Reflexiones de un neurocirujano militar de la segunda mitad del siglo XX / Reflections of a military neurosurgeon from the second half of the 20th century

Experiencias y reflexiones del Dr. José Hernán Salas Rubio, presentadas en forma de conferencia, en el Congreso Internacional Neuro-Cuba 2017. Es profesor titular y consultante, uno de los más prominentes neurocirujanos cubanos. Ha trabajado como neurocirujano desde 1962 y contribuido a la formación de jóvenes neurocirujanos. Ha publicado cinco libros y más de cincuenta artículos científicos(AU)

Experiences and reflections of Dr. José Hernán Salas Rubio, presented as a lecture, at the Neuro-Cuba International Congress 2017. He is a full professor and consultant, one of the most prominent Cuban neurosurgeons. He has worked as a neurosurgeon since 1962 and contributed to the training of young neurosurgeons. He has published five books and more than fifty scientific articles(AU)

Spinal Deformity Surgery : It Becomes an Essential Part of Neurosurgery

Among the spinal disorders, the treatment approach for spinal deformities has been discussed least among department of neurosurgery. But nowadays, more and more neurosurgeons are interested in spinal deformities as well as complex spinal disorders and are doing not a few surgeries for these kinds of disease. Nevertheless, it is mandatory to understand the course of spinal deformity, principles of treatment, and surgical outcomes and complications. Understanding of the biology, biomechanics and metallurgy of the spine and instrumentation are also required for successful spinal deformity surgery. We need senior mentors and good surgical and neurophysiologic monitoring team. Knowledge of spinal deformity may be augmented with spine fellowships and surgical experience. Step by step training such as basic knowledge, orthopedic as well as neurosurgical disciplines and surgical skills would be mandatory. Neurosurgeons can have several advantages for spinal deformity surgeries. By high-level technical ability of the spinal cord handling to preserve neurological function and familiarity with microscopic surgery, better synergistic effect could be expected. A fundamental understanding of pediatric spinal deformity and growing spine should be needed for spinal deformity surgery.

Spinal Deformity Surgery : It Becomes an Essential Part of Neurosurgery

Among the spinal disorders, the treatment approach for spinal deformities has been discussed least among department of neurosurgery. But nowadays, more and more neurosurgeons are interested in spinal deformities as well as complex spinal disorders and are doing not a few surgeries for these kinds of disease. Nevertheless, it is mandatory to understand the course of spinal deformity, principles of treatment, and surgical outcomes and complications. Understanding of the biology, biomechanics and metallurgy of the spine and instrumentation are also required for successful spinal deformity surgery. We need senior mentors and good surgical and neurophysiologic monitoring team. Knowledge of spinal deformity may be augmented with spine fellowships and surgical experience. Step by step training such as basic knowledge, orthopedic as well as neurosurgical disciplines and surgical skills would be mandatory. Neurosurgeons can have several advantages for spinal deformity surgeries. By high-level technical ability of the spinal cord handling to preserve neurological function and familiarity with microscopic surgery, better synergistic effect could be expected. A fundamental understanding of pediatric spinal deformity and growing spine should be needed for spinal deformity surgery.

Primary central nervous system lymphoma: what a neurologist/neurosurgeon should know? / Linfoma primário de sistema nervoso central: o que um neurologista/neurocirurgião deve saber?

Primary central nervous system lymphoma is a rare disease, with bad prognosis. Neurologists and neurosurgeons should be familiar with the diagnostic,and biologic features, as well as the initial management of patients. A correct approach to these patients is mandatory for a better outcome.

Linfoma primário do sistema nervoso central é uma doença rara, com prognóstico ruim. Neurologistas e neurocirurgiões devem estar familiarizados com os aspectos do diagnóstico, características biológicas e do manuseio inicial dos pacientes. A abordagem correta desses pacientes é essencial para obter melhores resultados.

The Role of Neurosurgeons in the Era of Intra-Aneurysmal Treatment / 대한뇌혈관학회지

The advent of endovascular treatment offers an alternate strategy for the management of cerebral aneurysms. This procedure can provide immediate protection from rebleeding of ruptured aneurysm or rupture of an unruptured aneurysm in cases with advanced age, poor medical condition, difficult surgical anatomy, and attempted surgery. This review article was designed to address current and future roles of neurosurgeons in the era of intra-aneurysmal treatment on the basis of author's experience of more than 200 cases during the past 6 years. The role of neurosurgeons in the era of endovascular treatment could be defined as follows. Close collaboration between neurosurgeons and neurointerventionists is essential to obtaining favorable outcome. Neurointerventionists should be capable of evaluating the benefits and risks of open surgery as well as those of endovascular treatment. It is vitally important not only that neurosurgeons be involved in the evolution of new subspecialty, but also that neurosurgical program directors continue to train young neurosurgeons in the microsurgical management of cerebral aneurysms. Neurosurgeons should maintain a leadership role in the management of cerebral aneurysms.