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  1. Article: Fluid therapy in neurotrauma: basic and clinical concepts.

    Alvis-Miranda, Hernando Raphael / Rubiano, Andres M / Puyana, Juan C / Alcala-Cerra, Gabriel / Moscote-Salazar, Luis Rafael

    Reviews in health care

    2022  Volume 5, Issue 1, Page(s) 7–22

    Abstract: The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various therapeutic strategies to provide support in the prehospital ... ...

    Abstract The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various therapeutic strategies to provide support in the prehospital and perioperative are essential for optimal care. Rapid infusion of large volumes of crystalloids to restore blood volume and blood pressure quickly is now the standard treatment for patients with combined TBI and HS The fluid in patients with brain and especially in the carrier of brain injury is a critical topic; we present a review of the literature about the history, physiology of current fluid preparations, and a discussion regard the use of fluid therapy in traumatic brain injury and decompressive craniectomy.
    Language English
    Publishing date 2022-09-17
    Publishing country Italy
    Document type Journal Article
    ISSN 2038-6699
    ISSN 2038-6699
    DOI 10.7175/rhc.v5i1.636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Fatal Massive Cerebral Infarction in a Child after Mild Brain Trauma: A Case Report and Literature Review.

    Calderon-Miranda, Willen Guillermo / Alvis-Miranda, Hernando Raphael / M Rubiano, Andres / Moscote-Salazar, Luis Rafael

    Bulletin of emergency and trauma

    2016  Volume 2, Issue 2, Page(s) 96–98

    Abstract: Traumatic brain injury is a common entity. However cerebral infarction in infants is a rare entity while the diagnosis of this pathology in the pediatric population is usually difficult. The mild head trauma is rarely accompanied by intracranial injury ... ...

    Abstract Traumatic brain injury is a common entity. However cerebral infarction in infants is a rare entity while the diagnosis of this pathology in the pediatric population is usually difficult. The mild head trauma is rarely accompanied by intracranial injury and even less, with cerebral infarction. We herein report the first case of cerebral infarction after a mild brain trauma in a 2-year-old Latin-American male patient, in which brain computed tomography (CT) scan was performed on the first day of the accident, showed right hemispheric cerebral ischemia compromising the fronto-parieto-occipital region. Conservative management was established. The patient died at day 5. So Brain CT scan may be beneficial to reveal any hemispheric infarction due to a probable mass effect.
    Language English
    Publishing date 2016-04-26
    Publishing country Iran
    Document type Case Reports
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Intravenous Fluid Therapy in Traumatic Brain Injury and Decompressive Craniectomy.

    Alvis-Miranda, Hernando Raphael / Castellar-Leones, Sandra Milena / Moscote-Salazar, Luis Rafael

    Bulletin of emergency and trauma

    2016  Volume 2, Issue 1, Page(s) 3–14

    Abstract: The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various supportive therapeutic strategies in the pre-hospital and pre- ...

    Abstract The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. The immediate rapid infusion of large volumes of crystalloids to restore blood volume and blood pressure is now the standard treatment of patients with combined traumatic brain injury (TBI) and hemorrhagic shock (HS). The fluid in patients with brain trauma and especially in patients with brain injur y is a critical issue. In this context we present a review of the literature about the history, physiology of current fluid preparations, and a discussion regarding the use of fluid therapy in traumatic brain injury and decompressive craniectomy.
    Language English
    Publishing date 2016-04-26
    Publishing country Iran
    Document type Journal Article ; Review
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Emergent Decompressive Craniectomy in Patients with Fixed DilatedPupils; A Single Center Experience.

    Moscote-Salazar, Luis Rafael / Alvis-Miranda, Hernando Raphael / Palencia, Camilo / M Rubiano, Andres

    Bulletin of emergency and trauma

    2016  Volume 1, Issue 4, Page(s) 175–178

    Abstract: This is a case series which report the clinical results of decompressive craniectomy in 4 patients with dilated pupils secondary to traumatic brain injury and postoperative edema. Between 2011 and 2012, four patients, 3 males and 1 female, aged between ... ...

