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

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...

CV

ADAPT FAST is a fast, effective, versatile mechanical embolectomy technique for acute stroke

September 4, 2014
Cerebrovascular
By: 
Michelle J. Smith, MD
Source: 
Journal of NeuroIntervent Surgery

The multi-institutional prospective data on ADAPT (a direct aspiration first pass technique)-treated stroke patients was reported. ADAPT advances a large guide catheter into ICA for clot aspiration with a large caliber catheter. Other mechanical embolectomy devices are used if first...

CV

Early hemicraniectomy improves survival of elderly MCA stroke patients, but with substantial disability

September 4, 2014
Cerebrovascular
By: 
Alexander A. Khalessi, MD
Source: 
The New England Journal of Medicine

Previous trials showed the substantial survival benefit of decompressive hemicraniectomy and duroplasty within 48 hours of malignant MCA strokes (29% versus 78% at 1 year), and achieve a severe disability of 4% versus 5% in controls. The randomized DESTINY II...

CV

Endarterectomy associated with less peri-procedural strokes than stenting for symptomatic carotid stenosis

September 4, 2014
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
PubMed

Long-term follow-up results of the randomized controlled trial “Endarterectomy Versus Angioplasty in Patients With Symptomatic Severe Carotid Stenosis” (EVA-3S) of 527 patients randomized to carotid stenting or endarterectomy at 30 French centers reported primary endpoints of ipsilateral stroke or procedural...

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...

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