Neuroestimulación medular: Nuestra experiencia / Spinal cord neurostimulation: Our experience

Objective. To review and to present our experience about the indications, technique and results with the use of epidural implantable pulse generator in the last 5 years. Description. The clinical reports of 11 patients implanted by our group were reviewed, obtaining data for the analysis of indications, technique employed, complications, average values of stimulation and results. Interventions. All the patients were treated by at least one of the members of the group, in different health centers, with similar techniques. Conclusions. In spite of the low number of cases, we thought that the rigorous selection of patients, the technique employed and the strict follow up contributed directly in the good results obtained.

Cisternografía con contraste intratecal para el manejo de las fístulas de LCR / Intrathecal gadolynium MRI cisternography in the management of CSF fistulae

Objective. To analyze the use of intrathecal gadolinium for the accomplishment of cisternography with MRI for diagnosis, location and therapeutic programming of the CSF fistulas. Description. Clinical histories were analyzed, the methodology, diagnoses and therapies of the patients dealt in our service with fistula of cerebrospinal fluid in included/understood period between June of the 2000 and March of the 2008. From 2007 the method of diagnosis employed, was the use of Cisternography with intrathecal gadolinium because it offers the best results for us. Conclusion. The present methodology, using the intrathecal, precocious Gadolinium injection in the presence of a fistula, it offers the precise images not only for diagnoses, but also for the precise site of location and the necessity or not, of surgery.