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Neurotraumatology and Neurosurgery Research Unit (UNINN)

The Neurotraumatology and Neurosurgery Research Unit (UNINN) is a translational research group fully integrated into the European research community and accredited as a Consolidated Research Group since 2005.

The UNINN conduct both basic and clinical research, with the aim of transferring benchside discoveries to the bedside. We have robust intramural synergies, national collaborations with basic scientists, and international collaborations and alliances with researchers from multiple countries and institutions with whom we share common research goals.

Our research unit participates in multinational clinical trials funded by the pharmaceutical industry and the European Union (EU). Our research unit is highly focused on developing and using new technologies to improve the assessment of clinical outcomes, incorporating quality of life measures, and patient-reported outcomes. We also maintain an important collection of brain tissue samples, serum, LCR, and microdialysates from the cerebral extracellular space of neurocritical patients. 

Team

Ma Antonia Poca Pastor

Ma Antonia Poca Pastor

Head of group
Neurotraumatology and Neurosurgery Research Unit (UNINN)
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Fuat Arikan Abello

Fuat Arikan Abello

Main researcher
Neurotraumatology and Neurosurgery Research Unit (UNINN)
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Joan Sahuquillo Barris

Joan Sahuquillo Barris

Neurotraumatology and Neurosurgery Research Unit (UNINN)
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Miriam de Nadal Clanchet

Miriam de Nadal Clanchet

Main researcher
Neurotraumatology and Neurosurgery Research Unit (UNINN)
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Francisco Ramón Martínez Ricarte

Francisco Ramón Martínez Ricarte

Predoctoral researcher
Neurotraumatology and Neurosurgery Research Unit (UNINN)
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Alejandro Ferré Masó

Alejandro Ferré Masó

Neurotraumatology and Neurosurgery Research Unit (UNINN)
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Ma Antonia Poca Pastor

Ma Antonia Poca Pastor

Head of group
Neurotraumatology and Neurosurgery Research Unit (UNINN)
Read more
Fuat Arikan Abello

Fuat Arikan Abello

Main researcher
Neurotraumatology and Neurosurgery Research Unit (UNINN)
Read more
Joan Sahuquillo Barris

Joan Sahuquillo Barris

Neurotraumatology and Neurosurgery Research Unit (UNINN)
Read more
Miriam de Nadal Clanchet

Miriam de Nadal Clanchet

Main researcher
Neurotraumatology and Neurosurgery Research Unit (UNINN)
Read more
Francisco Ramón Martínez Ricarte

Francisco Ramón Martínez Ricarte

Predoctoral researcher
Neurotraumatology and Neurosurgery Research Unit (UNINN)
Read more
Alejandro Ferré Masó

Alejandro Ferré Masó

Neurotraumatology and Neurosurgery Research Unit (UNINN)
Read more

Research lines

Perioperative medicine

General objectives: Postoperative complications increase morbidity and mortality and impact on the patient's quality of life. Our line of research addresses the complex physiological and psychological challenges of surgical patients, emphasising prevention, diagnosis, treatment and risk prediction strategies to optimise patient care before, during and after surgery. This research is primarily aimed at the management and recovery of patients undergoing non-cardiac surgery.


Specific objectives: 1) To optimise diagnostic and therapeutic strategies in patients with acute postoperative myocardial injury 2) To acquire new knowledge on perioperative cardiovascular management in patients undergoing major non-cardiac surgery 3) To evaluate the role of cardiac biomarkers in predicting postoperative complications 4) To evaluate the quality of postoperative recovery from the patient's experience.


IP: Miriam de Nadal Clanchet

Congenital malformations of the cranio-vertebral junction (Consolidated line)

General aims: Chiari malformation is an entity that is diagnosed more and more frequently. The fundamental diagnostic element of this congenital malformation is a descent of the cerebellum towards the cervical canal, which produces local compression phenomena and alterations in the circulation of the cerebrospinal fluid. However, there are great discrepancies about how the study and treatment of these patients is carried out in the different centers, which affects their final result. Our main objective in this line of research is to better understand the origin and repercussions of these malformations and contribute to improving treatment and, therefore, its final result.


Specific aims: 1) To deepen the knowledge of the pathophysiology of craniocervical malformations, especially Chiari Type 1 (MC-1) malformation, and to quantify the repercussion of these malformations in the clinical, social, and occupational fields. 2) Study the genetic bases of this malformation and its penetrance at the family level. 3) To study sleep disturbances (particularly the type and frequency of nocturnal apnea) associated with CM-1. 4) Study of the quality of life in patients with a malformation of the craniocervical joint before and after surgical treatment. 5) To deepen the knowledge of the cognitive-affective syndrome that patients affected by CM-1 may present (research project FIS PI22/01082). 6) Contribute to the homogenization in the management of MC-1 from the participation of our group in the consensus conferences aimed at the elaboration of clinical practice guidelines to be applied in the diagnosis and treatment of these patients.


