Bermans J. Iskandar

Ventriculoperitoneal Shunt Overdrainage Has Transient and Steady-State Components Strongly Dependent on Cerebroventricular Compliance: A Benchtop Experimental Study

BACKGROUND AND OBJECTIVES: Using benchtop testing, we previously demonstrated that ventriculoperitoneal shunts are susceptible to chronic overdrainage, not only because of a siphoning effect but also because of intracranial pressure pulsations. These pulsations may be rhythmic (c...

Forty-five years of academic neurosurgery in Paraguay: A systematic review and bibliometric analysis of the transition to self-reliance

Background: While the global neurosurgical burden is highest in low- and middle-income countries, scientific output remains dominated by high-income nations. Paraguay has seen a dramatic seven-fold increase in its neurosurgical workforce since 1980, yet its academic footprint rem...