RESUMO
The illustrious Colombian Professor Salomón Hakim provided the annals of neurology with one of the most brilliant and original bodies of research on record, developing the concept of normal pressure hydrocephalus, as well as proving that ventricular shunting is an effective treatment. Thus, Professor Hakim proved that some of the dementias, at that time considered senile, could be successfully treated. Here the authors present an historical review of his main contributions, which continue to influence the study of dementia to this day.
Assuntos
Hidrocefalia de Pressão Normal/história , Neurologia/história , Colômbia , História do Século XX , História do Século XXI , Humanos , Derivação Ventriculoperitoneal/históriaRESUMO
ABSTRACT The illustrious Colombian Professor Salomón Hakim provided the annals of neurology with one of the most brilliant and original bodies of research on record, developing the concept of normal pressure hydrocephalus, as well as proving that ventricular shunting is an effective treatment. Thus, Professor Hakim proved that some of the dementias, at that time considered senile, could be successfully treated. Here the authors present an historical review of his main contributions, which continue to influence the study of dementia to this day.
RESUMO O ilustre professor colombiano Salomón Hakim deixou como legado nos anais da neurologia uma das mais brilhantes e originais séries de pesquisa da história, desenvolvendo o conceito de hidrocefalia de pressão normal, bem como introduzindo a derivação ventricular como tratamento efetivo. Assim, Hakim provou que algumas das demências até então consideradas senis tinham possibilidade de tratamento bem-sucedido. Aqui os autores apresentarão uma revisão histórica de suas maiores contribuições, que continuam a influenciar o estudo de demências até os nossos dias.
Assuntos
História do Século XX , História do Século XXI , Hidrocefalia de Pressão Normal/história , Neurologia/história , Derivação Ventriculoperitoneal/história , ColômbiaRESUMO
Shunt overdrainage in patients with hydrocephalus still represents a challenge for neurosurgeons, in part due to the lack of agreement or uniformity concerning the entity. Important problems exist relating to the real incidence of the entity, its definition, classification, and the pathophysiological theories behind the various treatment strategies proposed. Recent reports have suggested that the evidence about overdrainage and its consequences is not so robust as presumed. Consequently, the topic requires more detailed examination. In this review, we comment on all the main facets related with shunt overdrainage.
Assuntos
Drenagem/efeitos adversos , Hidrocefalia/complicações , Hidrocefalia/terapia , Derivação Ventriculoperitoneal/efeitos adversos , Derivação Ventriculoperitoneal/história , História do Século XX , História do Século XXI , Humanos , Neurocirurgiões , Síndrome do Ventrículo Colabado/etiologia , Síndrome do Ventrículo Colabado/terapiaAssuntos
Hidrocefalia/história , Derivação Ventriculoperitoneal/história , Materiais Biocompatíveis/história , Desenho de Equipamento/história , História do Século XVI , História do Século XX , História Antiga , Humanos , Hidrocefalia/cirurgia , Reino Unido , Estados Unidos , Derivação Ventriculoperitoneal/instrumentaçãoRESUMO
The treatment of hydrocephalus nowadays is still a challenge for neurosurgery. Neuroendoscopy is a valuable alternative of the CSF shunts in hydrocephalus management. Because of the complicated and always changeable pathophysiology of hydrocephalus, the history of the endoscopic treatment of hydrocephalus is also a history of severe frustrations, great expectations, and significant achievements. The historical milestones and state of the art of neuroendoscopic treatment of hydrocephalus are reviewed for each of its surgical techniques: choroid plexus coagulation, third ventriculostomy, aqueductoplasty, septostomy, foraminal plasty of the foramen of Monro, and foraminal plasty of the foramen of Magendie. The future trends of neuroendoscopic treatment of hydrocephalus such as robotics, image-guided neuroendoscopic surgical techniques, treatment "in utero", application of stem cell therapy, implementation of new technological solutions, and so on are discussed in the light of the approaching end of the century of neuroendoscopy.