IP: Ma Antonia Poca Pastor, Joan Sahuquillo Barris

Hydrocephalus and alterations in the dynamics of cerebrospinal fluid (CSF) (Consolidated Line)

General aim: Hydrocephalus is a very frequent pathology in the neurosurgical field, especially in pediatric patients. Its presence can lead to cognitive sequelae and disability that may be preventable with proper treatment. Our group has focused on a better understanding of its pathophysiology, on improving early diagnoses, and on the development of more specific biomarkers aimed at improving the clinical outcomes of these patients.


Specific aims: 1) Acquire new knowledge about the pathophysiology of normal pressure hydrocephalus and idiopathic intracranial hypertension (pseudotumor cerebri) and optimize diagnostic and therapeutic strategies in these patients. 2) To establish the brain biochemical alterations (neurotransmitters and neuropeptides) that occur in these patients and their involvement in cognitive functions and sleep disorders. 3) To correlate the cognitive deficit with the morphological and functional alterations of different brain structures such as the corpus callosum and the subcortical white matter. 4) Search for less invasive systems that offer reliable information on intracranial pressure (SafeICP research project).

IP: Ma Antonia Poca Pastor, Joan Sahuquillo Barris

Neurotraumatology and acute neurological pathology (Consolidated Line)

General aims: To study the neurochemical, physiopathological and cerebral metabolism alterations, as well as the application of new monitoring techniques in patients who have suffered a head injury (TBI) or other acute neurological pathology (neurocritical patients).


Specific aims: 1) To deepen the knowledge of metabolic alterations and oxygen transport at the tissue level in acute brain injuries. 2) Deepen the repercussions of anemia and blood transfusions on the ability to supply oxygen to the brain (research project La Marató TV3 201724 30 31). 3) To study the cerebral and systemic inflammatory response induced by acute brain injury, using high-resolution microdialysis techniques. 4) To analyze the phenomena of periinfarct depolarization in patients with acute brain injuries and their metabolic repercussions. 5) Applications of high-resolution microdialysis to the definition of the molecular profile of post-traumatic and ischemic cerebral edema and study of the contribution of non-selective cation channels in its formation. 6) Study mitochondrial dysfunction in patients who have suffered a TBI and develop a histotoxic hypoxia model from cultures in adult human brain slices obtained in surgical resections. 7) Validate the use of early blood cell biomarkers to define specific risk populations in adult and pediatric patients who have presented a mild TBI (BRAINI2 research project).

IP: Joan Sahuquillo Barris

Projects

Postoperative quality or recovery evaluation in elderly patients undergoing elective surgery (PQoRE Study): Prospective cohort study based on patients reported experience

IP: Miriam de Nadal Clanchet
Collaborators: Victor Morales Ariza
Funding agency: Instituto de Salud Carlos III
Funding: 58750
Reference: PI24/00712
Duration: 01/01/2025 - 31/12/2027

(SafeICP) Plataforma fotónica no invasiva para la detección a pie de cama de la hipertensión intracraneal y otras anomalías de la dinámica del líquido cerebroespinal.

IP: Ma Antonia Poca Pastor
Collaborators: Joan Sahuquillo Barris, Maria Sueiras Gil, Diego Fernando Lopez Bermeo
Funding agency: Ministerio de Ciencia e Innovación-MICINN
Funding: 335384
Reference: PLEC2022-009290
Duration: 01/12/2022 - 30/11/2025

Ministerio de Ciencia

Unitat recerca en neurotraumatologia i neurocirurg

IP: Ma Antonia Poca Pastor
Collaborators: Dulce María Moncho Rodríguez, Joan Sahuquillo Barris, Fuat Arikan Abello, Miriam de Nadal Clanchet, Maria Sueiras Gil, Alejandro Ferré Masó, Francisco Ramón Martínez Ricarte
Funding agency: Agència Gestió Ajuts Universitaris i de Recerca
Funding: 60000
Reference: 2021 SGR 00810
Duration: 01/01/2022 - 30/06/2025

Caracterización estructural y funcional de la vía visual anterior en pacientes con esclerosis múltiple temprana (VISIONEM).

