Luis Rafael Moscote Salazar

Perioperative intensive care in patients with brain tumours

The surgery of brain tumours is not free from complications, above all taking into account that today the patients operated are even older and with multiple comorbidities associated. The multidisciplinary preoperative evaluation aims at minimising the risks; nevertheless this evaluation has not yet been defined and is not based on a strong evidence. The detailed clinical history, the physical examination including functional status and the neuroimaging are the fundamental pillars. The more critical complications occur in the immediate postoperative period: cerebral oedema, postoperative haemorrhage, intracranial hypertension and convulsions; other complications, such as pulmonary thromboembolism or infections, develop lately but are not less severe. Every surgical approach has its own complications in addition to the ones common to the whole neurosurgery.

Trauma craneoencefálico atención inicial y manejo hospitalario

The trauma constitutes one of the principal problems of public health in the world and particularly, in Colombia for the high incident and the implications medicate, social, economic and moral. In the United States it is the first reason of death in 45-year-old minors and the fourth one in all the groups of age. The present article tries to contributeto the knowledge of the physiopathology of the brain traumatic injury as a tool in the constant improvement of the carrying patients of this pathology.

Cervicobraquialgia asociada a sindrome de Coob

La cervicobraquialgia es el dolor cervical irradiado a una de las extremidades superiores. Es un sindrome clinico que puede estar causado por diversas patologias. El sindrome de Coob consiste en la asociacion de una malformacion vascular que compromete la piel y malformacion vascular de la medula espinal. Presentamos el caso de un paciente con cervicobraquialgia y sindrome de Coob manejado por el Servicio de Neurocirugia del Hospital Universitario CARI en Barranquilla, Colombia. (DUAZARY 2010, 88 - 90)