Neurosurgery Watch

Stay up to date with the latest clinical findings in Neurosurgery Watch. Each month, our panel identifies and summarizes key points of selected significant papers from over 50 journals. We emphasize the most significant findings that potentially change clinical management or treatment of neurological diseases.

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John S. Kuo, MD PhD FACS
Austin, Texas
Co-Editor
Robert Starke, MD MSc
Miami, Florida 
Co-Editor
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CV

Contact Aspiration Versus Stent Retriever in Patients with Acute Ischemic Stroke with M2 Occlusion in the ASTER Randomized Clinical Trial.

May 1, 2018
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
JAMA

Middle cerebral artery M2-segment occlusions represent an important subgroup of patients with acute stroke with large-vessel occlusion. The safety of mechanical thrombectomy in distal occlusions remains unclear. In a post hoc analysis of the ASTER trial (Contact Aspiration Versus Stent...

SF

Guidelines for Deep Brain Stimulation Treatment of Parkinson’s Disease: GPI vs STN

May 1, 2018
Stereotactic & Functional
By: 
Ellen L. Air, MD, PhD
Source: 
Neurosurgery

Deep Brain Stimulation (DBS) is an established treatment for Parkinson’s Disease (PD).  A debate remains over the optimal target (Subthalamic Nucleus STN or Globus Pallidus Internus GPi). The CNS guidelines reviews Class I evidence to address specific questions regarding target...

PE

Comparison of ETV/CPC versus ETV alone versus VP shunt alone in infants

April 2, 2018
Pediatrics
By: 
Brandon G. Rocque, MD, MS
Source: 
Journal of Neurosurgery, Pediatrics

This study from the Hydrocephalus Clinical Research Network is the first prospective, multi-institution comparison of endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC) to ventriculoperitoneal shunting (VPS) in North America. 118 infants under 2 years old (adjusted age for those...

PE

Reinfection after treatment of first shunt infection: a prospective observational cohort study

April 2, 2018
Pediatrics
By: 
Raheel Ahmed, MD, PhD
Source: 
Journal of Neurosurgery, Pediatrics

CSF shunt re-infection rates are approximately 2-3 fold higher following an initial infection. Data from 7 participating centers of the Hydrocephalus Clinical Research Network was used to evaluate how clinical management of initial CSF shunt infections affects reinfection rates. Overall...

SP

Contralateral C7 Nerve Root Transfer Restores Hand Function After Cerebral Injury

March 1, 2018
Spine
By: 
Allan D. Levi, MD, PhD
S. Shelby Burks, MD
Source: 
NEJM

CNS injury can lead to spastic upper extremity paralysis. Results of a prospective, randomized, single-blind controlled trial testing efficacy of nerve transfer with the contralateral C7 nerve root into the paralyzed limb in patients with central cerebral injury were reported...

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