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  1. AU="Galacho-Harriero, Ana María"
  2. AU="Awoyelu, E H"
  3. AU="Tinajero, Jose"
  4. AU=Vashishtha Vipin M AU=Vashishtha Vipin M
  5. AU="D'Agostino, Nicole"
  6. AU="Lunetta, Kathryn L"
  7. AU="Tirschmann, Felix"
  8. AU="Adetuyi, B.O."

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  1. Artikel ; Online: The appointment of an internal medicine practitioner to a neurosurgical department: Advantages, and clinical and professional implications.

    Galacho-Harriero, Ana María / Delgado-López, Pedro David / Rodríguez-Salazar, Antonio

    Neurocirugia (English Edition)

    2019  Band 30, Heft 4, Seite(n) 188–192

    Abstract: The increasing age and complexity of in-hospital neurosurgery patients have raised the number of consultations with Internal Medicine. This type of collaboration is discretional and lacks temporal continuity. The full-time appointment of an internal ... ...

    Titelübersetzung Adscripción de un médico internista al servicio de neurocirugía: ventajas e implicaciones clínicas y profesionales.
    Abstract The increasing age and complexity of in-hospital neurosurgery patients have raised the number of consultations with Internal Medicine. This type of collaboration is discretional and lacks temporal continuity. The full-time appointment of an internal medicine practitioner to a Neurosurgery Department, with complete care attributions except for strict surgical work, is a feasible organizational option. This method minimizes the need for medical consultation, improves the perceived quality of care, allows neurosurgeons to focus on purely surgical tasks, provides an integral vision of the patient's condition, enriches the group with specialized non-neurosurgical knowledge, and raises the scientific level of the team. In our Neurosurgery Department, an internal medicine practitioner has been working as part of the staff for 14 years. We describe her medical activity duties, the advantages our department gains from her daily work, and the professional and working implications derived.
    Mesh-Begriff(e) Hospitals, University ; Humans ; Internal Medicine/organization & administration ; Neurosurgery/organization & administration ; Personnel Selection ; Quality of Health Care ; Spain
    Sprache Spanisch
    Erscheinungsdatum 2019-02-12
    Dokumenttyp Journal Article
    ISSN 2529-8496
    ISSN (online) 2529-8496
    DOI 10.1016/j.neucir.2018.12.003
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Volumetric growth rate of incidental asymptomatic meningiomas: a single-center prospective cohort study.

    Delgado-López, Pedro David / Montalvo-Afonso, Antonio / Martín-Alonso, Javier / Martín-Velasco, Vicente / Castilla-Díez, José Manuel / Galacho-Harriero, Ana María / Ortega-Cubero, Sara / Sánchez-Rodríguez, Antonio / Rodríguez-Salazar, Antonio

    Acta neurochirurgica

    2021  Band 163, Heft 6, Seite(n) 1665–1675

    Abstract: Background: Decision about treatment of incidentally found intracranial meningiomas is controversial and conditioned by the growth potential of these tumors. We aimed to evaluate the growth rate of a cohort of incidentally found asymptomatic meningiomas ...

    Abstract Background: Decision about treatment of incidentally found intracranial meningiomas is controversial and conditioned by the growth potential of these tumors. We aimed to evaluate the growth rate of a cohort of incidentally found asymptomatic meningiomas and to analyze their natural course and the need for eventual treatment.
    Methods: A total of 193 patients harboring intracranial meningiomas (85 with 109 incidental and 108 with 112 symptomatic) were included between 2015 and 2019. In the prospective cohort of incidental meningiomas, we measured size at diagnosis, volumetric growth rate (by segmentation software), appearance of symptoms, and need for surgery or radiotherapy. Progression-free survival and risk factors for growth were assessed with Kaplan-Meier survival and Cox regression analyses.
    Results: Among incidental meningiomas, 94/109 (86.2%) remained untreated during a median follow-up of 49.3 months. Tumor growth was observed in 91 (83.5%) and > 15% growth in 40 (36.7%). Neurological symptoms developed in 1 patient (1.2%). Volume increased an average of 0.51 cm
    Conclusions: Overall, 86% of incidentally found meningiomas remained untreated over the first 4 years of follow-up. The majority grew within the 20% range, yet very few developed symptoms. Treatment-related morbidity was absent in the incidental meningioma group.
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Cell Proliferation ; Female ; Follow-Up Studies ; Humans ; Incidental Findings ; Kaplan-Meier Estimate ; Male ; Meningeal Neoplasms/pathology ; Meningeal Neoplasms/radiotherapy ; Meningeal Neoplasms/surgery ; Meningioma/mortality ; Meningioma/pathology ; Meningioma/radiotherapy ; Meningioma/surgery ; Middle Aged ; Morbidity ; Progression-Free Survival ; Proportional Hazards Models ; Prospective Studies ; Risk Factors ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2021-03-22
    Erscheinungsland Austria
    Dokumenttyp Journal Article
    ZDB-ID 80010-7
    ISSN 0942-0940 ; 0001-6268
    ISSN (online) 0942-0940
    ISSN 0001-6268
    DOI 10.1007/s00701-021-04815-1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Spinal cord herniation repair with microstaples: case report.