    Abstract This is a case series which report the clinical results of decompressive craniectomy in 4 patients with dilated pupils secondary to traumatic brain injury and postoperative edema. Between 2011 and 2012, four patients, 3 males and 1 female, aged between 35 and 64 with mean age of 50.1±8.9 years, underwent decompressive craniectomy due to brain traumatic edema. The follow up period ranged between 1 to 6 months. All patients had Glasgow coma score (GCS) of 3-4 at admission, and the duration of pupils being mydriatic was less than 20 minutes before the operation. All patients had moderate disability with GCS of 4 after the operation. Decompressive craniectomy can be a life-saving procedure which provides a better outcome in patients with dilated pupils secondary to brain trauma injury and postoperative edema with timing of less than 20 minutes. However, the small number of the patients in this study is the main limitation to the accuracy of the results, and more studies with larger number of patients are warranted to evaluate the efficiency of decompressive craniectomy in patients with dilated pupils.
    Language English
    Publishing date 2016-04-26
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Brain Infarction: Rare Neurological Presentation of African Bee Stings.

    Alvis-Miranda, Hernando Raphael / Duarte-Valdivieso, Nancy Carolina / Alcala-Cerra, Gabriel / Moscote-Salazar, Luis Rafael

    Bulletin of emergency and trauma

    2016  Volume 2, Issue 1, Page(s) 59–61

    Abstract: Bee stings are commonly encountered worldwide. Various manifestations after bee sting have been described including local reactions which are common, systemic responses such as anaphylaxis, diffuse intravascular coagulation and hemolysis. We report a ... ...

    Abstract Bee stings are commonly encountered worldwide. Various manifestations after bee sting have been described including local reactions which are common, systemic responses such as anaphylaxis, diffuse intravascular coagulation and hemolysis. We report a case of a 74-year-old man who developed neurologic deficit 5 hours after bee stings, which was confirmed to be left frontal infarction on brain CT-scan. The case does not follow the reported  pattern  of hypovolemic or anaphylactic shock, hemolysis and/or  rhabdomyolysis, despite the potentially lethal amount of venom injected. Diverse mechanisms have been proposed to give an explanation to all the clinical manifestation of both toxic and allergic reactions secondary to bee stings. Currently, the most accepted one state that victims can develop severe syndrome characterized by the release of a large amount of cytokines.
    Language English
    Publishing date 2016-04-26
    Publishing country Iran
    Document type Case Reports
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Cerebral aneurysm in a patient with Loeys-Dietz syndrome.

    Zenteno, Marco / Lee, Angel / Alvis-Miranda, Hernando Raphael / Moscote-Salazar, Luis Rafael

    Journal of neurosciences in rural practice

    2014  Volume 5, Issue 2, Page(s) 198–199

    Language English
    Publishing date 2014-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2601242-X
    ISSN 0976-3155 ; 0976-3147
    ISSN (online) 0976-3155
    ISSN 0976-3147
    DOI 10.4103/0976-3147.131687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Odontogenic Pain as the Principal Presentation of Vertebral Artery Pseudoaneurysm; a Case Report.

    Zenteno, Marco / Alvis-Miranda, Hernando Raphael / Lee, Angel / Moscote-Salazar, Luis Rafael

    Emergency (Tehran, Iran)

    2015  Volume 3, Issue 3, Page(s) 122–124

    Abstract: Dissection of the vertebral artery is an important but rare cause of cerebrovascular accidents. Here we report a 48-year-old man with toothache since 4 days before who presented to the emergency department with neck pain and final diagnosis of dissecting ...

    Abstract Dissection of the vertebral artery is an important but rare cause of cerebrovascular accidents. Here we report a 48-year-old man with toothache since 4 days before who presented to the emergency department with neck pain and final diagnosis of dissecting right vertebral artery pseudoaneurysm. To our knowledge, this maybe the first report of odontogenic pain as the first manifestation of vertebral artery pseudoaneurysm in the literatures.
    Language English
    Publishing date 2015-10-01
    Publishing country Iran
    Document type Case Reports
    ZDB-ID 2754468-0
    ISSN 2345-4571 ; 2345-4563
    ISSN (online) 2345-4571
    ISSN 2345-4563
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Malformación de Chiari Tipo I asociado a atrofia cerebelosa. Reporte de caso.

    Moscote-Salazar, Luis Rafael / Calderón-Miranda, Willem Guillermo / Alvis-Miranda, Hernando Raphael / Lee-Aguirre, Ángel / Alcalá-Cerra, Gabriel

    Revista medica del Instituto Mexicano del Seguro Social

    2017  Volume 55, Issue 2, Page(s) 260–263

    Abstract: Chiari malformation is characterized by caudal displacement of the cerebellar tonsils that penetrate into the spinal canal through the foramen magnum, achieving reach the atlas or axis. trunk and any drop of the fourth ventricle is observed. Typically is ...

