Romero VS, García LR, Méndez RD, Rodríguez AC

Language: Spanish
References: 25
Page: 51-55
PDF size: 106.05 Kb.

ABSTRACT

Mexico has an elevated obesity prevalence among its population. This fact has significant public health implications and impact upon medical care including neurosurgery. The obese people are more likely to develop pseudotumor cerebri and more severe traumatic brain injury. In some neurological illness deep vein thrombosis, wound infections and rehospitalizations have an increased percentage. In a series of elective thoracolumbar spine surgery, the complications rate showed a proportional increase related to BMI (14% for a BMI of 25, 20% for BMI 30, and 36% for BMI 40). The management of an obese patient constitutes a challenge for the neuroanesthesiologist. The obesity is a problem of huge dimensions and increasingly perspective rates. Today several neurosurgical techniques concerning hypothalamic deep brain stimulation are being developed. The consequences of obesity over neurosurgical morbility and mortality have been poorly studied, nevertheless the obesity has to be included in the risk-benefit analysis of any surgical procedure.

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