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
Robert Starke, MD MSc
Miami, Florida 
Co-Editor
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CV

Endovascular Contact Aspiration vs Stent Retriever on Revascularization in Patients With Acute Ischemic Stroke and Large Vessel Occlusion: The ASTER Randomized Clinical Trial

September 28, 2017
Cerebrovascular
By: 
Stephen Grupke, MD
Source: 
JAMA

This randomized, multicenter, open-label, blinded endpoint trial examines 381 patients with emergent M1 or M2 middle cerebral artery occlusions across 8 comprehensive stroke centers in France.  Eligible patients were randomized to undergo thrombectomy via stent retriever or contact aspiration with...

SP

Long Term Results of Treating Thoracolumbar Burst Fractures With or Without Orthosis

September 27, 2017
Spine
By: 
H. Francis Farhadi, MD, PhD
Vibhu K. Viswanathan, MBBS
Source: 
Journal of Neurosurgery: Spine

External orthosis application for AO type 3 burst fractures in neurologically intact patients is considered a treatment option with unknown benefit. This study presents long-term follow-up results (mean 7.9 ± 1.1 years) on a subset of patients (n = 20...

PE

Outcomes of temporizing measures for posthemorrhagic hydrocephalus in infants

August 2, 2017
Pediatrics
By: 
Raheel Ahmed, MD
Source: 
Journal of Neurosurgery: Pediatrics

This prospective observational study evaluated efficacy and treatment outcomes for temporizing CSF approaches utilizing ventricular reservoirs (VR) and ventriculosubgaleal shunts (VSG) for management of post hemorrhagic hydrocephalus in infants. Previous retrospective studies have reported similar conversion and complication rates for...

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...

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