Cerebral cavernoma is an infrequently diagnosed vascular malformation. It is defined as a malformation at the level of the microcerebral vasculature that, depending on the location and if there is a possibility of rupture, leads to an emergency that can end in the death of the patient. On this occasion, we report a case of a patient with cerebral cavernoma associated with Evans syndrome. Surgical management of the lesion was decided due to increased intensity of headache and oral intolerance. Given the coexistence of Evans Syndrome and the high rate of morbidity and mortality, surgical management was decided by stereotaxic radiosurgery with a gamma knife. The use of low-margin doses for treatment with gamma knife for use in brain cavernomas produces controlled management for seizure symptoms and better quality of life expectancy.

Cranioencephalic trauma is an event caused by force on the container that holds the brain content, which causes inertia to cause acceleration and deceleration injuries, producing hemorrhages and/or fractures; These can generate a series of complications such as epidural abscess which, being very close to the brain, constitutes an emergency for its management and follow-up15. On this occasion we show the case of a patient with epidural abscess caused by cranioencephalic trauma and neurosurgical management.

Primary brain lymphoma is a type of aggressive non-Hodgkin lymphoma that originates in the central nervous system and is diagnosed when there is no evidence of lymphoma anywhere else in the body. Although systemic lymphomas are better known and studied, primary brain lymphoma has been less understood due to its low frequency until a few decades ago. The treatment of this disease continues to be debated. On this occasion, the unusual case of large B cell lymphoma NOS associated with hydrocephalus and its management is reported.

El cavernoma cerebral es una malformación vascular de diagnóstico infrecuente. Se define como una malformación a nivel de la vasculatura microcerebral que, dependiendo a la ubicación y si existe la posibilidad de ruptura, conlleva a una emergencia que puede terminar en la muerte del paciente. En esta oportunidad se reporta el caso de un paciente con cavernoma cerebral asociado al síndrome de Evans. Se decide manejo quirúrgico de la lesión por aumento de intensidad de cefalea e intolerancia oral. Dada la coexistencia del Síndrome de Evans y la alta tasa de morbimortalidad es que se decide manejo quirúrgico mediante radiocirugía estereotáxica con gamma knife. El uso de dosis de margen bajo para tratamiento con gamma knife para uso en cavernomas cerebrales produce un manejo controlado para sintomatología de convulsiones y mejor expectativa de calidad de vida.

Cranioencephalic trauma is an event caused by force on the container that holds the brain content, which causes inertia to cause acceleration and deceleration injuries, producing hemorrhages and/or fractures; These can generate a series of complications such as epidural abscess which, being very close to the brain, constitutes an emergency for its management and follow-up15. On this occasion we show the case of a patient with epidural abscess caused by cranioencephalic trauma and neurosurgical management.

El linfoma cerebral primario es una variedad de linfoma no Hodgkin agresivo que se origina en el sistema nervioso central y se diagnostica cuando no hay evidencia de linfoma en ninguna otra parte del cuerpo. Aunque los linfomas sistémicos son más conocidos y estudiados, el linfoma cerebral primario ha sido menos comprendido debido a su baja frecuencia hasta hace algunas décadas. El tratamiento de esta enfermedad sigue siendo objeto de debate. En esta oportunidad se reporta el inusual caso de linfoma B de células grandes NOS asociada a hidrocefalia y su manejo.

Diastematomyelia is a congenital disorder characterized by a division of the spinal cord separated by a fibrous or bony septum. When related to scoliosis, this condition may lead to neurological symptoms depending on its location and severity, such as back pain, leg weakness or paralysis, and sphincter disorders. Surgical treatment involves exploring and releasing the fibrous or bone tissue that causes the separation of the spinal cord through a laminectomy, prior to corrective scoliosis surgery. We present this clinical case report consisting of diastematomyelia associated with congenital scoliosis with the objective of analyzing the symptoms at presentation, and to evaluate the effectiveness of the surgical procedure and discuss the clinical results obtained. The idea is to contribute to better understanding the management of these interrelated conditions and their impact on t...

Determina los factores predictores de complicaciones postoperatorias en pacientes sometidos a craniectomía descompresiva en el Hospital Militar Central. El tipo de estudio es observacional ya que el investigador no manipulará las variables de estudio. Las complicaciones en pacientes sometidos a craniectomía descompresiva, son más frecuentes; por este motivo se ha propuesto un estudio retrospectivo para determinar los factores predictores de complicaciones postoperatorios, para ello se evaluará las historias clínicas de los pacientes. En importante la limitación importante de acceso a las fuentes de información, además información requerida registrada de forma errónea; por eso el investigador tendrá las tareas de selección de muestra de datos, haciendo énfasis en los criterios de inclusión y los criterios de exclusión. Asimismo, existe una limitación importante en cuanto ...