Este documento describe el proceso de instalación de los sistemas operativos Windows 7 y Linux Ubuntu en una computadora. Inicialmente se instaló Windows 7, creando particiones para este y Ubuntu. Luego se instaló Ubuntu en otra partición, configurando el arranque dual para iniciar ambos sistemas. Finalmente, se concluye que es importante considerar los requisitos técnicos y particionar correctamente el disco duro para una instalación exitosa.
Juegos de antaño: retómalos por la salud de tus hijosSalud y Medicinas
Los juegos y juguetes tradicionales son una alternativa saludable para la salud mental de los niños, así como para evitar sobrepeso y obesidad, además de fomentar su creatividad y desarrollo intelectual.
This document discusses brain tumors, including prevalence rates in the United States and Idaho. Over 22,000 new cases of brain tumors were diagnosed in 2010, resulting in over 13,000 deaths that year. Treatment options mentioned include surgery, radiation therapies like stereotactic surgery and gamma knife surgery, chemotherapy, and awake craniotomy. The document also notes ongoing research on PET scan accuracy and clinical trials of drugs like Temozolomide.
Este documento describe el proceso de instalación de los sistemas operativos Windows 7 y Linux Ubuntu en una computadora. Inicialmente se instaló Windows 7, creando particiones para este y Ubuntu. Luego se instaló Ubuntu en otra partición, configurando el arranque dual para iniciar ambos sistemas. Finalmente, se concluye que es importante considerar los requisitos técnicos y particionar correctamente el disco duro para una instalación exitosa.
Juegos de antaño: retómalos por la salud de tus hijosSalud y Medicinas
Los juegos y juguetes tradicionales son una alternativa saludable para la salud mental de los niños, así como para evitar sobrepeso y obesidad, además de fomentar su creatividad y desarrollo intelectual.
This document discusses brain tumors, including prevalence rates in the United States and Idaho. Over 22,000 new cases of brain tumors were diagnosed in 2010, resulting in over 13,000 deaths that year. Treatment options mentioned include surgery, radiation therapies like stereotactic surgery and gamma knife surgery, chemotherapy, and awake craniotomy. The document also notes ongoing research on PET scan accuracy and clinical trials of drugs like Temozolomide.
Neuroendoscopy can play a role in the management of ventricular and paraventricular tumors. It allows for biopsy of lesions as well as endoscopic third ventriculostomy (ETV) to treat hydrocephalus. ETV is a less invasive alternative to shunt placement and can be performed at the same time as other supratentorial procedures or for hydrocephalus caused by posterior fossa tumors. Case studies demonstrate the use of neuroendoscopy for biopsy and drainage in patients with tumors such as pineocytoma, arachnoid cyst, glioblastoma, and germinoma. Neuroendoscopy is shown to be safe and effective, especially when image-guided, for selecting entry points and trajectories.
This document provides a summary of a presentation on transversus abdominal plane (TAP) blocks. It begins with a brief history of regional anesthesia techniques leading to the development of TAP blocks. The background section describes how TAP blocks work to provide analgesia in the anterior abdominal wall region. The anatomy and technique sections explain the relevant abdominal wall structures and how TAP blocks are performed. Several studies are summarized that investigated the effectiveness of TAP blocks in reducing postoperative opioid use and pain scores for various surgeries. The findings generally showed lower opioid consumption and pain scores when TAP blocks were used. However, the degree of benefit varied across studies. Recommendations include the use of TAP blocks as an adjunct for
Présentation d'un bloc opératoire de neurochirurgie en 2016 et de ses interventions intracrânienne. Rappel historique et anatomie élémentaire. La technologie au service de la sécurité dans une salle d'opération multimédia.
Conférence grand public : Jardin de Pensée Ath 24 avril 2016
Pathologies intracrâniennes: Formation pour le nursing d'étage en neurochiru...Michel Triffaux
Quatrième et dernier module de formation du nursing d'étage en neurochirurgie. L'ensemble des pathologies neurochirurgicales intracrâniennes sont passées en revue ainsi que le suivi post opératoire.
