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

Mechanical Thrombectomy for Basilar Artery Occlusion

June 5, 2019
Cerebrovascular
By: 
Stephen Grupke, MD
Source: 
Journal of the American Heart Association. 2019

The efficacy of mechanical thrombectomy for emergent large vessel occlusion of the anterior cerebral circulation has been clearly shown through multiple international clinical trials.  The clinical benefit of thrombectomy in the posterior circulation (PC) is less well understood, with few...

CV

Wingspan Stent Post Market Surveillance Trial

June 5, 2019
Cerebrovascular
By: 
Andrew W. Grande, MD
Shailesh Male, MD
Source: 
Stroke. 2019;50:889–894

In 2011, the SAMMPRIS trial was stopped prematurely given significantly higher 30 day stroke or death rates of 14.7% in intervention arm compared to 5.8% in medical management arm in patients with severe symptomatic intracranial artery stenosis (ICAS). After panel...

TR

Risk of Posttraumatic Stress Disorder and Major Depression After Mild Traumatic Brain Injury: A TRACK-TBI Study

May 1, 2019
Trauma
By: 
Katherine E. Wagner, MD
Jamie S. Ullman, MD
Source: 
JAMA Psychiatry. 2019;76(3):249-258

Many mild traumatic brain injury (mTBI) patients make a full recovery, but some continue to be symptomatic after head trauma. Patients with mental health diagnoses, including post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) appear to be at risk...

PE

Pediatric Traumatic Brain Injury Guidelines

April 1, 2019
Pediatrics
By: 
Brandon G. Rocque, MD MS
Source: 
Neurosurgery

This effort represents the third edition of guidelines for management of pediatric severe traumatic brain injury from the Brain Trauma Foundation. Forty-eight studies are included that were not in the second edition (2012), though the level of evidence for most...

CV

What is the optimal blood pressure target for thrombolysis patients?

April 1, 2019
Cerebrovascular
By: 
Robert M. Starke, MD, MSC
Source: 
Lancet

Systolic blood pressure (BP) of more than 185 mm Hg is a contraindication to thrombolytic treatment in acute ischemic stroke (AIS) patients, but optimal post-thrombolysis target BP range is unknown. Recently, analysis of the BP control arm of the ENCHANTED...

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