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
Madison, Wisconsin
Co-Editor
Nader Pouratian, MD PhD
Los Angeles, California
Co-Editor
Search Neurosurgery Watch
PE

Primary ETV does not affect success of subsequent shunt in pediatric hydrocephalus

June 1, 2017
Pediatrics
By: 
Raheel Ahmed, MD
Source: 
Child's Nervous System

The effect of primary endoscopic third ventriculostomy (ETV) for pediatric hydrocephalus on subsequent shunting remains unclear, particularly as to whether there is a protective or negative effect on subsequet shunting. The International Infant Hydrocephalus Study prospectively evaluated primary ETV in infants...

SP

Outpatient ACDF costs less and is non-inferior to Inpatient ACDF

June 1, 2017
Spine
By: 
Jonathan Sherman, MD
Source: 
Neurosurgery

The cost of 1 and 2-level anterior cervical discectomy and fusion (ACDF) in inpatient (n = 46,996) and ambulatory settings (n = 3,315) were compared in a retrospective review of multiple State Inpatient and Ambulatory Databases. Outpatient ACDF was associated...

CV

Clinical Management of Cerebral Cavernous Malformations: Consensus Recommendations

May 2, 2017
Cerebrovascular
By: 
Stephen Grupke, MD
Source: 
Pubmed

This report addresses 5 key topics for cerebral cavernous malformations: epidemiology and natural history, genetic testing and counseling, diagnostic criteria and radiology standards, neurosurgical considerations, and neurologic considerations.  Search terms were derived for each key topic by the Angioma Alliance...

CV

2 Year Outcomes of MR CLEAN trial for ischemic stroke

May 2, 2017
Cerebrovascular
By: 
Robert Starke, MD, MSc
Source: 
The New England Journal of Medicine

Several trials involving patients with acute ischemic stroke and large vessel occlusion have shown better short-term functional outcomes with endovascular treatment than with conventional treatment.  Recently, the MR CLEAN Investigators published 2 year outcomes from patients randomized to receive either...

PE

Anterior ventricular catheter entry site associated with lower shunt failure risk

March 1, 2017
Pediatrics
By: 
Brandon G. Roque, MD MS
Source: 
Journal of Neurosurgery: Pediatrics

A study by the Hydrocephalus Clinical Research Network (HCRN) used data from 3 previous trials to determine the optimal position of ventricular catheter tips in ventriculoperitoneal shunts. Positioning of ventricular catheter tips were defined with 5 parameters: tip location (frontal...

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