    Title translation Type I Chiari malformation associated with cerebellar atrophy. Case report.
    Abstract Chiari malformation is characterized by caudal displacement of the cerebellar tonsils that penetrate into the spinal canal through the foramen magnum, achieving reach the atlas or axis. trunk and any drop of the fourth ventricle is observed. Typically is seen in young adults. In some cases scoliosis and Syringomyelic cavities may occur. The authors present (as far as they know) the first case in the literature with long term follow-up, of a caucasian woman with an unusual form of cerebellar atrophy and Chiari Type I malformation, suffering from weakness in his upper and lower extremities with rapidly progression. The patient was successfully treated with suboccipital decompression and C1 laminectomy.
    Language Spanish
    Publishing date 2017-03
    Publishing country Mexico
    Document type English Abstract ; Journal Article
    ZDB-ID 732133-8
    ISSN 0443-5117 ; 0484-7849
    ISSN 0443-5117 ; 0484-7849
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Sacroiliac Pain: A Clinical Approach for the Neurosurgeon.

    Moscote-Salazar, Luis Rafael / Alvis-Miranda, Hernando Raphael / Joaquim, Andrei Fernandes / Amaya-Quintero, Jessica / Padilla-Zambrano, Huber S / Agrawal, Amit

    Journal of neurosciences in rural practice

    2017  Volume 8, Issue 4, Page(s) 622–627

    Abstract: Pain originating from sacroiliac joint may also cause pain in the lumbar and gluteal region in 15% of the population. The clinical manifestation represents a public health problem due to the great implications on the quality of life and health-related ... ...

    Abstract Pain originating from sacroiliac joint may also cause pain in the lumbar and gluteal region in 15% of the population. The clinical manifestation represents a public health problem due to the great implications on the quality of life and health-related costs. However, this is a diagnosis that is usually ignored in the general clinical practice; probably because of the unknown etiology, making harder to rule out the potential etiologies of this pathology, or maybe because the clinical criteria that support this pathology are unknown. By describing several diagnostic techniques, many authors have studied the prevalence of this pathology, finding more positive data than expected; coming to the conclusion that even though there is no diagnostic gold standard yet, an important amount of cases might be detected by properly applying several tests at the physical examination. Thus, it is necessary to have knowledge of the physiopathology and clinical presentation so that diagnosis can be made to those patients that manifest this problem. We present a clinical approach for the neurosurgeon.
    Language English
    Publishing date 2017-08-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2601242-X
    ISSN 0976-3155 ; 0976-3147
    ISSN (online) 0976-3155
    ISSN 0976-3147
    DOI 10.4103/jnrp.jnrp_171_17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Bilateral Traumatic Basal Ganglia Hemorrhage Associated With Epidural Hematoma: Case Report and Literature Review.

    Calderon-Miranda, Willem Guillermo / Alvis-Miranda, Hernando Raphael / Alcala-Cerra, Gabriel / M Rubiano, Andres / Moscote-Salazar, Luis Rafael

    Bulletin of emergency and trauma

    2016  Volume 2, Issue 3, Page(s) 130–132

    Abstract: Traumatic basal ganglia hematoma is a rare condition defined as presence of hemorrhagic lesions in basal ganglia or adjacent structures suchas internal capsule, putamen and thalamus. Bilateral basal ganglia hematoma are among the devastating and rare ... ...

    Abstract Traumatic basal ganglia hematoma is a rare condition defined as presence of hemorrhagic lesions in basal ganglia or adjacent structures suchas internal capsule, putamen and thalamus. Bilateral basal ganglia hematoma are among the devastating and rare condition. We herein report a 28-year old man, a victim of car-car accident who was brought to our surgical emergency room by immediate loss of consciousness and was diagnosed to have hyperdense lesion in the basal ganglia bilaterally, with the presence of right parietal epidural hematoma. Craniotomy and epidural hematoma drainage were considered, associated to conservative management of gangliobasal traumatic contusions. On day 7 the patient had sudden neurologic deterioration, cardiac arrest unresponsive to resuscitation. Management of these lesions is similar to any other injury in moderate to severe traumatic injury. The use of intracranial pressure monitoring must be guaranteed.
    Language English
    Publishing date 2016-04-26
    Publishing country Iran
    Document type Case Reports
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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