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.

Please contact us with any suggestions or comments.

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

Non-inferiority of stenting vs endarterectomy for asymptomatic carotid stenosis in non-high-risk patients

March 8, 2016
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
New England Journal of Medicine

Previous clinical trials suggest that carotid artery stenting is an effective alternative to endarterectomy in patients who are at average or high risk for surgical complications. The Carotid Angioplasty and Stenting Versus Endarterectomy in Asymptomatic Patients Trial was carried out...

PE
SP

Long-term outcomes after instrumented occipitocervical and atlantoaxial fusion in young children

February 8, 2016
Pediatrics, Spine
By: 
Brandon G. Rocque, MD, MS
Source: 
Journal of Neurosurgery: Pediatrics

Craniocervical junction instability in children is a rare problem, and occipitocervical (O-C2) or atlantoaxial (AA) fusions are the commonly accepted treatments. One of the major theoretical risks is differential growth of the fused vertebrae relative to normal spine, possibly leading...

PE

Long-term outcomes of patients requiring cerebrospinal fluid shunts

February 5, 2016
Pediatrics
By: 
Mark Kramer, BS
Bermans J Iskandar, MD
Source: 
Journal of Neurosurgery

Modern hydrocephalus treatment nears its sixth decade after Frank Nulsen, Eugene Spitz, John Holter and others pioneered the first successful cerebrospinal fluid shunts. Yet, since the development of these life-saving devices, the long-term impact of mechanical CSF diversion has not...

TU

Tumor-Treating fields for Newly Diagnosed Glioblastoma

February 5, 2016
Tumor
By: 
John S. Kuo, MD PhD
Kyle I Swanson, MD
Source: 
JAMA

Tumor-treating fields (TTFields) are transcutaneously delivered alternating electric fields previously approved for treating recurrent glioblastoma. TTFields are hypothesized to have an anti-mitotic activity that impedes cellular proliferation. Stupp et al.1 recently reported an interim analysis of a Phase III multicenter...

PA
SP

Early physical therapy provides a statistical but not a clinical improvement for acute axial back pain

November 2, 2015
Pain, Spine
By: 
Nathaniel P. Brooks, MD
Source: 
JAMA

Is physical therapy more beneficial than usual care in improving acute axial back pain?  Although this is not a common problem seen in neurosurgery or spine surgery clinics it is definitely a commonly asked question by our primary care colleagues....

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