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
Search Neurosurgery Watch
SP

Two level cervical arthroplasty is as effective and safe as one level case

June 29, 2015
Spine
By: 
Yi Lu, MD PhD
Source: 
Spine

One level arthroplasty has been shown to be a safe alternative to one level anterior cervical diskectomy and fusion in selected patients with similarly excellent outcome. It has an added potential benefit of reducing the adjacent segment degeneration. Multi-level cervical...

CV

Superiority of thrombectomy within 8 hours of anterior circulation large vessel occlusion over medical therapy

June 29, 2015
Cerebrovascular
By: 
Alexander A. Khalessi, MD
Source: 
The New England Journal of Medicine

REVASCAT was a multicenter randomized controlled trial enrolling patients within 8 hours of symptom onset and confirmed anterior circulation, large vessel occlusion.  Patients were randomized to medical therapy versus medical therapy plus thrombectomy with the Solitaire FR Stent Retriever device....

PE

No Added Benefit to Strict Rest after Mild Head Trauma in Children

May 26, 2015
Pediatrics
By: 
Brandon G. Rocque, MD, MS
Source: 
Benefits of strict rest after acute concussion: a randomized controlled trial.

Standard treatment for mild traumatic brain injury (mTBI) in children includes a period of rest.  There is no consensus regarding the duration of limited activity, and whether it includes physical rest, cognitive rest, or both. Thomas et al performed a...

SF

Bilateral DBS of Globus Pallidus is effective for Tourette’s Syndrome

May 26, 2015
Stereotactic & Functional
By: 
Jennifer A Sweet, MD
Johathan P Miller, MD
Source: 
Bilateral globus pallidus stimulation for severe Tourette’s syndrome: a double-blind, randomized crossover trial.

The largest study of deep brain stimulation (DBS) of the anteromedial globus pallidus interna (GPi) for Tourette’s syndrome was performed as a double-blind, randomized, cross-over trial.  There is substantial evidence for targeting anteromedial GPi DBS for movement disorders such as...

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...

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