Julio César Dávila-Romero

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BACKGROUND An endoscopic endonasal transsphenoidal approach is reported as less invasive, allowing an earlier discharge. Published series have never focused on its use in acromegalic patients. OBJECTIVE To assess the effectiveness of an endoscopic endonasal transsphenoidal approach in the management of growth hormone-secreting adenomas. PATIENTS AND(More)
INTRODUCTION AND OBJECTIVES A ventriculo-atrial shunt is indicated for the treatment of some hydrocephalus cases. The distal catheter is usually inserted into the right atrium through cervical venous dissection. Percutaneous insertion has been described with success; however its use is not widespread. The aim of this work is to describe modifications in the(More)
Traumatic intracranial pial arteriovenous fistulae are infrequent lesions. Their cardinal signs have been related to mass effect and hemorrhage, but their clinical manifestations due to venous retrograde flow into ophthalmic veins has never been described. This phenomenon is usually seen in dural arteriovenous fistula draining to the cavernous sinus or(More)
BACKGROUND The dorsal spinal intradural arteriovenous fistulas (DSIAF) are infrequent and complex injuries are underdiagnosed condition and disability. The aim is to present our experience in the endovascular management. METHODS A retrospective and prospective study of patients with DSIAF treated by endovascular therapy (EVT) with n-butyl-cyanoacrylate(More)
Nasal obstruction is a frequent cause of referral to the ear, nose and throat specialist. When this symptom is resistant to medical management and common causes have been ruled out, the presence of neural structures should be investigated In the nasoethmoidal meningoencephalocele, a congenital defect of the ethmoid lamina cribrosa allows the herniation of(More)
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