Objective: To describe the clinical and epidemiological profile of patients diagnosed with neurocysticercosis at two hospitals in Chiclayo, Peru. Materials and methods: A descriptive, cross-sectional and retrospective study was performed at the Almanzor Aguinaga Asenjo Hospital and Lambayeque Regional Hospital. Ninety-six (96) medical records of patients attended in 2014 with a diagnosis of neurocysticercosis were reviewed. Results: The mean age of the patients was 42.8 ± 18.8 years old, 52.1% were female, 26% came from Chiclayo and 54.2% received care for the first time. The most common symptom leading to medical consultation was headache. All patients underwent a diagnostic imaging method. The location of the parasite was mostly in the brain and the calcified stage was the most common one. The most widely used treatments were anticonvulsants and pain relievers. Conclusions: Neurocysti...

Expone los resultados a largo plazo de las malformaciones arterio-venosas cerebrales tratadas por vía endovascular con cura angiográfica en un hospital de Lima-Perú. Asimismo, menciona que existen tres vías terapéuticas, a menudo complementarias, para lograr la cura de las malformaciones arterio-venosas (MAV). El primero es la resección microquirúrgica, considerado el gold-standard, la segunda es la radiocirugía o radioterapia estereotáxica y la tercera es el tratamiento endovascular. La aplicación mas común de este último es la embolización preoperatoria. Y ocasionalmente, bajo ciertas indicaciones, puede tratarse de un tratamiento con fin curativo e independiente para la oclusión completa de las MAV. Sin embargo, se cuestiona su durabilidad en el tiempo y la mayor incidencia de complicaciones cuando se intente embolizar completamente. El objetivo del presente estudio es a...

Los gliomas múltiples (multifocales y multicéntricos) son poco frecuentes en los gliomas de bajo grado. La etiología de los gliomas multicéntricos es poco conocida y su manejo es controversial. Se presenta el caso de una paciente de 27 años, con dos lesiones compatibles imagenológicamente con glioma de bajo grado, confirmado por estudio anatomopatológico; recibe manejo con quimioterapia y radioterapia manteniéndose la enfermedad estable a un año de seguimiento; no pudo ser sometida a cirugía debido a que las lesiones se encontraban en áreas elocuentes. Para este tipo de pacientes el tratamiento de elección es la cirugía, siempre que sea factible, según elocuencia y compromiso vascular, seguido de esquemas de quimioterapia y radioterapia, según el esquema que se da en gliomas únicos. Por ello, los gliomas multicéntricos de bajo grado son una patología rara que debe ser m...

Multiple gliomas (multifocal and multicentric) are rare in low-grade gliomas. In multicentric gliomas, their etiology is poorly understood, and their management is controversial. A 27-year-old female patient, with two lesions compatible with low-grade glioma, confirmed by pathological study, for which; she received chemotherapy and radiotherapy, maintaining stable disease after one year of follow-up; she could not undergo surgery because the lesions were located in eloquent areas. For this type of patient, the standard of care is surgery whenever feasible based on eloquence and vascular involvement, followed by chemotherapy and radiotherapy like treatment given in single gliomas. Low-grade multicentric gliomas are a rare pathology that must be managed by a multidisciplinary team where surgery is the standard of care whenever feasible, followed by chemotherapy and radiotherapy.

Multiple gliomas (multifocal and multicentric) are rare in low-grade gliomas. In multicentric gliomas, their etiology is poorly understood, and their management is controversial. A 27-year-old female patient, with two lesions compatible with low-grade glioma, confirmed by pathological study, for which; she received chemotherapy and radiotherapy, maintaining stable disease after one year of follow-up; she could not undergo surgery because the lesions were located in eloquent areas. For this type of patient, the standard of care is surgery whenever feasible based on eloquence and vascular involvement, followed by chemotherapy and radiotherapy like treatment given in single gliomas. Low-grade multicentric gliomas are a rare pathology that must be managed by a multidisciplinary team where surgery is the standard of care whenever feasible, followed by chemotherapy and radiotherapy.