Dr. RICARDO Brandão FonsecaBrazil
Hospital of children and women´s health-Dom Malan, Petrolina-Pe, Brazil.
| to present | PEDIATRIC NEUROSURGEON, CHILDREN HOSPITAL, DOM MALAN HOSPITAL |
| to present | GENERAL NEUROSURGEON, UNIMED HOSPITAL |
| - | CHIEF OF NEUROSURGERY RESIDENCE PROGRAM, UNIVERSITARY HOSPITAL, UNIVASF, BRAZIL |
| 2015 - 2020 | chief, department of neurosurgery, UNIVERSITARY HOSPITAL, UNIVASF, BRAZIL |
PEDIATRIC NEUROSURGERY
VASCULAR AND CRANIAL BASE NEUROSURGERY
Bachelor's degree in medicine at Federal University of Bahia - UFBA, in 2002.
Graduate degree in the form of residency in neurosurgery at Hospital da Restauração in Recife-Pe.
Title of Specialist in Neurosurgery conferred by the Brazilian Society of Neurosurgery and Brazilian Medical Association, upon approval in contest.
Member of the Brazilian Society of Neurosurgery and the Brazilian Academy of Neurosurgery.
Basic Training Course on Transcranial Doppler at University of Buenos Aires - UBA, Argentina.
Observership in Neurosurgery at the Brigham and Women's Hospital - Harvard Medical School, Boston, MA.
Visiting fellow in pediatric neurosurgery at Sourasky Medical Center, Tel Aviv , Israel.
Master degree in Health Science, Universitary Center Health ABC, São Paulo, SP, Brazil.
Clinical practice in cerebrovascular diseases, central nervous system tumors, pediatric neurosurgery, brain trauma and transcranial doppler.
Decompressive craniectomy in children for traumatic brain injury, Is it justified?
1110 11:10-11:25
Interim Meeting of AASPN/303A
Current Brain Trauma Foundation guidelines suggest that decompressive craniectomy (DC) is a potentially suitable therapeutic measure for certain patients with TBI. The evidence base to support this is largely from trials in adults, with limited evidence for this surgical procedure in children.
DC IN CHILDREN STILL REMAINS AT EVIDENCE LEVEL 3.
There is evidence to show that DC holds some promise of reduced mortality and improvement in functional outcome in children with severe TBI.
The recent research from LMICs reports more consistent favorable outcomes for DC in pTBI compared with the evidence from HICs. However, these findings are heterogeneous, in small populations and without controls. The interpretation of these differences is limited.
An ongoing multicenter RCT (RANDECPED [Decompressive Craniectomy for Severe Traumatic Brain Injury in Children With Refractory Intracranial Hypertension]) in France is due to be completed.
Considering our reality (LMIC);
DC SHOULD BE ENCOURAGED IN CHILDREN, AS SOON AS POSSIBLE, BEFORE A SIGNIFICANT INCREASE IN ICP OCCURS;
WE SHOULD NOT WAIT FOR CLINICAL NEUROLOGICAL DETERIORATION TO SUBMIT THE CHILD TO DC !
Traumatic brain injury by gunshot in adults and Pediatric populacion
1108 13:00-13:10
Neuro-trauma & Intensive Care/303A
Civilian gunshot wounds to the head are devastating, but there is no consensus regarding prognosis and management.
In this brief lecture, we intend to show our case series of head injuries caused by firearms, how we treat them, prognostic factors and updating the literature.