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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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...

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. ...

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