Enrique Marco de Lucas

Marqués de Valdecilla University Hospital

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Co-Authors

Juan Martino

Instituto de Investigación Marqués de Valdecilla

Benedicto Crespo‐Facorro

Centro de Investigación Biomédica en Red de Salud Mental

Diana Tordesillas‐Gutiérrez

Centro de Investigación Biomédica en Red de Salud Mental

José L. Fernández‐Torre

Universidad de Cantabria

Marta Drake-Pérez

Instituto de Investigación Marqués de Valdecilla

Roberto Roiz‐Santiáñez

Universidad de Cantabria

Rocío Pérez‐Iglesias

Instituto de Investigación Marqués de Valdecilla

Miguel A. Hernández‐Hernández

Instituto de Investigación Marqués de Valdecilla

Tatiana Piedra

Marqués de Valdecilla University Hospital

Javier Arnáiz

Qatar Orthopaedic and Sports Medicine Hospital

Cooperative Institutions

Marqués de Valdecilla University Hospital

211

Hospices Civils de Lyon

145

Hôpital Femme Mère Enfant

142

Universidad de Cantabria

110

Instituto de Investigación Marqués de Valdecilla

100

Centro de Investigación Biomédica en Red

Instituto de Salud Carlos III

Biomedical Research Networking Center on Neurodegenerative Diseases

Massachusetts General Hospital

Universidad de Sevilla

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Initial experience with transvaginal incisional hernia repair

Hernia (2009)

Garth R. Jacobsen Kari Thompson Adam Spivack L. Fischer Brian J. F. Wong

Natural orifice surgery has evolved from a preclinical setting into a common occurrence at the University of California San Diego (UCSD). With close to 40 transvaginal cases, we have become comfortable with this technique and are exploring other indications. One of the perceived advantages in natural orifice surgery is the potential reduction in the incidence of hernia formation. Patients with abdominal wall hernias may be at increased risk of forming additional hernias at incision sites. In addition, patients with recurrent incisional hernias may, likewise, be at increased risk. We believe that reducing or eliminating abdominal wall incisions may be of benefit in the repair of abdominal wall hernias. Here, we describe what we believe to be the first natural orifice transluminal endoscopic surgical (NOTES) approach to the repair of an abdominal wall hernia. The patient is a 38-year-old female with a painful recurrent umbilical hernia, previously repaired 8 years prior with a polypropylene-based mesh. The patient underwent a transvaginal recurrent umbilical hernia repair with one other 5-mm port in the abdomen for safety. The patient had no intraoperative or postoperative complications. At 5 months follow up, the patient had no complaints, no evidence of hernia recurrence, and was very pleased with her result. The repair of primary and incisional hernias of the ventral abdominal wall via a transvaginal approach is technically feasible, and the result of our initial case was exceptional. However, there are still significant obstacles which must be addressed before this approach can be widely utilized. These obstacles include safe entrance into the abdominal cavity via a transvaginal approach, the proper mesh to be placed during the repair, and the risk of infection.

Incisional Hernia

Hernia Repair

10.1007/s10029-009-0500-7

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Citations (44)

Nonconvulsive Status Epilepticus Causing Prolonged Stupor after Intraventricular Hemorrhage: Report of a Case

Clinical EEG and Neuroscience (2007)

José L. Fernández‐Torre Z. Agirre Ramón Puchades Enrique Marco de Lucas Agustı́n Oterino

We describe the case of an octogenarian woman who experienced a severe alteration of mental state due to non-convulsive status epilepticus (NCSE) complicating an intraventricular hemorrhage. Our report emphasizes that NCSE may be the cause of unexplained neurological deterioration in elderly patients with acute brain injury.