This document discusses various neuroimaging and diagnostic techniques used in neurosurgery investigations. It describes skull x-rays, computed tomography scanning, magnetic resonance imaging, angiography, lumbar puncture, myelography, electroencephalography, evoked potentials, electromyography and nerve conduction studies. Specific MRI sequences, uses of SPECT and PET scans, and brainstem auditory evoked response testing are also outlined.
accident vasculaire cérébrale AVC
AVC ischémique
AIT
diagnostic
signe radiologique indirect
étiologies
L’AVC (Accident Vasculaire Cérébrale) communément appelé "attaque cérébrale" est
une perte soudaine d’une ou plusieurs fonctions du cerveau. Il est provoqué par un arrêt de la circulation sanguine à l’intérieur du cerveau.
bon à savoir
bonne lecture
Neuroendoscopy can play a role in the management of ventricular and paraventricular tumors. It allows for biopsy of lesions as well as endoscopic third ventriculostomy (ETV) to treat hydrocephalus. ETV is a less invasive alternative to shunt placement and can be performed at the same time as other supratentorial procedures or for hydrocephalus caused by posterior fossa tumors. Case studies demonstrate the use of neuroendoscopy for biopsy and drainage in patients with tumors such as pineocytoma, arachnoid cyst, glioblastoma, and germinoma. Neuroendoscopy is shown to be safe and effective, especially when image-guided, for selecting entry points and trajectories.
This document provides a summary of a presentation on transversus abdominal plane (TAP) blocks. It begins with a brief history of regional anesthesia techniques leading to the development of TAP blocks. The background section describes how TAP blocks work to provide analgesia in the anterior abdominal wall region. The anatomy and technique sections explain the relevant abdominal wall structures and how TAP blocks are performed. Several studies are summarized that investigated the effectiveness of TAP blocks in reducing postoperative opioid use and pain scores for various surgeries. The findings generally showed lower opioid consumption and pain scores when TAP blocks were used. However, the degree of benefit varied across studies. Recommendations include the use of TAP blocks as an adjunct for
Présentation d'un bloc opératoire de neurochirurgie en 2016 et de ses interventions intracrânienne. Rappel historique et anatomie élémentaire. La technologie au service de la sécurité dans une salle d'opération multimédia.
Conférence grand public : Jardin de Pensée Ath 24 avril 2016
Pathologies intracrâniennes: Formation pour le nursing d'étage en neurochiru...Michel Triffaux
Quatrième et dernier module de formation du nursing d'étage en neurochirurgie. L'ensemble des pathologies neurochirurgicales intracrâniennes sont passées en revue ainsi que le suivi post opératoire.
This document discusses various neuroimaging and diagnostic techniques used in neurosurgery investigations. It describes skull x-rays, computed tomography scanning, magnetic resonance imaging, angiography, lumbar puncture, myelography, electroencephalography, evoked potentials, electromyography and nerve conduction studies. Specific MRI sequences, uses of SPECT and PET scans, and brainstem auditory evoked response testing are also outlined.
accident vasculaire cérébrale AVC
AVC ischémique
AIT
diagnostic
signe radiologique indirect
étiologies
L’AVC (Accident Vasculaire Cérébrale) communément appelé "attaque cérébrale" est
une perte soudaine d’une ou plusieurs fonctions du cerveau. Il est provoqué par un arrêt de la circulation sanguine à l’intérieur du cerveau.
bon à savoir
bonne lecture
La chirurgie des tumeurs cérébrales: matinée scientifique CHwapi Tournai 25 m...Michel Triffaux
Dans le cadre du mois international de sensibilisation des tumeurs cérébrales de Gris en Mai 2024, la Consultation d'Oncologie Multidisciplinaire de Neuro du CHwapi a organisé trois évènements: un conférence tout public à l'Hôtel de Ville de Tournai le 13 mai , une journée de sensibilisation dans le hall de l'hôpital site Union le 22 mai et une matinée scientifique pour les professionnels le 25 mai.
Il s'agit de la partie chirurgicale du traitement des tumeurs cérébrales
Présentation actualisée de la situation au 01 juin 2023 du registre belge spine version 2.0
Nouvelle nomenclature INAMI en Spine.
Contraintes administratives et perte de l'intérêt scientifique du 1er registre.
Spine Unit Lombalgies et Radiculalgies des Guidelines à la pratiqueMichel Triffaux
Matinée scientifique du CHWapi
Invitée Dr P Jonckheer: trajet de soins national KCE
Prise en charge aux urgences, Place de la Médecine Physique, Place du kinésithérapeute, Place de la Pain clinic, Place de la Radiologie, Place de la chirurgie et Spine Unit mode d'emploi.
