Bøger af José Manuel Ortega Zufiría

Aneurysmal subarachnoid haemorrhage (SAH) is a very serious neurosurgical problem, associated with high rates of morbidity and mortality. After the initial haemorrhage, up to 50% of the patients die, and 30-40% of the patients suffer a new bleeding during the first month. The percentage of deaths due to a new bleeding is between 60% and 75%. Both endovascular embolization and surgery treatments reduce the mortality rate and improve the quality of life of the survivors. In recent years, endovascular embolization has become the method of choice to prevent new bleeding, especially in Europe, widely replacing surgery.The aim of this study was to describe a series of patients with spontaneous subarachnoid haemorrhage, secondary to aneurysmal rupture, treated at the University Hospital of Getafe between 2010 and 2019, to study the different diagnostic and treatment options, and to define the most important prognostic factors. In addition, compare the results of both treatments (surgical and endovascular).We studied 110 patients, 58 men and 52 women, with an average age of 40.8 years. A retrospective study has been carried out.

Traumatic brain injury (TBI) is a very usual event, associated with very high morbidity¿s rate. Moreover, the mild TBI consume a lot of resources, both human and financial. The target of this study was to describe a large series of adult patients suffering mild TBI, treated at the University Hospital of Getafe, between 2010 and 2015 (n = 2480), studying the epidemiological profile and analyzing the diagnosis and treatment, to establish the main prognostic factors that influence the final result. We performed a retrospective study, reviewing medical history. Mild TBI is more common in men, and the most common causative mechanism is the traffic accident, in our region. We propose a model for classifying patients according to risk groups, which divided them into low, intermediate or high risk, which correlates well with the final result. We study the indication of skull radiography and computed tomography (CT), as well as hospital admission for clinical observation. In this study, the presence of neurological focus on clinical examination, the existence of fracture on plain radiographs, the age and the coagulation disorders are associated with increased likelihood.

Aneurysmal subarachnoid haemorrhage (SAH) is a very serious neurosurgical problem, associated with high rates of morbidity and mortality. After the initial haemorrhage, up to 50% of the patients die, and 30-40% of the patients suffer a new bleeding during the first month. The percentage of deaths due to a new bleeding is between 60% and 75%. Both endovascular embolization and surgery treatments reduce the mortality rate and improve the quality of life of the survivors. In recent years, endovascular embolization has become the method of choice to prevent new bleeding, especially in Europe, widely replacing surgery.

Research Paper (postgraduate) from the year 2020 in the subject Medicine - Other, grade: 10.00, , course: NEUROCIRUGÍA, language: English, abstract: The aim of this study was to investigate whether percutaneous vertebral augmentation (PVA) was associated with clinical and radiological subsequent adjacent fractures.A systematic review and meta-analysis was performed searching on PubMed, EMBASE, Cochrane library, Google Scholar, web of science and ClinicalTrial.gov from the establishment of the database to January 2020. Eligible studies assessing the subsequent adjacent fractures after PVA compared with conservative treatment (CT) were incorporated. The pooled risk ratio (RR) with its 95% confidence intervals (95% CI) was used. Heterogeneity, sensitivity and publication bias analyses were performed. A total of 24 studies were considered eligible and were included finally. 20/421 patients (4.75%) had clinical subsequent adjacent fractures from PVA group, and 25/359 patients (6.96%) had from CT group, and 46/440 patients (10.45%) from PVA group and 36/444 patients (8.10%) from CT group had radiological subsequent adjacent fractures. There both had no significant difference between two groups (RR=0.67, 95%CI: [0.38, 1.19], P = 0.17)/ (RR=1.13, 95%CI: [0.75, 1.70], P = 0.576). However, in fractured vertebrae, number in PVA group was more than that in CT group (RR=1.41, 95%CI: [1.03, 1.93], P = 0.03).Collectively, currently available literature provides data showed PVA did not increase the incidence for subsequent adjacent fractures, no matter it was clinical or radiological fracture. But PVA may increase the number of fractured vertebrae.

Los problemas neuroquirúrgicos que son atendidos por los neurocirujanos pediátricos suelen ser muy diferentes a aquéllos que atienden los neurocirujanos generales o de adultos. Un adiestramiento especial en enfermedades pediátricas que puedan relacionarse con enfermedades neuroquirúrgicas pediátricas es importante. Los problemas neuroquirúrgicos pediátricos por lo general están presentes de por vida. Los neurocirujanos pediátricos tienen una relación especial y duradera con sus pacientes. Los niños con problemas del sistema nervioso suelen requerir un seguimiento continuo y cercano a través de la niñez y la adolescencia. Actualmente, los progresos en inmunohistoquímica y biología molecular han mostrado ser un método complementario y eficaz para determinar el comportamiento biológico de los tumores cerebrales. Además, los avances médicos permiten tratar correctamente enfermedades congénitas, hidrocefalias y problemas vasculares, así como aplicar protocolos para atender al niño que sufre traumatismo craneoencefálico.

Aneurysmal subarachnoid haemorrhage (SAH) is a very serious neurosurgical problem, associated with high rates of morbidity and mortality. Both endovascular embolization and surgery treatments reduce the mortality rate and improve the quality of life of the survivors. In recent years, endovascular embolization has become the method of choice to prevent new bleeding, especially in Europe, widely replacing surgery. The aim of this study was to describe a series of patients with spontaneous subarachnoid haemorrhage, secondary to aneurysmal rupture, treated at the University Hospital of Getafe between 2010 and 2019, to study the different diagnostic and treatment options, and to define the most important prognostic factors. In addition, compare the results of both treatments (surgical and endovascular). We studied 110 patients, 58 men and 52 women, with an average age of 40.8 years. In this study, the neurological clinical situation at admission, the volume and distribution of blood in the CT and the age of the patient, seem to be the most influential variables in the final result.