Microsurgical Techniques in Cerebral Revascularization

The surgical management of patients with cerebrovascular disease is reviewed. Our approach to the management of extracranial cerebral vasculature is discussed first, and increasingly more complex areas are then presented. Our discussion reviews the applications of carotid endarterectomy, extracranial-intracranial bypass procedures, and vertebral extracranial reconstruction

Contemporary management of primary parapharyngeal space tumors

The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. The management of these tumors has improved greatly owing to the developments in imaging techniques, surgery, and radiotherapy. Most tumors can be removed with a low rate of complications and recurrence. The transcervical approach is the most frequently used. In some cases, minimally invasive approaches may be used alone or in combination with a limited transcervical route, allowing large tumors to be removed by reducing morbidity of expanded approaches. An adequate knowledge of the anatomy and a careful surgical plan is essential to tailor management according to the patient and the tumor. The purpose of the present review was to update current aspects of knowledge related to this more challenging area of tumor occurrence.Peer reviewe

Secuelas neurológicas del maltrato infantil: revisión bibliográfica

El maltrato infantil es un problema de gran importancia tanto social como médico, y sus consecuencias en muchas ocasiones son irreparables. Realizamos una revisión bibliográfica con enfoque neuroquirúrgico, y analizamos con detalle las lesiones que se producen en el sistema nervioso central, estudiando su fisiopatología, las secuelas neurológicas que producen y su implicación en el tratamiento rehabilitador y el futuro de los niños