Stupor

Coma (optics)

10.1177/155005940703800112

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Citations (5)

Audio-Vestibular Signs and Symptoms in Chiari Malformation Type I. Case Series and Literature Review

Acta Otorrinolaringologica (English Edition) (2015)

Gloria Guerra Jiménez Ángel Mazón Gutiérrez Enrique Marco de Lucas N. Valle San Román Rubén Martín‐Láez

10.1016/j.otoeng.2014.05.019

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Citations (16)

A-23 Mental Illness and Emotional Functioning as Moderated by Executive Functioning: Incarcerated Population

Archives of Clinical Neuropsychology (2019)

Stephanie Spies-Upton Sneha Gade Jennifer E. Gonzalez Edmond Pui Hang Choi Carol-Lynne J. Becker

Abstract Objective The purpose of this study is to investigate whether executive functioning will moderate the relationship of a history of mental illness on aggression in a male forensic population. Method Using an archival database from a larger study, 232 male inmates (ages 21 and 49 years old) from three medium/maximum Maryland Correctional facilities were recruited using a pseudo-random selection process during intake. Participants were administered three EF tasks (Cambridge Decision Making Task, Logan Stop-Signal Task, and Stroop Interference Task), history of mental illness was obtained using the Symptom Checklist-90, and aggression was assessed with the Novaco Reaction to Provocation Questionnaire. Results Hierarchical multiple regressions were conducted. For overall aggression reactivity, inhibition moderated depression (IR2 = .025, F(3, 224) = 9.977, p < .001, β = -.246, p = .015) and psychoticism (IR2 = .019, F(3, 224) = 8.216, p < .001, β = -.136, p = .031). For reactive aggression subtype, inhibition moderated depression (IR2 = .025, F(3, 224) = 2.679, p = .048, β = .071, p = .017). For proactive aggression subtype, cognitive flexibility moderated anxiety (IR2 = .018, F(3, 224) = 4.731, p = .003, β = -.014, p = .039); and depression (IR2 = .022, F(3, 224) = 3.888, p = .010, β = -.017, p = .025). Conclusions Overall, there was mixed findings for inhibition. On Cambridge Decision Making task, inhibition moderated the predictive relationship of depression on reactive aggression and psychoticism and overall aggression but not for other measures of inhibition. For another inhibition task (Stroop), inhibition did not significantly moderate any mental illness on severity of aggression. Cognitive flexibility moderated the predictive relationships of anxiety and depression on proactive aggression. Findings suggest targeting cognitive flexibility for inmates diagnosed with anxiety depression, and psychosis when treating aggression in a male forensic population.

Stroop effect

Cognitive flexibility

Psychoticism

Depression

10.1093/arclin/acz034.23

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Citations (0)

The unknown world of the prepontine cistern

E. Lopez Uzquiza Marta Drake-Pérez M. Díez Blanco Angelica Lamagrande Eduardo Torres Díez

Poster: ECR 2014 / C-1616 / The unknown world of the prepontine cistern by: Lopez Uzquiza1, M. Drake Perez2, M. Diez Blanco2, A. Lamagrande2, E. Torres Diez2, S. Sanchez Bernal2, H. Vidal Trueba2, E. M. Marco De Lucas2; 1Suances/ES, 2Santander/ES

Cistern

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Instagram’s Influence on Radiology Today: Reviewing the Evolving Educational Journey from a Hospital to National Societies

Journal of Digital Imaging (2021)

J. Azcona Sáenz D. Herrán de la Gala Phoebe Phuong-Boi Bui Javier Arnáiz García Pablo Menéndez Fernández‐Miranda

Specialty

Representation

10.1007/s10278-021-00474-x

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Citations (12)

In-flight Seizures and Fatal Air Embolism

Archives of Neurology (2011)

Javier Arnáiz Enrique Marco de Lucas Tatiana Piedra Maria Elena Arnaiz Garcia Ashesh D. Patel

Objective

To describe for the first time, to our knowledge, a case of recurrent in-flight–dependent seizures related to commercial airline flight in which the patient experienced a fatal air embolism secondary to a giant bronchogenic cyst.

Design

Case report.

Setting

University hospital.

Patient

A female airline passenger presented with a seizure, then unconsciousness and death. The patient had experienced 2 previous episodes of in-flight seizures without any sequelae.

