Brain Neuroendoscopy: Experience in Experimental Models and Clinical Application

Authors

  • Carlos Alvarez Peña Departamento de Neurocirugía Hospital Guillermo Almenara Irigoyen EsSALUD Lima, Perú
  • Uldarico Rocca Departamento de Neurocirugía Hospital Guillermo Almenara Irigoyen EsSALUD Lima, Perú
  • Pío Rosell Departamento de Neurocirugía Hospital Guillermo Almenara Irigoyen EsSALUD Lima, Perú
  • Aurora Ramos Departamento de Neurocirugía Hospital Guillermo Almenara Irigoyen EsSALUD Lima, Perú

DOI:

https://doi.org/10.15381/anales.v61i2.4319

Keywords:

Central Nervous System, Surgery, Neuroendoscopy, Brain, Neurosurgery

Abstract

OBJECTIVE: Experimental models (EM) design to acquire brain neuroendoscopy (BNE) skill to be applied on patients. MATERIAL AND METHODS: Study performed in three phases. For the first two -design and training- we used bovine and human coipses randomly assigned to groups A and B according to physiological sodium chloride solution (SCS) volume needed to produce satisfactory hydrocephalus to perform BNE. During phase three, BNE was performed in 5 patients with brain pathology confirmed by CAT or NMR. RESULTS: SCS volume needed for satisfactory BNE in the bovine EM was usually 70 mL (p< 0,01). In human EM, artifitial hydrocephalus was obtained with 150 mL of SCS (p< 0,0 l). BNE was used as a diagnostic and therapeutic tool. Post BNE complications consisted in hallucinations, fever and memory impairment, that responded well to symptomatic therapy. CONCLUSIONS: EMs designed for this study were useful tools for BNE leaming. Training in EM for BNE is essential before its application to human beings.

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Published

2000-06-19

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How to Cite

1.
Alvarez Peña C, Rocca U, Rosell P, Ramos A. Brain Neuroendoscopy: Experience in Experimental Models and Clinical Application. An Fac med [Internet]. 2000 Jun. 19 [cited 2024 Jul. 1];61(2):89-98. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4319