Neurosciencies Clinical Management
- Presentation
- Healthcare services
- Team
- Research
- Teaching
- Contact
Codi servei:
Recerca:
The Neurosciences Department actively conducts clinical, basic and translational research. It is recognized by the Government of Catalonia's Agency for Management of University and Research Grants (AGAUR) and is part of the Spanish government's Carlos III Institute of Health RETICS-INVICTUS network. Neurosciencies has prospective registries of patients in the different areas of interest: stroke, epilepsy, multiple sclerosis, movement disorders, etc. It includes as well a bank of biologic and tissue samples.
The clinical research is conducted in collaboration with researchers in the departments of Radiodiagnostics, Magnetic Resonance Imaging, Anatomic Pathology, Pediatrics and Immunology. There are neurologists doing research thanks to Río Hortega and Juan Rodés contracts, senior researcher biologists with Miguel Servet contracts and pre-doctorate scholarship holders with Germans Trias Talents grants or financed projects. In addition, Neurosciences includes nursing and administrative staff hired for research tasks exclusively. Participation in phase II and III clinical trials and the generation of competitive research projects is promoted.
The main lines of clinical research are:
- Intracranial atherosclerosis
- Cognition and cerebrovascular disease
- Iron neurotoxicity in cerebral ischemia
- Neuroimaging and stroke
- Treatment of acute stroke and reperfusion and neuroprotective therapies
- Biomarkers in stroke diagnosis and prognosis
- Treatment of flare-ups and cellular therapy in multiple sclerosis
- Neurogenetics in movement disorders
- Neuromuscular diseases
- Neurodegenerative diseases
The areas of basic and traslational research are:
- Molecular neurogenetics
- Traslational neurosignaling
- Molecular and cellular neurobiology
- Neuromuscular diseases
Presentation:
The Neurosciences Department at the Germans Trias Hospital was created in November 2004, when then-director, Enric Argelagués, asked doctor Antoni Dávalos to direct the Neurology and Neurosurgery Departments and to develop the area of Interventional Neuroradiology. The project was based on the public health importance of neurosciences in relation to the progressive ageing of the population and, especially, to the high prevalence of neurodegenerative diseases and vascular cerebral diseases. Another reason was the need for the Catalan Institute of Health hospitals to have high complexity treatment units (tertiary) in the area of Neurosciences, while the possibility emerged of carrying out biomedical research within the framework of the Germans Trias Institute.
The Neurosciences Department performs its duties at:
- Hospitalization, on the 7th floor of the general building, with 39 beds, six of which are for semi-critical patients in the Acute Stroke Unit
- Consultation rooms and offices, on the 1st floor
- Operating rooms
- Interventional Neuroradiology room
- Hospital professionals working areas
- Germans Trias Institute
With regard to the equipment, it includes:
- Stroke Unit and cerebral hemodynamics lab
- EEG room and epilepsy monitoring unit
- Functional tests room
- Neurosurgery and interventional neuroradiology operation rooms
- Funtional and traslational Neurogenetics lab
- Germans Trias Institute research labs
Tipus Servei: 9
Correu: neurociencies.germanstrias@gencat.cat
Docència:
Undergraduate teaching
The Neurosciences department participates in the teaching of 5th year medical students pursuing a degree at the Autonomous University of Barcelona at the Can Ruti campus. Teachers responsable for this teaching are Dr. Antoni Dávalos, Dr. Jaume Coll and Dr. Josep Ma Cladellas.
Germans Trias Neurosciencies includes:
- The Neurology Service
- The Neurosurgery Service
- The Interventional Neuroradiology Section
- And differents Specialized Units that are part of the previous services
Postgraduate teaching
- Neurosciences participates in the training of the residents in the specialties it includes. Presently, three in Neurology and one in Neurosurgery join every year. The residents' tutors are Doctor Becerra, Doctor Gomis and Doctor Teixidor. The residents make specific rotations of their specialty at this location and external centers, both national and international.
- In addition, the Neurosciences Department participates in the training of residents of other specialties that do rotation in neurology, neurosurgery and interventional neuroradiology.
