannoma, including a rare case located between the endosteal and meningeal layers of the dura. Neurol Med Chir (Tokyo). 2014;54(8):681-5. Epub 2013 Dec 5. PubMed PMID: 24305023.
14) Salunke P, Patra DP, Futane S, Nada R. Olfactory region schwannoma: Excision with preservation of olfaction. J Neurosci Rural Pract. 2014 Jul;5(3):281-3. doi: 10.4103/0976-3147.133600. PubMed PMID: 25002774; PubMed Central PMCID: PMC4078619.
15) Blake DM, Husain Q, Kanumuri VV, Svider PF, Eloy JA, Liu JK. Endoscopic endonasal resection of sinonasal and anterior skull base schwannomas. J Clin Neurosci. 2014 Aug;21(8):1419-23. doi: 10.1016/j.jocn.2014.03.007. Epub 2014 May 5. PubMed PMID: 24810934.
16) Sauvaget F, François P, Ben Ismail M, Thomas C, Velut S. Anterior fossa schwannoma mimicking an olfactory groove meningioma: case report and literature review. Neurochirurgie. 2013 Apr;59(2):75-80. doi: 10.1016/j.neuchi.2013.02.003. Epub 2013 Apr 13. Review. PubMed PMID: 23587626.
17) Li YP, Jiang S, Zhou PZ, Ni YB. Solitary olfactory schwannoma without olfactory dysfunction: a new case report and literature review. Neurol Sci. 2012 Feb;33(1):137-42. doi: 10.1007/s10072-011-0573-9. Epub 2011 Apr 12. Review. Erratum in: Neurol Sci. 2012 Feb;33(1):217. PubMed PMID: 21484358; PubMed Central PMCID: PMC3275737.

Apollo™ System

No conventional surgical intervention has been shown to improve outcomes for patients with spontaneous intracerebral hemorrhage (ICH) compared with medical management.

Spiotta et al. report the initial multicenter experience with a novel technique for the minimally invasive evacuation of ICH using the Penumbra Apollo system (Penumbra Inc, Alameda, California).

Institutional databases were queried to perform a retrospective analysis of all patients who underwent ICH evacuation with the Apollo system from May 2014 to September 2014 at 4 centers (Medical University of South Carolina, Stony Brook University, University of California at San Diego, and Semmes-Murphy Clinic). Cases were performed either in the neurointerventional suite, operating room, or in a hybrid operating room/angiography suite.

Twenty-nine patients (15 female; mean age, 62 ± 12.6 years) underwent the minimally invasive evacuation of ICH. Six of these parenchymal hemorrhages had an additional intraventricular hemorrhage component. The mean volume of ICH was 45.4 ± 30.8 mL, which decreased to 21.8 ± 23.6 mL after evacuation (mean, 54.1 ± 39.1% reduction; P < .001). Two complications directly attributed to the evacuation attempt were encountered (6.9%). The mortality rate was 13.8% (n = 4).

Minimally invasive evacuation of ICH and intraventricular hemorrhage can be achieved with the Apollo system. Future work will be required to determine which subset of patients are most likely to benefit from this promising technology.

Spiotta AM, Fiorella D, Vargas J, Khalessi A, Hoit D, Arthur A, Lena J, Turk AS, Chaudry MI, Gutman F, Davis R, Chesler DA, Turner RD. Initial multicenter technical experience with the apollo device for minimally invasive intracerebral hematoma evacuation. Neurosurgery. 2015 Jun;11 Suppl 1:243-51. doi:
10.1227/NEU.0000000000000698. PubMed PMID: 25714520.

Pamplona se convertirá en capital de la neurocirugía del 19 al 22 de mayo

pamplona convertira

El Palacio de Congresos y Auditorio Baluarte de Pamplona acogerá del 19 al 22 de mayo el XX Congreso Nacional de Neurocirugía (SENEC 2015), una cita organizada por el Servicio de Neurocirugía del Complejo Hospitalario de Navarra que contará con la presencia de más de 600 neurocirujanos de España, Brasil, Estados Unidos, Francia, Alemania, Italia y Portugal, entre otros países, que se reunirán para buscar las fórmulas más adecuadas para ofrecer una atención multidisciplinar al paciente.

Este año el tema central será “La atención multidisciplinar al paciente: la neurocirugía y su relación con las neurociencias”, y se trabajará de manera especial en el papel de cada especialidad en el tratamiento integral del paciente. Durante cuatro jornadas se expondrán los últimos avances en diversos campos de la neurocirugía como la neuro-oncología, la neurocirugía vascular, la cirugía raquídea y la cirugía de la base del cráneo.

Las sesiones estarán enfocadas desde un punto de vista multidisciplinar, con especialistas de diversos campos relacionados con las neurociencias y teniendo en cuenta el impacto de las nuevas tecnologías sobre la profesión, que siempre están en constante cambio. Por último, habrá espacio para reflexionar sobre el papel de la Sociedad Española de Neurocirugía de cara a los nuevos retos a los que se enfrenta.

Entre los asistentes destacan expertos en neurocirugía, neurología y neuropatología de más de una decena de países, como Brasil, Dinamarca, EEUU, Kenia, Alemania, Francia, Portugal y Croacia, entre otros. También estarán presentes prestigiosos neurocirujanos españoles y especialistas en otros campos de la medicina, como neuropatólogos, psicólogos, endocrinos o traumatólogos.

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