    Delgado-López, Pedro David / Gil-Polo, Cecilia / Martín-Velasco, Vicente / Martín-Alonso, Javier / Galacho-Harriero, Ana María / Araus-Galdós, Elena

    Journal of neurosurgery. Spine

    2017  Band 26, Heft 3, Seite(n) 384–387

    Abstract: Idiopathic spinal cord herniation (ISCH) is a relatively rare and frequently misdiagnosed condition. It preferentially affects women and causes progressive thoracic myelopathy that presents as a Brown-Séquard syndrome or as spastic paraparesis. Although ... ...

    Abstract Idiopathic spinal cord herniation (ISCH) is a relatively rare and frequently misdiagnosed condition. It preferentially affects women and causes progressive thoracic myelopathy that presents as a Brown-Séquard syndrome or as spastic paraparesis. Although its etiology and pathogenesis are controversial, ISCH is characterized by the presence of an anterior dural defect that allows the incarceration of a segment of the cord. Typically, a C-shaped ventral displacement and kinking of the cord are visible on sagittal MRI. Surgery aimed at stopping or reversing myelopathic symptoms is usually recommended for symptomatic patients. Surgical options include reduction of the hernia and direct suturing, or enlargement of the dural defect, with or without patching. Suturing under the cord in a very tight space can be troublesome and may lead to neurological deterioration. The authors present the case of a symptomatic ISCH in which nonpenetrating titanium microstaples were used to close the dural defect after cord reduction. The patient experienced a good outcome, and the follow-up MRI study showed adequate cord repositioning and stability of the suture. The use of microstaples, which allows for an easier and faster dural closure than conventional suturing, is a novel technical adjunct that has not been previously reported for this condition. In addition, microstaples produce minimal metallic artifact that does not hinder the quality of follow-up MR images.
    Mesh-Begriff(e) Adult ; Female ; Follow-Up Studies ; Hernia/diagnosis ; Hernia/pathology ; Humans ; Magnetic Resonance Imaging/methods ; Neurosurgical Procedures/methods ; Paraparesis, Spastic/pathology ; Paraparesis, Spastic/surgery ; Spinal Cord Diseases/diagnosis ; Spinal Cord Diseases/surgery ; Thoracic Vertebrae/pathology ; Thoracic Vertebrae/surgery ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2017-03
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 2158643-3
    ISSN 1547-5646 ; 1547-5654
    ISSN (online) 1547-5646
    ISSN 1547-5654
    DOI 10.3171/2016.8.SPINE16318
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Medidas de protección radiológica: implicaciones en el diseño de quirófanos de neurocirugía.

    Delgado-López, Pedro David / Sánchez-Jiménez, Javier / Herrero-Gutiérrez, Ana Isabel / Inclán-Cuesta, María Teresa / Corrales-García, Eva María / Martín-Alonso, Javier / Galacho-Harriero, Ana María / Rodríguez-Salazar, Antonio

    Neurocirugia (English Edition)

    2018  Band 29, Heft 4, Seite(n) 187–200

    Abstract: Objective: To describe pros and cons of some radiation protection measures and the implications on the design of a neurosurgery operating room.: Material and methods: Concurring with the acquisition and use of an O-arm device, a structural remodeling ...