- It also receives residents from other hospitals that train in neurosonology, the Stroke Unit and interventional neuroradiology.
Continuous training
Weekly and bi-weekly multidisciplinary sessions are carried out regarding general neurology, cerebrovascular pathology, multiple sclerosis, epilepsy or neurodegenerative diseases, many of which are accredited.
Medical and research team
Center director at Germans Trias Hospital. Clinical director of the Department of Neurosciences and professor at UAB's School of Medicine, Can Ruti Campus
Chief at the Neurology Department
Chief at the Neurosurgery Department
Cristina Ramo Tello
Head of External Consultations section and cabinets and coordination with primary care
Ramiro Álvarez Ramo
Head of neurodegenerative diseases and advanced therapies section
Carlos Dominguez
Cap de secció quirúrgic
Pilar Teixidor
Head of Hospitalation section
Carlos Castaño
Head of interventional neuroradiology
Sebastià Remollo
Head of interventional neuroradiology
Isaac Nuño
Neuroscience nursing assistant
Antoni Matilla
Head of the Neurosciences basic and traslational research group of the Germans Trias Institute
Teresa Gassull
Head of the Neurosciences basic and traslational research group of the Germans Trias Institute
Gisela Nogales
Head of the Neurosciences basic and traslational research group of the Germans Trias Institute
Nursing team
Hospitalisation. Supervisor: Rosa López
María Carabí Alamús
Olga María Fagundez Garzón
Raquel Garcia Yuste
Dolores Pozas García
Sonia Soria Medina
Jesús Álvarez Tamayo
Elisabeth Balaguer Carmona
Ionela Corina Cinca
Laura María Miguel Berini
Nuria Pardo Pallarés
Raúl López Salas
José Vicente Martínez Cuevas
María Rosa Rodriguez Pachón
Marta Segura Servent
Laura Pérez Peñaroja
Sheila Chito Martínez
Aida Lacambra Marco
Almudena Pérez Guerrero
María Pilar Morillas Bermejo
Sara Piedrahita Pérez
Jordi Jiménez Antolín
Anna Joya Pérez
Jordina Valls Vilardell
Martí Boix Coll
Natalia Calderón Ruiz
Mònica Gracia Casals
Eloisa Arranz Lerma
Laura d’Almeida Rovira
Sandra García Capitán
Núria Herrera Garrido
Anasol Moreno Tamayo
Alex Carpintero Valeiras
Karamo Sisawo
Laura P. González Ballesteros
Estefanía Francés Amezcua
Francisca Espinosa Montero
Antonia Roldán Bachiller
Josefa Turégano Martínez
Anna Romero López
Yolanda M. Frías Acedo
Rubén Pérez Lens
Magdalena Sancha Alvez
Gemma Sallarés Moure
Interventional Neuroradiology Unit
María Rosa García Sort
Carolina Muñoz Castro
Rubén Rodríguez Pérez
Operating rooms
María José Díaz Garrido
Isabel Rodríguez Domínguez
Laura Sarragua Dias
Patricia Caballero Balta
Consultes externes
Eva Chíes Pérez
Ana Isabel Aran Esteve
Consuelo Molinos Gonzalo
María Dolores Figueroa Piedra
María Victoria Vilchez Hidalgo
Clinical Research
Lucía Muñoz Narbona
Martí Boix Coll
Administrative team
Neuroscience Hospitalisation Floor
Sebastián Pujol Rakosnik
Noemí Tenor Vagace
External Consultations
Raquel Macías Carretero
Research support
Susana Calvillo Hernández
Susi Soler
The Neurosciences Department at the Germans Trias Hospital was created in November 2004, when then-director, Enric Argelagués, asked doctor Antoni Dávalos to direct the Neurology and Neurosurgery Departments and to develop the area of Interventional Neuroradiology. The project was based on the public health importance of neurosciences in relation to the progressive ageing of the population and, especially, to the high prevalence of neurodegenerative diseases and vascular cerebral diseases. Another reason was the need for the Catalan Institute of Health hospitals to have high complexity treatment units (tertiary) in the area of Neurosciences, while the possibility emerged of carrying out biomedical research within the framework of the Germans Trias Institute.
