There are many presentations for a herniated disc, here, I will disccuss if it is new or old!. In my opinion if the disc protusion is new an simptomatic, one could only extract the disc but if it is o ...

For neurosurgeons, there are many kinds of lesion, the type of mass could be well vascularized, solid or cystic, the surgery approach is different in either kind, well in a pacient with a cystic lesio ...

Most of the 4th ventricular tumor that I´ve seen appears on paediatric age (from time to time on teenagers too). There are patients that reach the clinic and are hydrocephalus free, but with fou ...

A paediatric case (4 years old), with a left intraventricular tumor ( with heamorragic changes), was tumor free by image two weeks after the surgery, but suddenly on the week 6 she developed a hidroce ...

There are plenty of neurosurgical cases out there, but one should divide them into two groups as well as prioritise them. For me, a private-patient is the one who could be easily aid and the pronostic ...

I think is akward to write this but in my residency I was tought to do the draining of a cronic subdural on an operating room condition with general anesthetic and so on!, but time and patients have s ...

well, epidural heamatomas are very common in my hospital, after many cases, I find out that with a trepanus and draining the heamatoma was ok only!!. So to do a big craniotomy I think it could be used ...

A paediatric case, 8 years old, with a LCR positive for a possible viral meningitis, culture was negative, he was in his bed when I saw him, 3 points for GS, bilateral midriasis non-reactive to light, ...

This case was a patient with a global hemoventricule only (it was spontaneous) , no SAH, she was 31 years old, depranocitic and she was intubated when I saw her, the vital signs were ok, but what shou ...

A pacient with a Hakim sindrome, in my own experience a programmable DVP is the best, for others is a fixed one (medium pressure). Please comment on it ??