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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PA

Occipital nerve stimulation reduces intensity and frequency of migraine headaches

September 4, 2014
Pain
By: 
Nader Pouratian, MD PhD
Source: 
Cephalalgia

Occipital nerve stimulation for managing chronic migraines remains incompletely understood. A previously reported multicenter, randomized, double-blind trial of bilateral occipital nerve stimulation for chronic migraine in 157 patients revealed significant and clinically meaningful reductions in the active stimulation group for...

Concussion Guidelines Step 1: Systematic Review of Prevalent Indicators

September 4, 2014
By: 
Roland A. Torres, MD
Source: 
Neurosurgery

Two million head injuries occur each year (175 to 200 per 100,000 population) in the US, with the annual $80 billion dollar cost. Dr. Carney, Dr. Ghajar, and colleagues sought to identify and describe the most prevalent signs, symptoms, and...

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...

PE

Reducing complications for in utero fetal myelomeningocele closure

July 31, 2014
Pediatrics
By: 
Brandon G. Rocque, MD, MS
Source: 
Journal of Neurosurgery Pediatrics

Management of Myelomeningocele Study (MOMS) reports that in utero myelomeningocele closure is associated with lower ventricular shunting rates and higher ambulation rate, but with a higher rate of chorioamnion separation, premature rupture of membranes, and preterm delivery compared to conventional...

CV

MRI before intraarterial therapy in ischemic stroke: feasibility, impact, and safety

July 31, 2014
Cerebrovascular
By: 
Justin F. Fraser, MD
Source: 
Journal of Cerebral Blood Flow Metabolism

Intraarterial therapy (IAT) in acute stroke is increasingly used to recanalize major vessel occlusions, but recent trials failed to show significant benefit compared to intravenous thrombolysis, highlighting need for appropriate patient selection.  This article reports use of MRI diffusion weighted...

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