<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2304-0106</journal-id>
<journal-title><![CDATA[Anales de la Academia de Ciencias de Cuba]]></journal-title>
<abbrev-journal-title><![CDATA[Anales de la ACC]]></abbrev-journal-title>
<issn>2304-0106</issn>
<publisher>
<publisher-name><![CDATA[Academia de Ciencias de Cuba]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2304-01062022000100026</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Craneotomía mínimamente invasiva guiada por imágenes y con magnificación endoscópica en el paciente despierto]]></article-title>
<article-title xml:lang="en"><![CDATA[Minimally invasive craniotomy guided by images with endoscopic view in the awake patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Pérez]]></surname>
<given-names><![CDATA[Peggys Oleydis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Arbolay]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Crespo]]></surname>
<given-names><![CDATA[Pedro Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Machin]]></surname>
<given-names><![CDATA[Marlon Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salcido Quesada]]></surname>
<given-names><![CDATA[Yabdel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez González]]></surname>
<given-names><![CDATA[Katia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solernou Ferrer]]></surname>
<given-names><![CDATA[Alejandro José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Geidi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras. Departamento de Neurocirugía ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras Departamento de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras Departamento de Psicología médica ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>12</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2304-01062022000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2304-01062022000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2304-01062022000100026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La cirugía con el paciente despierto (CPD) constituye una herramienta neuroncológica eficaz. Objetivo: Describir el proceso de tratamiento donde la CPD con identificación tridimensional de la lesión por neuronavegación y contraste tisular cerebral asociado a la magnificación endoscópica, permitieron una resección quirúrgica máxima y segura de las lesiones.  Presentación:  Se reportan 3 pacientes con diagnóstico de tumor cerebral (2 de estirpe glial y 1 meningioma) operados despiertos por craneotomía mínimamente invasiva guiada por imágenes y con magnificación endoscópica. Se utilizaron herramientas imagenológicas, de neuronavegación, de magnificación y de identificación de la lesión; la resonancia magnética (RMI) de alto campo 3 Teslas con tractografía, navegador de BrainLab, métodos de magnificación endoscópica y contraste tisular (Fluorosceína) respectivamente. Conclusión: La combinación armónica de estos procedimientos con un fin común constituye una opción viable, eficaz y segura en la cirugía con el paciente despierto en nuestro medio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Awake craniotomy surgery (ACS) is actually an effective neuroncology tool. Objective: To describe the treatment process in which ACS, with tridimensional identification of the tumor using neuronavigation and brain tissue contrast, associated with the endoscopic view, allowed for the safe maximal resection of the lesions.  Presentation:  Three patients are presented with diagnosis of brain tumor (2 glial tumor and 1 meningioma) surgically operated by awake craniotomy guided by minimally invasive images and endoscopic view. We used images, neuronavigation, view and magnification damage identification; magnetic resonance imaging (MRI), Brain Lab navigator, endoscopic view methods and tissue contrast (Fluoroscein). Conclusion: The harmonious combination of those procedures for a common purpose in awake surgery is a feasible, valid and safe option in our context.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tumor cerebral]]></kwd>
<kwd lng="es"><![CDATA[mínimo acceso]]></kwd>
<kwd lng="es"><![CDATA[craneotomía despierto]]></kwd>
<kwd lng="en"><![CDATA[brain tumor]]></kwd>
<kwd lng="en"><![CDATA[minimal access]]></kwd>
<kwd lng="en"><![CDATA[awake craniotomy]]></kwd>
</kwd-group>
</article-meta>
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