The Neurosciences Department performs its duties at:
- Hospitalization, on the 7th floor of the general building, with 39 beds, six of which are for semi-critical patients in the Acute Stroke Unit
- Consultation rooms and offices, on the 1st floor
- Operating rooms
- Interventional Neuroradiology room
- Hospital professionals working areas
- Germans Trias Institute
With regard to the equipment, it includes:
- Stroke Unit and cerebral hemodynamics lab
- EEG room and epilepsy monitoring unit
- Functional tests room
- Neurosurgery and interventional neuroradiology operation rooms
- Funtional and traslational Neurogenetics lab
- Germans Trias Institute research labs
Tertiary stroke center
In collaboration with other areas in the Germans Trias Hospital, as well as with the stroke units of other Catalan Institute of Health (ICS) hospitals:
- Intrarterial thrombolysis and mechanical thrombectomy. 24 / 7
- Cerebral hemorrhage surgery. 24 / 7
- Ventricular shunt in intraventricular hemorrhage. 24 / 7
- Decompressive hemicraniectomy in malignant cerebral infarction. 24 / 7
- Telemedicine: communication via videoconference with ICS regional Catalan hospitals within the framework of on-call doctors for stroke cases
- Cranial CT, perfusion CT and angio CT. 24 / 7
- Multimodal MRI
- Cerebral angiogram and of supra-aortic trunks. 24 / 7
- Medular angiogram
- Blood vessel studies with 3D reconstruction
- Catheterizations of petrosal sinus
- Echocardiogram. 24 / 7
- Monitorization of acute endovascular treatment with evoked potentials
- Thrombolysis-thrombectomy of intracranial venous sinus. 24 / 7
- Endovascular treatment of cerebral arteria aneurysms. 24 / 7
- Carotid endarterectomy
- Angioplasty and stent (a small mesh tube to keep the artery wide) in cases of stenosis (narrowing) of the carotid artery. 24 / 7
- Endovascular treatment of cereberal arteriovenous malformations and dural, pial and spinal fistulas
- Treatment of vasospasm with angioplasty and infusion of drugs. 24 / 7
- Treatment of intracranial stenosis with angioplasties with or without placement of prostheses (stents)
- Vascular neurology of aneurysms. 24 / 7
- Other elective endovascular therapies
- Embolizations of intracranial, head, neck and rachis tumors
- Heart surgery and endovascular procedures (FOP with endoprostheses)
- Rehabilitation: physical therapy, speech therapy, occupational therapy
Monitorization, video EEG and surgery for epilepsy unit
- Specialized consultations for drug-resistant epilepsy for selection and follow-up
- Specialized consultation for functional epilepsy (VNS)
- Specialized consultation of neurological sleep disorder
- Intercritical EEG study with synchronized video monitoring to locate the irritative area
- Critical EEG study with synchronized video monitoring to locate the symptomatogenic zone and the ictal onset zone
- Study of structural neuroimaging 3T MRI 1.5, according to epilepsy protocol to locate the lesion area
- Ictal-interictal SPECT study with merging of structural neuroimaging (SISCOM) to locate the area with functional deficiency
- Co-merging of PET scan and brain 3T MRI to co-locate the area of the lesion and the area with functional deficiency
- Neuropsychologic study to determine areas of functional deficiency and to lateralize the area causing epilepsy
- Intraoperatory electrocorticography study with patients followed with prolonged video EEG studies (in collaboration with Hospital del Mar)
- Curative or palliative neurosurgical interventions of refractory patients studied
- Implementation of vagus nerve stimulator as a adjuvant treatment in refractory epilepsy
- Continuous video EEG in critical condition adult areas and neonatal ICU
- Video EEG studies with specific reactivity protocol for the prognosis of anoxic encephalopathy
- Prolonged video EEG studies with suggestion tests and specific activation protocols for patients in this and other hospitals
Functional surgery and complex therapy in movement disorders
- Functional surgery for movement disorders
- Recording of tremors and movement disorders
- Duodopa pump, apomorphine pumps and regulation of deep brain stimulation
Surgery for monitoring with evoked potentials
Monitoriing of:
Functional neurosurgery
- Neurosurgery with brain mapping
- Spinal surgery
- Procedures of interventional neuroradiology
- Surgery in Ear, Nose and Throat, Traumatology, Thoracic Surgery and General Surgery Departments
Neurogenetics Unit
The Neurogenetics Unit studies, in collaboration with the Rare Diseases Unit and the genetics program, a long list of hereditary diseases with neurological manifestations.
