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
Search Neurosurgery Watch
CV

Antiplatelet and anticoagulant therapy confer similar benefit for cervical artery dissection

April 29, 2015
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
The Lancet Neurology

Extracranial carotid and vertebral artery dissection is a significant etiology of stroke in young people.  Antiplatelet and anticoagulants are commonly prescribed to reduce the risk of recurrent stroke, but the optimal therapy is unclear.  At 39 stroke centers in the...

CV

Long term follow-up of carotid endartectomy vs stenting

April 29, 2015
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
The Lancet

Atherosclerotic stenosis of the internal carotid artery accounts for 10–15% of strokes. Prior trials comparing stenting with CEA for symptomatic carotid stenosis demonstrated that stenting was associated with a higher risk of stroke, but lower rates of myocardial infarction, access...

CV

Carotid stenting and endarterectomy are functionally equivalent, but stenting is associated with more radiographic changes

April 29, 2015
Cerebrovascular
By: 
Justin F. Fraser, MD
Source: 
Wiley Online Library

Kuliha et al. performed a randomized, blinded, controlled trial comparing carotid endarterectomy (CEA) and carotid stenting (CAS) for the treatment of asymptomatic and symptomatic severe (>70%) stenosis at a single institution.  The primary endpoint was new DWI-positive strokes on MRI...

PE

Multicenter Validation of a clinical prediction rule for pediatric abusive head trauma.

April 29, 2015
Pediatrics
By: 
Brandon G. Roque, MD MS
Source: 
Pediatrics

The decision to pursue a workup for abusive head trauma (AHT) in infants and young children can be difficult.  This study reports a prospective, multicenter, observational, cross-sectional study to validate a 4-variable abusive head trauma clinical prediction rule (AHT CPR)...

SF

A novel approach for stereoelectroencephalography

April 28, 2015
Stereotactic & Functional
By: 
Jason M. Schwalb, MD
Source: 
Neurosurgery

Stereotactic EEG, or the placement of multiple intracranial depth electrodes, has gained popularity as a means of intracranial monitoring for seizure localization in the US, due to lower risk of morbidity compared to historical controls who were monitored with intracranial...

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