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

Low hemorrhage and seizure risks of asymptomatic cavernomas

May 30, 2014
Cerebrovascular
By: 
Stacey Quintero Wolfe, MD
Source: 
Journal of Neurosurgery

Cavernous malformation hemorrhage rates have classically been derived from a mixture of symptomatic and asymptomatic lesions.  In order to determine the prospective hemorrhage rate, Moore and co-authors present the longest follow-up of asymptomatic intracerebral cavernomas. 1311 patient-years of follow-up for 107...

CV

Japanese Adult Moyamoya trial suggest EC-IC bypass may prevent re-bleeds

May 30, 2014
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
Stroke

Optimal management of many patients with adult-onset moyamoya disease who experience intracerebral hemorrhage (ICH) is unclear. The prospective Japanese Adult Moyamoya trial randomized patients with adult-onset moyamoya disease and history of ICH to bilateral extracranial–intracranial direct bypass or conservative care. ...

PA

Expert Consensus on Sphenopalatine ganglion stimulation for cluster headaches

May 30, 2014
Pain
By: 
Nader Pouratian, MD PhD
Source: 
Cephalalgia

Cluster headaches (CH) are excruciating and cause significant medical, economic and social impairment, especially when refractory to medical therapies. While inconsistent results have been reported with many neuromodulatory approaches, a randomized sham-controlled study of sphenopalatine ganglion (SPG) stimulation reported...

SF
TU

Stereotactic radiosurgery alone for patients with up to 10 brain metastases

April 30, 2014
Stereotactic & Functional, Tumor
By: 
Clark C. Chen, MD PhD
Source: 
Lancet Oncology

The role of stereotactic radiosurgery (SRS) for patients with multiple metastases remains uncertain.  A prospective observational study published in Lancet Oncology evaluates the use of SRS without addition of whole brain irradiation on survival for 1194 patients (KPS>70) with 1-10...

SP

Circumferential thoracolumbar fracture stabilization is safe, with high fusion and stabilization rates

April 30, 2014
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery: Spine

The optimal management of thoracolumbar fractures, with respect to safety, fusion, and clinical outcomes remains uncertain and requires more comprehensive analysis of long-term outcomes. Schnake et al. report their prospective results of circumferential stabilization (posterior stabilization followed by corpectomy and...

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