Présentation par différentes disciplines de la Spine Unit du CHwapi.
eXLIF or DLIF about 20 consecutive cases whit Ursus cages by Syntropiq Michel Triffaux
XLIF or DLIF about 20 consecutive cases whit Ursus cages by Syntropiq.
Arosa NSpine winter meeting.
The advantage of anterior and lateral approach is reviewed. The main problem remains the lumbar plexus.
The knowledge of bone fusion is important to this kind of surgery.
The dynamic contact surface in Ursus cage promotes bone fusion by mechanical stimulation.
Preliminary study about 20 consecutive cases.
Nouvelle Nomenclature en Chirurgie du Rachis en date du 1er septembre 2022 Michel Triffaux
Présentation pour du GLEM de Neurochirurgie du 6 octobre 2022 à l'Hôpital Marie Curie Charleroi
Depuis le 1er septembre 2022 une nouvelle nomenclature en chirurgie du rachis est entrée en application.
De nouvelles règles ont été établies pour les consultations de la Spine Unit à l'image des consultations multidisciplinaires d'oncologie.
Les implications du nouvel arrêté sont analysé par un praticien de terrain coordinateur chirurgical de la Spine Unit du CHwapi Tournai Belgium
The value of dynamic MRI in cervical spondylotic myelopathy: About 24 cases.T...Michel Triffaux
Dynamic magnetic resonance imaging (MRI) of the cervical spine is extremely useful in assessing
pathological changes at the spinal cord, vertebrae, discs, ligaments and facet joints. we attempted to
document the radiological changes that the cervical spine undergoes during dynamic maneuvers and the
effects of Dynamic MRI in management of cervical myelopathy, emphasizing on the changes in treatment
protocol effected by the new findings discovered. Our work is based on 24 consecutive patients with
cervical spondylotic myelopathy had cervical MR imaging in neutral position, in flexion and extension of
the cervical spine between January 2021 and December 2021. The result found the mean age was 57.9
years (range 26-85 years). Among these 24 patients, there were 11 males and 13 females. Total number of
levels of compression were 47 and the additional levels of involvement were 17. Additional levels of
compression were noted in 12 patients, among these 17 new levels, 7 were in the posterior and 10 in the
anterior. The most affected level was C5C6 with 16 cases. All additional levels of compression were noted
in extension; Reduction of the cervical canal was observed in 20 patients only in extension. In the bending
sequences we have noticed an increase of the canal diameter in 3 patients. The location of the
compression is in 15 cases anterior, 2 cases posterior and 5 cases are mixed anterior and posterior
Surgery was considered in 17 patients. Anterior procedures were 11 (ACDF/ corpectomy and fusion) and
Posterior surgeries were 6 (laminoplasty/laminectomy), and. The rest of the patients did not require
surgery and was conservatively treated. A change of the signal was found in 3 patients during the
acquisition in extension position a. Most studies have shown a reduction of the root canal with an increase
of the compression level, which was the case in our study. MRI is a useful tool for diagnosis of CM, it does
not give an exact idea as to which is the offending level in a multilevel compression that requires surgery.
Even the approach and procedure cannot be decided on a static examination and hence are subject to
significant interpractitioner the role of extension MRI in determining cervical compression levels. Thus,
dynamic cervical spine MRI should be an important investigation before we decide to write off surgical
treatment in patients with cervical myelopathy and cord signal changes without definitive compression on
static MRI. Flexion and extension MRI is an important tool for decision making and planning appropriate
management in cervical compressive myelopathy.
The Utility of the CADISS® System in the Dissection of Epidural Fibrosis in ...Michel Triffaux
Spine surgery and spinal fusion surgery are rising. Revision rates following initial surgery are between 8
and 45%. Epidural fibrosis is a common response to spine surgery for most patients and increases
complications in revision surgery. Previous research suggests using MESNA (Sodium 2-mercaptoethane
sulfonate) in combination with mechanical blunt dissection safely reduces surgical complications. MESNA is
a mucolytic agent which selectively cleaves disulphide bonds involved in the adherence and strength of
fibrosis, meaning cutting instruments are not needed. The Chemically Assisted DISSection (CADISS®)
System is an optimised non-cutting surgical device, consisting of a reconstitution cartridge for MESNA
preparation, irrigated surgical instruments, and a footswitch to control MESNA release. This is the first study
to investigate the use of the CADISS® System in revision spine surgery.
