CNS Podcasts

The CNS Journal Club podcast presents essential journal articles in a classic journal club format with conversations by the authors and other neurospecialists.

Find all podcasts on iTunes or  Soundcloud.

The first selections in this series highlight key papers selected for presentation at the 2017 CNS Annual Meeting, October 7-11, 2017.

Recent Podcasts

Bupivacaine Field Block With Clonidine for Postoperative Pain Control in Posterior Spine Approaches: A Randomized Double-Blind Trial.

Podcast Length: 27:08

To investigate the potential analgesic benefit of adding clonidine to bupivacaine during preincisional field block in posterior approaches for spine surgeries.

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The Effect of Surgical Start Time on Complications Associated With Neurological Surgeries

Podcast Length: 26:40

Neurosurgical procedures are necessary at all times of day. Other surgical specialties have examined the effect of surgical start time (SST) on morbidity and mortality; however, a similar study has not been performed for neurosurgical procedures.

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Is There a Preoperative Morphine Equianalgesic Dose that Predicts Ability to Achieve a Clinically Meaningful Improvement Following Spine Surgery?

Podcast Length: 21:52

Preoperative opioid use is widespread and associated with worse patient reported outcomes following spine surgery.  To calculate a threshold preoperative morphine equianalgesic (MEA) dose beyond which patients are less likely to achieve the minimum clinically important difference (MCID) following elective surgery for degenerative spine disease. Minimum and maximum MEA doses exist, between which increasing opioid dose is associated with decreased ability to achieve clinically meaningful improvement following spine surgery. Patients with preoperative MEA dose exceeding 29 mg/d, the lower limit of the 95% credible interval for the mean MEA dose above which patients exhibit significantly decreased achievement of MCID, may be considered for preoperative opioid weaning.

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Characteristics of Unruptured Compared to Ruptured Intracranial Aneurysms: A Multicenter Case–Control Study

Podcast Length: 27:00

Only a minority of intracranial aneurysms rupture to cause subarachnoid hemorrhage.  To test the hypothesis that unruptured aneurysms have different characteristics and risk factor profiles compared to ruptured aneurysms.  Patients were recruited with unruptured aneurysms or aneurysmal subarachnoid hemorrhages at 22 UK hospitals between 2011 and 2014. Demographic, clinical, and imaging data were collected using standardized case report forms. Risk factors were compared using multivariable logistic regression.

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Radical, Staged Approach to Extensive Posterior Fossa Pediatric Ependymoma: 3-Dimensional Operative Video

Podcast Length: 25:14

Pediatric ependymoma is the third most common brain tumor found in children. Up to 66% are found in the fourth ventricle.  The video focuses on displaying relevant surgical anatomy and discussing aspects of operative technique. We highlight the benefits of a preplanned staged approach for large posterior fossa lesions to achieve the best possible outcome.

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Spinal Fusion for Pediatric Spondylolisthesis: National Trends, Complications, and Short-Term Outcomes

Podcast Length: 23:56

Analyzation of national trends and predictors of short-term outcomes in spinal fusion surgery for PS by performing a retrospective cross-sectional analysis of the Kids’ Inpatient Database (KID).

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Functional Outcomes and Delayed Cerebral Ischemia Following Non-Perimesencephalic Angiogram Negative Subarachnoid Hemorrhage Similar to Aneurysmal Subarachnoid Hemorrhage

Podcast Length: 22:26

A prospective, spontaneous SAH database of 1311 patients that accrued between April 2006 and December 2014 was screened. All patients with NPAN-SAH and 2 consecutive negative cerebral angiograms were included

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The Berlin International Consensus Meeting on Concussion in Sport

Podcast Length: 25:32

The Fifth International Conference on Concussion in Sport was held in Berlin in October 2016. A series of 12 questions and subquestions was developed and the expert panel members were required to perform a systematic review to answer each question.

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Developing an Algorithm for Optimizing Care

Podcast Length: 25:33

To investigate patient and treatment characteristics of elderly vs nonelderly patients and develop an algorithm to predict elderly patients’ survival.

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Comparison of 10kHz High Frequency & Traditional Low Frequency Spinal Cord Stimulation

Podcast Length: 21:50

Comparison of 10 kHz High Frequency and Traditional Low Frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain: 24-month Results From a Multicenter Randomized Controlled Pivotal Trial

PUFS Trial - Long-Term Clinical & Angiographic Outcomes

Podcast Length: 39:12

PUFS Trial: Long-term Clinical and Angiographic Outcomes Following PED Treatment of Complex ICA Aneurysms: Five-year Results of the Pipeline for Uncoilable or Failed Aneuryms (PUFS) Trial

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Cerebral Revascularization for Aneurysms in the Flow Diverter Era

Podcast Length: 26:31

Cerebral Revascularization for Aneurysms in the Flow Diverter Era

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ORACLE Stroke Study

Podcast Length: 24:03

ORACLE Stroke Study: Opinion Regarding Acceptable Outcome Following Decompressive Hemicraniectomy for Ischaemic Stroke

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Improved Function Following Deep Brain Stimulation for Chronic Severe Traumatic Brain Injury

Podcast Length: 31:23

Improved Function Following Deep Brain Stimulation for Chronic Severe Traumatic Brain Injury 

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