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

Updated Guidelines for Fusion in Managing Degenerative Lumbar Spine Disease

July 31, 2014
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery

Release of updated evidenced-based guidelines for the surgical care of degenerative lumbar spinal conditions by the CNS/AANS Spine Section includes relevant literature since the 2005 published guidelines, and a 5-tier level of evidence approach for the 16 subtopics was used...

Surgery is better than medical management for improving quality-of-life for refractory epilepsy patients

July 31, 2014
By: 
Jorge Gonzalez-Martinez, MD PhD

Although surgical efficacy for controlling medically intractable seizures has been demonstrated in two randomized controlled trials (Wiebe et al, 2001; Engel et al., 2012), its impact on quality of life (QOL) has not been comprehensively evaluated.  Two recently published...

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...

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