Reversible hearing loss after 3D video-assisted marsupialization of several ...Michel Triffaux
Case report
Very few pediatric cases of arachnoid cyst of ponto-cerebellar angle are desribed in the literature. Only 4 are
described with hearing loss. It is a pathology which poses especially a problem of early diagnosis. In this paper
we describe the management of a 16-year-old patient with an arachnoid cyst of the cerebellopontine angle with
an isolated auditory deficit that was treated surgically. The follow up was marked by a Full recovery of hearing
after surgical treatment. Arachnoid cyst of the cerebellopontine angle is rare in the pediatric population, early
surgical management help to increase the chances of recovery.
Obstruction of ventriculoperitoneal shunt by air bubbleMichel Triffaux
Neurosurgery case report
Obstruction of ventriculoperitoneal shunt
This case illustrates the management of this rare situation causing air bubble shunt obstruction.
IRM dynamique dans la myéolopathie cervico arthrosiqueMichel Triffaux
Communication du Dr Marouane Makhchoune felow du service de neurochirurgie FOSFOM au CHWapi Tournai Belgium lors du congrès de la SFCR Nice 2022.
Etude radiologique sur l'intérêt de réaliser des épreuves dynamiques en flexion - extension lors d'une IRM cervicale. Modification dans la stratégie chirurgicale: confirmation d'une absence d'indication chirurgicale ou modification de la voie d'abord postérieure versus antérieure.
Objet du mémoire en vue de l'obtention d'un DU Paris Bicètre sur les pathologies de la moelle épinière.
A new aid for revision spine surgery with more selective dissection.
Our experience more than10 cases: ideal case to start and bad case with limitation of the system
Additional direct cost of ADTs
Webinar Auxin 15.12.2021 A new aid for revision spine surgery with more selective dissection.
Our experience more than10 cases: ideal case to start and bad case with limitation of the system
Additional direct cost of ADTs
Direct Tubular Exo sequestromy for Far Lateral Disc Hernia Michel Triffaux
Application of the Orbeye Exoscope for direct tubular sequestromy for far lateral disc hernie.
Minimal Invasive Surgery
Spine Unit CHwapi 7500 Tournai Belgium
Orbeye Exoscope qui permet la Microchirurgie sans microscope.Michel Triffaux
Présentation à la presse du nouveau exoscope Orbeye par le CHwapi service de neurochirurgie.
Introduction Dr M Triffaux
Ce qui change pour l'équipe Mme S Fourez
L'Orbeye en chirurgie du rachis MIS Dr A Bouras
L'Orbeye en chirurgie intracrânienne Dr S Lonneville
Microchirurgie 3D 4K sans microscope: Orbeye Exoscope Michel Triffaux
Présentation au Comité de Gestion CHwapi mai 2021
Renouvellement du microscope en neurochirurgie
Alternative au microscope opératoire conventionnel pour la microchirurgie
Cours IESPP Pathologies Chirurgicales
Infirmières Hospitalières 2ème année
Nouvelle édition 2019 2020 revue et augmentée
La peau: description rôles et fonctions
Baromètre Donner des ELLES à la santé JanssenIpsos France
Le baromètre Donner des ELLES à la santé réalisé pour Janssen dresse pour sa 5ème édition un bilan de la situation des femmes médecins à l’hôpital et alerte sur les difficultés auxquelles elles font face.
Cette étude permet de comprendre les dynamiques actuelles autour de la satisfaction professionnelle, les aspirations à la responsabilité et les discriminations subies dans le milieu hospitalier, avec un focus particulier sur les violences sexistes et sexuelles, qui résonnent fortement avec l’émergence récente de #MeTooHôpital.
Il s'agit des stratégies de descente sur le terrain consistant a mettre en œuvre la qualité d'une bonne supervision au cours d'une campagne de poliomyélite
12. Traitement chirurgical
• Lésions accessibles symptomaOques:
– Déficit neuro
– Hémorragie symptomaOque
– Epilepsie non contrôlée
• Fosse Postérieure:
– Tronc cérébral: à la récidive et suivant la topographie
• Morbidité 30-67% ( transitoire ? )
• À long terme : 85% améliorés, 14 % aggravés, 2 % décès
– Cervelet: après le 1er épisode hémorragique
• Spinal:
• AggravaOon post op 50%
• A long terme: 61 % améliorés , 31% statu quo, 8 aggravés