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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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....

CV

Induced Hypertension does not significantly increase cerebral perfusion after aneurysmal subarachnoid hermorrhage

November 2, 2015
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
The Lancet

Induced hypertension is a common treatment modality in patients with delayed cerebral ischemia (DCI) following aneurysmal subarachnoid hemorrhage (SAH).  The efficacy of this therapeutic modality is based on limited case series.  Gathier et al. randomized aneurysmal SAH to induced (N=12)...

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SF

Occipital Nerve Stimulation for Medically Refractory Occipital Neuralgia: Systemic Review and Guideline

October 5, 2015
Pain, Stereotactic & Functional
By: 
Shivanand P. Lad, MD, PhD
Ausaf A. Bari, MD PhD
Source: 
Neurosurgery

Occipital neuralgia (ON) is characterized by attacks of lancinating, shock-like, paroxysmal pain radiating from the occiput to the posterior scalp in the greater and lesser occipital nerve distributions. Occipital nerve stimulation (ONS) is...

CV

Stenting vs. medical treatment in patients with symptomatic vertebral artery stenosis: a randomized open-label phase 2 trial

October 5, 2015
Cerebrovascular
By: 
Alexander A. Khalessi, MD
Source: 
Pubmed

The VAST trial randomized patients suffering a minor stroke or transient ischemic attack due to >50% vertebral artery stenosis to medical therapy versus vertebral artery stenting. It enrolled 115 patients and was halted prematurely due to insufficient funding.  The primary...

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Steroid Use After Anterior Cervical Surgery Reduces Early Postoperative Dysphagia

August 31, 2015
Spine
By: 
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery Reference

Steroid administration has been suggested as a possible treatment for post-operative dysphagia, which is a common early adverse event following anterior cervical surgery. Patients (N=112) were randomized in a 1:1 ratio to receive saline or dexamethasone with clinical and radiological...

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