Results

The patient had an air embolism proved by findings on cranial computed tomography (CT) and a CT perfusion study. The embolism was secondary to a giant bronchogenic cyst that was evident on chest CT. The patient was examined after the previous episodes of in-flight seizures, but no chest radiography had been performed.

Conclusions

We propose minor air embolism as a cause of in-flight seizures. This type of seizure can signify the existence of a giant bronchogenic cyst. We believe that obtaining a chest radiograph can be useful in patients with a history of in-flight seizures to rule out the presence of a bronchogenic cyst and to prevent a possibly fatal air embolism.

Air embolism

10.1001/archneurol.2011.85

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Citations (16)

CT Protocol for Acute Stroke: Tips and Tricks for General Radiologists

Radiographics (2008)

Enrique Marco de Lucas Elena Sánchez Agustín Gutiérrez Andrés González‐Mandly Eva Ruiz

Acute stroke services have been installed in most hospitals in the industrialized world, and dealing with hyperacute stroke has become one of the most frequently performed tasks of the on-call radiologist. Imaging plays a key role in current guidelines for thrombolysis, and knowledge of classic early ischemic signs or depiction of hemorrhage at nonenhanced computed tomography (CT) is necessary (although not sufficient) for a satisfactory imaging study. A modern CT examination must also include perfusion CT and CT angiography. Perfusion CT delineates the ischemic tissue (penumbra) by showing increased mean transit time with decreased cerebral blood flow (CBF) and normal or increased cerebral blood volume (CBV), whereas infarcted tissue manifests with markedly decreased CBF and decreased CBV. CT angiography can depict the occlusion site, help grade collateral blood flow, and help characterize carotid atherosclerotic disease. A complete CT study (nonenhanced CT, perfusion CT, and CT angiography) may be performed and analyzed rapidly and easily by general radiologists using a simple standardized protocol and may even facilitate diagnosis by less experienced radiologists in affected patients. © RSNA, 2008

Penumbra

Stroke

Collateral circulation

Acute stroke

Computed Tomography Angiography

10.1148/rg.286085502

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Citations (138)

Controversias en el tratamiento de los gliomas OMS grado II localizados en áreas elocuentes: revisión de la bibliografía reciente

Neurocirugía (2012)

Juan Martino Elsa Gómez Gómez Enrique Marco de Lucas Marian Martínez Roberto Ocón

Surgical resection

Multidisciplinary team

10.1016/j.neucir.2011.07.002

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Citations (2)

Código ictus... ¿siempre ictus?

Seram (2018)

Víctor Fernández Lobo Enrique Marco de Lucas Amaya Iturralde Garriz Beatriz García Martínez Paula Gallego Ferrero

Objetivos DocentesRealizar un breve repaso de la patologia neurologica mas frecuente que puede simular un accidente cerebrovascular agudo y analizar su presentacion en las tecnicas de imagen (TC multimodal y RM). Revision del temaEl accidente cerebrovascular agudo es una enfermedad cada vez mas prevalente, con unas consecuencias infaustas si su diagnostico y tratamiento no se realizan de forma acertada y precoz. Se considera que mas de un 20% de los diagnosticos de ictus son falsos positivos, por lo que nos interesa ser capaces de detectarlos para realizar un tratamiento adecuado dirigido, economizando el gasto y disminuyendo los potenciales efectos secundarios que a raiz de ellos puedan sufrir los pacientes.Las crisis epilepticas, las infecciones del SNC, los tumores, los brotes de enfermedades desmielinizantes y algunas enfermedades metabolicas, como la hipoglucemia y la hiponatremia o incluso las pseudocrisis son las patologias que con mas frecuencia producen una clinica similar al accidente cerebrovascularagudo, con las que debemos hacer diagnostico diferencial. Muchas de ellas presentan otras alteraciones focales, realces patologicos, areas de hiperperfusion...etc que facilitan el diagnostico diferencial.

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