Brain Neuroendoscopy: Experience in Experimental Models and Clinical Application

• Autores: Alvarez Peña, Carlos, Rocca, Uldarico, Rosell, Pío, Ramos, Aurora
• Formato: artículo
• Fecha de Publicación: 2000
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/4319
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4319
• Nivel de acceso: acceso abierto
• Materia: Sistema Nervioso Central; Cirugía; Neuroendoscopia; Cerebro; Neurocirugía; Central Nervous System; Surgery; Neuroendoscopy; Brain; Neurosurgery

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 were useful tools for BNE leaming. Training in EM for BNE is essential before its application to human beings.