OBJECTIVE: Experimental models (EM) design to acquire brain neuroendoscopy (BNE) skill to be applied on patients. MATERIAL AND METHODS: Study performed in three phases. For the first two -design and training- we used bovine and human coipses randomly assigned to groups A and B according to physiological sodium chloride solution (SCS) volume needed to produce satisfactory hydrocephalus to perform BNE. During phase three, BNE was performed in 5 patients with brain pathology confirmed by CAT or NMR. RESULTS: SCS volume needed for satisfactory BNE in the bovine EM was usually 70 mL (p< 0,01). In human EM, artifitial hydrocephalus was obtained with 150 mL of SCS (p< 0,0 l). BNE was used as a diagnostic and therapeutic tool. Post BNE complications consisted in hallucinations, fever and memory impairment, that responded well to symptomatic therapy. CONCLUSIONS: EMs designed for this study...

The autors present in a preliminary way, the management and clinical course of a 9-year-old girl harboring a solid craniopharyngioma with a giant cystic component. She was treated with an overall intracavitary administration of 94,20 mg of bleomycin through a like-Ommaya reservoir plus tumor resection and third ventriculostomy, both neuroendoscopically. Clinical course was optimal and she was discharged with partial visual recovery without intracraneal hypertension. We hope maximal resolution after a few months.

El objetivo del presente trabajo fue desarrollar un método no invasivo de medición de PIC, aprovechando la fontanela anterior de los recién nacidos, utilizando el principio del Tonómetro de Schiotz, instrumento que se encuentra a disposición en todos los hospitales. El tonómetro fue modificado para adaptarlo a las características de la fontanela anterior, realizando variaciones en el pie de apoyo corneal, se amplió la escala, estableciéndose una nueva calibración para el fonómetro y reproduciendo experimentos que realizan Schiotz y Friedemwald, se elaboró una nueva tabla de valores para PlC. Se tomó como muestra 120 recién nacidos aparentemente sanos. Las mediciones de PlC fueron realizadas con dos pesas, para disminuir el factor de rigidez de las "membranas fontanelares " inherente a este instrumento. Los valores hallados con el fonómetro de Schiotz Modificado, tiene como...