Introduction: Calcified thoracic disc herniation are rare and their approach represents a surgical challenge when they are large and symptomatic. Extrapleural Transthoracic discectomy can be considered a safe approach to resection of the calcified disc fragment and spinal cord descompression. Clinical case: 53-year-old man with middle dorsalgia radiating to the inframammary region and progressive difficulty walking, proximal paraparesis moderate, sensory level T8 and urinary retention. The images demonstrated a large T6-7 disc herniation calcified causing severe spinal cord compression. The patient underwent T6-7 extrapleural transthoracic discectomy plus T6 partial corpectomy without fusion. The patient tolerated the procedure well without complications and postoperative imaging demonstrated descompression of spinal cord. At followup,irradiated dorsalgia, paraparesis, sensitive level an...

Introduction: Calcified thoracic disc herniation are rare and their approach represents a surgical challenge when they are large and symptomatic. Extrapleural Transthoracic discectomy can be considered a safe approach to resection of the calcified disc fragment and spinal cord descompression. Clinical case: 53-year-old man with middle dorsalgia radiating to the inframammary region and progressive difficulty walking, proximal paraparesis moderate, sensory level T8 and urinary retention. The images demonstrated a large T6-7 disc herniation calcified causing severe spinal cord compression. The patient underwent T6-7 extrapleural transthoracic discectomy plus T6 partial corpectomy without fusion. The patient tolerated the procedure well without complications and postoperative imaging demonstrated descompression of spinal cord. At followup,irradiated dorsalgia, paraparesis, sensitive level an...

El objetivo del proyecto de investigación es determinar los predictores de ventriculitis en pacientes portadores de derivación ventricular externa (DVE) en el Hospital Guillermo Almenara. La justificación se basa en que la ventriculitis es una complicación infecciosa frecuente asociada a la colocación de derivación ventricular externa, incrementando la morbimortalidad y las secuelas neurológicas. La población de estudio comprende a pacientes portadores de derivación ventricular externa en el Hospital Guillermo Almenara. La metodología implica la revisión de historias clínicas para identificar variables asociadas al riesgo de infección, que puedan utilizarse en la elaboración de protocolos de manejo con directrices específicas sobre el manejo de la derivación ventricular externa.