García-González OA, García-González AG

Language: Spanish
References: 10
Page: 323-326
PDF size: 334.54 Kb.

ABSTRACT

Objective: To describe the frequency of neurosurgical pathologies after two years of the Neurosurgery Department incorporation in a second-level health care center.
Methods: A retrospective analysis was performed from March 9, 2012 to March 9, 2014 using the database of the Comitán General Hospital. The description includes: etiologic diagnosis, neurosurgical treatment, age, gender, and postoperative outcome. A total of 159 procedures performed on 141 patients were included.
Results: During the study period the number of hospital admissions was 11,750. Neurosurgical procedures have been performed to 141 patients, representing 1.2% of total admissions. One or more procedures were performed in some patients, for a total of 159 procedures, of which 61% were of traumatic etiology, 15% malignant, 10% vascular, 7% infectious, 4% congenital, 2% degenerative and 1% other etiologies. A 34% of procedures were performed in women and 66% in men. The mean age of traumatic pathology is 40.5 years. Chronic subdural hematoma was the main cause of neurosurgical care, accounting for 17% of all procedures. Neoplastic disease ranked the second, with high-grade glioma malignancy diagnosed more frequently. In the third place was vascular disease; the most common diagnosis was subarachnoid hemorrhage. A total of 83% of patients were discharged with improvement.
Conclusion: These data are the first report of neurosurgical pathology in the Chiapas State. This information does not differ from that reported in the literature reviewed.

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