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OBJECTIVE: An adequate knowledge of the anterior inferior cerebellar artery (AICA) is oriented to the morphological sciences, clinical management and surgical planning of the posterior fossa. We aimed to determine the morphology of AICA in a sample from Colombian population. METHOD: We studied 92 AICA from fresh cadavers. For each specimen, the vertebral arteries were injected with 100 cc of semi-synthetic resin (a mixture of Palatal E210® BASF 80 cc and Styrene 20 cc) dyed with mineral red. The biometrics and morphological variables of AICA were registered. RESULTS: AICA originated at 9.9 ± 3.2 mm from the vertebrobasilar junction. In 12 samples (8.1%), we observed a common trunk between AICA and posterior inferior cerebellar artery, which presented a caliber of 1.56 ± 0.23 mm and a length of 11.3  ± 3. 53 mm. In 80 (51.3%) specimens, AICA was originated from the proximal segment of basilar artery, while in 76 (48.7%) of them emerged from the medium segment. The AICA bifurcation distance from its origin was less than 20 mm in 20.5% of cases; between 20 and 40 mm in 62.3%. In its trajectory, AICA passed ventral to the facial nerve in 85 samples (53.2%), dorsal to the facial nerve in 68 samples (43.6%) and between the roots in 5 samples (3.2%). CONCLUSIONS: The origin of the AICA from the proximal segment of the basilar artery is confirmed in this study, which disagrees with reports that point out its origin in the middle segment.

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Introducción: Los aneurismas cerebrales de la circulación posterior, representan solo del 8 al 10 % del total de los aneurismas cerebrales, y de estos los de la arteria cerebelosa anteroinferior (AICA) son muy poco frecuentes, por lo que no hay algoritmo de manejo para estas lesiones, se requieren conocimientos anatómicos de vascular y de base de cráneo para el tratamiento de estos, hablando del abordaje quirúrgico, podemos mencionar, el extremo lateral, retrosigmoideo, orbitozigomatico y presigmoideo, que depende del tamaño y localización del aneurisma, ya sea distal o proximal. Presentamos este caso, que tratamos mediante un abordaje retrosigmoideo convencional, el cual nos ofreció un corredor quirúrgico suficiente, sin necesidad de un abordaje mas amplio, en este caso fue un aneurisma distal de la AICA, localizado en el segmento meatal, que se encontró en el complejo neurovascular medio del ángulo pontocerebeloso, muy próximo a los nervios craneales V, VII y VIII. Objetivos: Demostrar que los aneurismas distales de la AICA se pueden manejar mediante un abordaje retrosigmodeo convencional con éxito. Materiales y métodos: El paciente se colocó en posición park bench, bajo fijación esquelética de 3 puntos, con el asterion como punto mas elevado. Se realizo una incisión en forma de C en la mastoides y se realizo un abordaje dirigido hacia el ángulo pontocerebeloso. Resultados: Se logró realizar el clipaje del aneurisma de forma satisfactoria, con un buen resultado clínico del paciente, quien fue egresada a los 4 días sin déficit neurológico. Conclusión: El abordaje retrosigmoideo es una opción terapéutica para el manejo de los aneurismas ubicados en el ángulo pontocerebeloso, específicamente del AICA distal y también se puede usar incluso para los aneurismas distales del PICA.

Background: Cerebral aneurysms of the posterior circulation, representing only 8 to 10% of the total cerebral aneurysms, but the aneurysms of the anteroinferior cerebellar artery (AICA) are very rare, so there is no management algorithm for these lesions, anatomical knowledge of vascular and skull base are known for the treatment of these lesions, in relation of the surgical approach, we can identify, the far lateral, retrosigmoid, orbitozigmatic or presigmoid approaches, which depends on the size and location of aneurysm, either distal or proximal. We present this case, which we treated through a conventional retrosigmoid approach, which offers us a sufficient surgical corridor, without the need for a broader approach, in this case it was a distal AICA aneurysm, located in the meatal segment, which was found in the middle neurovascular complex of the pontocerebellar angle, very close to the cranial nerves V, VII and VIII. Objective: Demonstrate that distal aneurysms of AICA can be managed using a successful conventional retrosigmoid approach. Results: The clipping of the aneurysm was achieved satisfactorily, with a good clinical result of the patient, who was discharged at 4 days without neurological deficit. Conclusion: The retrosigmoid approach is a therapeutic option for the management of aneurysms located in the pontocerebellar angle, specifically of the distal AICA and can also be used even for distal aneurysms of the PICA.

