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
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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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PE

Hemorrhage risk and Radiosurgery outcomes for Pediatric AVM

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

The International Gamma Knife Research Foundation presented 2 pediatric brain arteriovenous malformations (AVM) reports: 1) the incidence and risk for hemorrhagic presentation, and 2) radiosurgery outcomes. Retrospective review of 357 patients (mean age of 12.6 years) from 7 centers: all...

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The Optimal Timing of Endovascular Thrombectomy For Ischemic Stroke: A Meta-analysis

February 1, 2017
Cerebrovascular
By: 
Stephen Grupke, MD
Source: 
JAMA

Saver et al. analyzed pooled data of 1,287 patients from five large randomized phase 3 trials evaluating the use of mechanical thrombectomy vs medical management in the emergent treatment of acute ischemic stroke secondary to large vessel occlusion (MR CLEAN,...

Effect of Anesthesia on Outcomes of Endovascular Thrombectomy: A Randomized Clinical Trial

February 1, 2017
By: 
Michelle J. Smith, MD
Source: 
JAMA

Mechanical thrombectomy in select patients with acute ischemic stroke is a proven treatment. However, optimal anesthesia during this procedure is debated. Schonenberger et al. performed a prospective, randomized, blinded outcome trial assessing the use of general endotracheal anesthesia versus conscious...

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Endovascular thrombectomy after large-vessel ischemic stroke: a meta-analysis of individual patient data from five randomised trials

February 1, 2017
Cerebrovascular
By: 
Robert Starke, MD, MSc
Source: 
Lancet

 In 2015, five randomized trials showed efficacy of endovascular thrombectomy over medical care in patients with acute ischemic stroke caused by large vessel occlusion (LVO) of arteries of the proximal anterior circulation. A recent publication in the Lancet from the trial investigators from these trials, reported the pooled patient analysis of these studies...

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