The unit includes a clinical area within the Neurology Department and the Neurosciences clinical, basic and translational research group at the Germans Trias Institute, which conducts the molecular diagnosis and collaborates with the genetic council.
The neurogenetic diagnosis portfolio includes:
- Spinocerebellar ataxias and other ataxias
- Spastic paraparesis
- Fragile x chromosome
- Spinal amyotrophy
- Muscular dystrophy
- Hereditary neuropathy
- Chorea acanthocytosis and Huntington's chorea
- Alzheimer dementia (APO E and preseniline)
- Frontotemporal dementia
- Supranuclear paralysis
- Amyotrophic lateral sclerosis (LAS)
- Myoclonic epilepsy
- Parkinson's disease
- Diseases caused by liposomal deposits
- Mitochondrial diseases
The Neurosciences Department actively conducts clinical, basic and translational research. It is recognized by the Government of Catalonia's Agency for Management of University and Research Grants (AGAUR) and is part of the Spanish government's Carlos III Institute of Health RETICS-INVICTUS network. Neurosciencies has prospective registries of patients in the different areas of interest: stroke, epilepsy, multiple sclerosis, movement disorders, etc. It includes as well a bank of biologic and tissue samples.
The clinical research is conducted in collaboration with researchers in the departments of Radiodiagnostics, Magnetic Resonance Imaging, Anatomic Pathology, Pediatrics and Immunology. There are neurologists doing research thanks to Río Hortega and Juan Rodés contracts, senior researcher biologists with Miguel Servet contracts and pre-doctorate scholarship holders with Germans Trias Talents grants or financed projects. In addition, Neurosciences includes nursing and administrative staff hired for research tasks exclusively. Participation in phase II and III clinical trials and the generation of competitive research projects is promoted.
The main lines of clinical research are:
- Intracranial atherosclerosis
- Cognition and cerebrovascular disease
- Iron neurotoxicity in cerebral ischemia
- Neuroimaging and stroke
- Treatment of acute stroke and reperfusion and neuroprotective therapies
- Biomarkers in stroke diagnosis and prognosis
- Treatment of flare-ups and cellular therapy in multiple sclerosis
- Neurogenetics in movement disorders
- Neuromuscular diseases
- Neurodegenerative diseases
The areas of basic and traslational research are:
- Molecular neurogenetics
- Traslational neurosignaling
- Molecular and cellular neurobiology
- Neuromuscular diseases
Undergraduate teaching
The Neurosciences department participates in the teaching of 5th year medical students pursuing a degree at the Autonomous University of Barcelona at the Can Ruti campus. Teachers responsable for this teaching are Dr. Antoni Dávalos, Dr. Jaume Coll and Dr. Josep Ma Cladellas.
Germans Trias Neurosciencies includes:
- The Neurology Service
- The Neurosurgery Service
- The Interventional Neuroradiology Section
- And differents Specialized Units that are part of the previous services
Postgraduate teaching
- Neurosciences participates in the training of the residents in the specialties it includes. Presently, three in Neurology and one in Neurosurgery join every year. The residents' tutors are Doctor Becerra, Doctor Gomis and Doctor Teixidor. The residents make specific rotations of their specialty at this location and external centers, both national and international.
- In addition, the Neurosciences Department participates in the training of residents of other specialties that do rotation in neurology, neurosurgery and interventional neuroradiology.
- It also receives residents from other hospitals that train in neurosonology, the Stroke Unit and interventional neuroradiology.
Continuous training
Weekly and bi-weekly multidisciplinary sessions are carried out regarding general neurology, cerebrovascular pathology, multiple sclerosis, epilepsy or neurodegenerative diseases, many of which are accredited.
Contacte: neurociencies.germanstrias@gencat.cat