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

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...

CV

New stent retrievers may be superior to previous-generation mechanical thrombectomy devices for ischemic strokes

July 31, 2014
Cerebrovascular
By: 
Stacey Quintero Wolfe, MD
Source: 
Journal of Neurosurgery

Deshaies, et al report a single-center review of 102 consecutive cases of acute stroke patients treated with mechanical thrombectomy devices from 2007-2013. The type of thrombectomy device used was significantly associated with functional independence (mRS score ≤ 2) at discharge...

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...

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