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The head impulse, nystagmus type, test of skew (HINTS) protocol set a new paradigm to differentiate peripheral vestibular disease from stroke in patients with acute vestibular syndrome (AVS). The relationship between degree of truncal ataxia and stroke has not been systematically studied in patients with AVS. We studied a group of 114 patients who were admitted to a General Hospital due to AVS, 72 of them with vestibular neuritis (based on positive head impulse, abnormal caloric tests, and negative MRI) and the rest with stroke: 32 in the posterior inferior cerebellar artery (PICA) territory (positive HINTS findings, positive MRI) and 10 in the anterior inferior cerebellar artery (AICA) territory (variable findings and grade 3 ataxia, positive MRI). Truncal ataxia was measured by independent observers as grade 1, mild to moderate imbalance with walking independently; grade 2, severe imbalance with standing, but cannot walk without support; and grade 3, falling at upright posture. When we applied the HINTS protocol to our sample, we obtained 100% sensitivity and 94.4% specificity, similar to previously published findings. Only those patients with stroke presented with grade 3 ataxia. Of those with grade 2 ataxia (n = 38), 11 had cerebellar stroke and 28 had vestibular neuritis, not related to the patient's age. Grade 2-3 ataxia was 92.9% sensitive and 61.1% specific to detect AICA/PICA stroke in patients with AVS, with 100% sensitivity to detect AICA stroke. In turn, two signs (nystagmus of central origin and grade 2-3 Ataxia) had 100% sensitivity and 61.1% specificity. Ataxia is less sensitive than HINTS but much easier to evaluate.

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Oaxaca hosts one of the greatest biodiversity in México, occupying first place in avian diversity compared to other regions of the country. However, the area is undergoing serious problems such as high deforestation rates, soil erosion and over exploitation and extinction of species. These factors have all contributed to the current loss of biodiversity. Also, biological inventories are still incomplete. One of the least explored sites is the semiarid zone of Tehuantepec isthmus, around the locality of Santa Maria del Mar, Oaxaca, México. The area includes floodable grasslands, mangrove areas and dry forest, providing a range of potential habitats for different species. Our objective was to evaluate the effect of temporal lakes on spatial and temporal composition of the avifauna in Santa Maria del Mar, in order to generate information regarding this group within the region and the state, and to understand the importance of flood areas for resident and transitory birds. We conducted 12 avifauna surveys between July 2006 and June 2008, and established two transects of 2km length in each of four habitat types (beach, grassland, dry forest, and mangrove). We found a total of 75 species, corresponding to 16 orders and 30 families. Within an area of 26km², we significantly found 10.1% of the total number of bird species recorded for the entire state, and 6.6% of the total reported in Mexico. The families most represented were: Ardeidae, Laridae and Scolopacidae. Over the entire study period, dry forest was the most diverse habitat; followed by mangrove, grassland and the beach. Of all the species recorded, 38.6% were found at the edge or in the temporal lakes. We found a significant difference in species composition between seasons in the grassland, but no difference in the other habitats. Our results showed a significant effect of temporary lakes on avian diversity during the wet season; it also demonstrated the importance of grassland conservation given its relevance for presence of waterbirds. We suggested a continued and more intense monitoring; and proposed the designation of the area as an important Conservation Bird Area (AiCA).