IP: Angela Vidal Jordana
Collaborators: Dulce María Moncho Rodríguez, Alex Rovira Cañellas, Manel Alberich Jordà, Neus Mongay Ochoa, Joaquin Castillo Justribo, Sergio Cabello
Funding agency: Instituto de Salud Carlos III
Funding: 48400
Reference: PI22/01589
Duration: 01/01/2023 - 31/12/2025

Thesis

Nivells de soroll a una unitat de cures intensives postoperatòries, estratègies per reduir-ho i la seva relació amb el descans nocturn dels pacients.

PhD student: Maria Guisasola Rabes
Director/s: Miriam de Nadal Clanchet
University: Universitat Autònoma de Barcelona
Year: 2023

Psychomotor evaluation and non-invasive optical monitoring for comprehensive assessment of the benign external hydrocephalus syndrome

PhD student: Federica Maruccia
Director/s: Ma Antonia Poca Pastor, Joan Sahuquillo Barris
University: Universitat Autònoma de Barcelona
Year: 2023

Análisis de los trastornos respiratorios y de las alteraciones de la arquitectura del sueño en la Malformación de Chiari tipo 1

PhD student: Alejandro Ferré Masó
Director/s: Ma Antonia Poca Pastor, Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2021

Aplicación de la electrocorticografía al estudio de los fenómenos eléctricos cerebrales de despolarización propagada cortical en el traumatismo craneoencefálico y el infarto cerebral maligno

PhD student: Maria Sueiras Gil
Director/s: Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2021

Estudio de las subunidades reguladas por SUR1 (Kir6.2 y TRPM4) en las contusiones cerebrales traumáticas y la isquemia cerebral focal. Desarrollo de un modelo animal de infarto maligno en cerdo

PhD student: Lidia Castro González
Director/s: Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2019

Alteraciones neuropsicológicas y lesiones encefálicas en el traumatismo craneoencefálico leve

PhD student: Irina Andreea Radoi
Director/s: Joan Sahuquillo Barris, Ma Antonia Poca Pastor
University: Universidad Autònoma de Barcelona
Year: 2019

High-Resolution Microdialysis to Detect Metabolic Dysfunction after Traumatic Brain Injury

PhD student: Ángela Sánchez Guerrero
Director/s: Joan Sahuquillo Barris, Ma Antonia Poca Pastor
University: Universidad Autònoma de Barcelona
Year: 2017

High-Resolution microdialysis applied to the study and treatment of brain metabolic disorders

PhD student: Marian Vidal Jorge
Director/s: Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2017

Impacto del grado de resección quirúrgica en la calidad de vida y la supervivencia en pacientes con gliomas. Resultados de un estudio prospectivo

PhD student: Miguel Ángel Esquivel Miranda
Director/s: Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2017

Estudio neurofisiológico mediante potenciales evocados auditivos de tronco cerebral y somatosensoriales en pacientes con malformación de Chiari tipo 1

PhD student: Dulce María Moncho Rodríguez
Director/s: Ma Antonia Poca Pastor, Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2016

Indicadores clínico-radiológico de valor pronóstico en la patología vascular cerebral

PhD student: Ramon Torne Torne
Director/s: Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 2015

Aportaciones de la monitorización intraoperatoria de la presión tisular de oxígeno en neurocirugía vascular

PhD student: Fuat Arikan Abello
Director/s: Joan Sahuquillo Barris, Jordi Vilalta Castan
University: Universidad Autònoma de Barcelona
Year: 2015

Estudio de la morfina y del fentanilo sobre la presión intracraneal y la hemodinámica cerebral en pacientes con traumatismo craneoencefálico grave

PhD student: Miriam de Nadal Clanchet
Director/s: Joan Sahuquillo Barris, Vicente Gancedo Rodriguez, Enrique Rubio García
University: Universidad Autònoma de Barcelona
Year: 1998

Estudio de la hemodinámica y del metabolismo cerebral en las lesiones encefálicas difusas secundarias a un traumatismo craneoencefálico grave a partir de las diferentes arterio-yugulares de oxígeno y lactatos

PhD student: Ma Antonia Poca Pastor
Director/s: Enrique Rubio García, Joan Sahuquillo Barris
University: Universidad Autònoma de Barcelona
Year: 1996

Blog

News

Funding has been obtained for 43 projects under the calls for Health R&D&I Projects, Health Technology Development, and Independent Clinical Research

The goal is to test a low-cost, easy-to-use and non-invasive monitor, which will serve to control intracranial pressure (PICO) values, which will help to control and treat different acute brain pathologies.

The new tool will improve patient care and allow early detection of complications, as the hospital previously did not have a specific form.

Rates

Check the current rates for the LUMINEX MAGPIX service offered by the Neurotraumatology and Neurosurgery Research Unit (UNINN).