    Titelübersetzung Radiation protection measures: Implications on the design of neurosurgery operating rooms.
    Abstract Objective: To describe pros and cons of some radiation protection measures and the implications on the design of a neurosurgery operating room.
    Material and methods: Concurring with the acquisition and use of an O-arm device, a structural remodeling of our neurosurgery operating room was carried out. The theater was enlarged, the shielding was reinforced and a foldable leaded screen was installed inside the operating room. Radiation doses were measured in front of and behind the screen.
    Results: The screen provides whole-body radiation protection for all the personnel inside the theater (effective dose <5μSv at 2,5 m from the gantry per O-arm exploration; 0,0μSv received behind the screen per O-arm exploration; and undetectable cumulative annual radiation dose behind the screen), obviates the need for leaded aprons and personal dosimeters, and minimizes the circulation of personnel. Enlarging the size of the operating room allows storing the equipment inside and minimizes the risk of collision and contamination. Rectangular rooms provide greater distance from the source of radiation.
    Conclusion: Floor, ceiling and walls shielding, a rectangular-shaped and large enough theater, the presence of a foldable leaded screen, and the security systems precluding an unexpected irruption into the operating room during irradiation are relevant issues to consider when designing a neurosurgery operating theater.
    Mesh-Begriff(e) Hospital Design and Construction ; Humans ; Neurosurgical Procedures ; Occupational Injuries/prevention & control ; Operating Rooms ; Radiation Injuries/prevention & control ; Radiation Protection
    Sprache Spanisch
    Erscheinungsdatum 2018-04-07
    Dokumenttyp Journal Article
    ISSN 2529-8496
    ISSN (online) 2529-8496
    DOI 10.1016/j.neucir.2018.02.007
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Papel de la cirugía en el tratamiento de las espondilodiscitis espontáneas: experiencia en 83 casos consecutivos.

    Martín-Alonso, Javier / Delgado-López, Pedro David / Castilla-Díez, José Manuel / Martín-Velasco, Vicente / Galacho-Harriero, Ana María / Ortega-Cubero, Sara / Araus-Galdós, Elena / Rodríguez-Salazar, Antonio

    Neurocirugia (English Edition)

    2017  Band 29, Heft 2, Seite(n) 64–78

    Abstract: Objective: To describe and discuss the role of surgery in the management of spontaneous spondylodiscitis.: Patients and methods: Retrospective review on the outcome and complications of a cohort of patients undergoing surgery for spontaneous (non- ... ...

    Titelübersetzung Role of surgery in spontaneous spondylodiscitis: Experience in 83 consecutive patients.
    Abstract Objective: To describe and discuss the role of surgery in the management of spontaneous spondylodiscitis.
    Patients and methods: Retrospective review on the outcome and complications of a cohort of patients undergoing surgery for spontaneous (non-postoperative) spondylodiscitis of any spinal level or aetiology.
    Results: From 1995 to 2014, 83 patients (45% females, median age 66) with spondylodiscitis were treated. Microbiological confirmation was obtained in 67.4%. Forty-four percent of patients presented with neurological defect. The most common affected level was thoracic (54.2%). The most frequent isolations were Mycobacterium tuberculosis (229%), Staphylococcus aureus (20.5%) and MRSA (7.2%). Eighty-one patients underwent surgery: simple laminectomy and/or biopsy (22.2%), debridement and posterior fixation (43.2%) and debridement and anterior fixation (34.5%). Improvement of pain or neurological defect was achieved in 86.7% of the patients; 7 patients stabilized and 2 worsened. Complications occurred in 35 patients, mainly pleural effusion (9), anaemia (7) and need for re-debridement (7). Median postoperative stay was 14days. After a median follow up of 8.5 months, 46 patients were considered completely cured, 10 presented sequelae, 22 patients were lost and 5 patients died. No readmissions occurred because of the infectious episode.
    Conclusions: Although prolonged and specific antibiotic therapy remains the mainstay of treatment in spontaneous spondylodiscitis, surgery provides samples for microbiological confirmation and histopathologic study, allows debridement of the infectious foci and stabilizes the spine. In our experience, the use of internal metallic fixation material accelerates recovery and does not predispose to chronic infection.
    Mesh-Begriff(e) Adult ; Aged ; Biopsy ; Debridement ; Discitis/microbiology ; Discitis/surgery ; Female ; Follow-Up Studies ; Humans ; Laminectomy ; Length of Stay/statistics & numerical data ; Male ; Methicillin-Resistant Staphylococcus aureus/isolation & purification ; Middle Aged ; Retrospective Studies ; Spinal Fusion ; Staphylococcal Infections/microbiology ; Staphylococcal Infections/surgery ; Treatment Outcome ; Tuberculosis, Spinal/surgery
    Sprache Spanisch
    Erscheinungsdatum 2017-10-19
    Dokumenttyp Journal Article
    ISSN 2529-8496
    ISSN (online) 2529-8496
    DOI 10.1016/j.neucir.2017.09.001
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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