Oaxaca alberga una biodiversidad de las más grandes en México, ocupando el primer lugar en diversidad de aves si se le compara con otras regiones del país. Sin embargo, el área sufre serios problemas tales como altas tasas de deforestación, erosión de suelo y sobre explotación y extinción de especies. Todos estos factores han contribuido con la actual pérdida de diversidad biológica. Además, los inventarios biológicos aún están incompletos. Una de las zonas menos exploradas es la parte semiárida del istmo de Tehuantepec, en los alrededores de la localidad de Santa María del Mar, Oaxaca, México. El área incluye pastizales inundables, áreas de manglar y de selva seca, y provee de una gama de hábitat potenciales para diversas especies. Nuestro objetivo fue evaluar el efecto de las lagunas temporales en la composición espacial y temporal de la avifauna en Santa María del Mar, con el propósito de generar información relacionada con este grupo dentro de la región y del estado, además de comprender la importancia de las áreas inundables para las aves residentes y migratorias. Entre julio 2006 y junio 2008 realizamos 12 monitoreos de la avifauna, y establecimos dos transectos de 2km de longitud para cada uno de los cuatro tipos de hábitat (playa, pastizal, selva seca y manglar). Encontramos un total de 75 especies, correspondendiendo a 16 órdenes y 30 familias. Dentro de un área de 26km², de manera significativa registramos el 10.1% del total de aves registradas para todo el estado y el 6.6% del total de especies registradas para México. Las familias mejor representadas fueron: Ardeidae, Laridae y Scolopacidae. Para todo el periodo de estudio, la selva seca fue el hábitat más diverso, seguido por el manglar, el pastizal abierto y la playa. Del total de especies registradas, el 38.6% se encontraron en el borde o dentro de lagunas temporales. Encontramos una diferencia significativa en la composición de especies entre temporadas en el pastizal, pero no se encontró diferencia entre el resto de los hábitat. Nuestros resultados muestran un efecto significativo de las lagunas temporales sobre la diversidad de la avifauna durante la temporada lluviosa; también evidencian la importancia de la conservación de los pastizales, dada su relevancia para la presencia de aves acuáticas. Sugerimos realizar un monitoreo continuo e intensivo, y proponemos que la zona sea designada como un área de importancia para la Conservación de las Aves (AiCA).

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La base para la conservación es el conocimiento de la biodiversidad. Para establecer Áreas de Importancia para la Conservación de Aves (AICA) en el valle de Sibundoy (departamento de Putumayo, territorio Quindicocha, sudoeste de Colombia), se realizaron 21 jornadas de observación de aves en 11 zonas entre mayo y junio de 2013. Fueron registradas 164 especies de aves, nueve de estas corresponden a amplitudes o confirmaciones de distribución en la región. Los resultados obtenidos apoyan la propuesta de nominar esta región como un AICA independiente a AICA Laguna de la Cocha; ya que cumple con los criterios propuestos por BirdLife International en cuanto a presencia de especies amenazadas - A1 (Hapalopsittaca amazonina; Grallaria rufocinerea; Doliornis remseni; Sericossypha albocristata; Buthraupis wetmorei; Hypopyrrhus pyrohypogaster); presencia de siete aves restringidas a cinco Áreas de Endemismo de Aves (EBAs) - A2; y la presencia de 27 especies de aves restringidas al bioma Norte de los Andes - A3. Algunas de las especies no incluidas para el AICA Laguna de la Cocha.

Knowledge of the existing biodiversity is the basis of conservation. To establish Area of Important Bird Area (IBA) in the valley of Sibundoy (department of Putumayo, Quindicocha territory, in the southwest of Colombia). I conducted 21 days of birding in 11 areas between May and June 2013. I recorded 164 bird species; nine of these species correspond to distribution amplitudes or confirmations in the region. The results support the request to designate this region as an IBA, independent to IBA Laguna de la Cocha. It meets the BirdLife International criteria regarding the presence of endangered species - A1 (Hapalopsittaca amazonina; Grallaria rufodnerea; Doliornis remseni; Sericossypha albocristata; Buthraupis wetmorei;Hypopyrrhuspyrohypogaster), the presence of seven birds restricted to five Endemic Bird Areas (EBAs) - A2, and the presence of 27 species of birds restricted to the North Andes biome - A3. Some of the species not included for IBA Laguna de la Cocha.

A base para a conservação é o conhecimento da biodiversidade. Para estabelecer Áreas de Importância para a Conservação das Aves (IBA), no vale do Sibundoy (departamento de Putumayo, território Quindicocha, sudoeste da Colômbia), realizaram-se 21 dias de observação de pássaros em 11 áreas, entre maio e junho de 2013. Foram registadas 164 espécies de aves, nove delas correspondem a amplitudes ou confirmações de distribuição na região. Os resultados apoiam a proposta de nomear esta região como um AICA independente a AICA Lagoa da Cocha; pois cumpre com os critérios propostos pela BirdLife International para a presença de espécies ameaçadas de extinção - A1 (Hapalopsittaca amazonina; Grallaria rufocinerea; Doliornis remseni;albocristata Sericossypha; Buthraupis wetmorei; Hypopyrrhus pyrohypogaster); presença de sete aves restritas a cinco Áreas endémicas de pássaros (EBAS) - A2, bem como a presença de 27 espécies de aves restritas ao bioma Norte dos Andes - A3 . Algumas das espécies não incluídas para a AICA Lagoa da Cocha.