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
Madison, Wisconsin
Co-Editor
Robert Starke, MD MSc
Miami, Florida 
Co-Editor
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Predictive Factors of Clinically Relevant Improvement After Anterior Cervical Decompression and Fusion: 10- to 13-Year Follow-Up

December 1, 2013
Spine
By: 
John H. Shin, MD
Source: 
Journal of Neurosurgery

Hermansen et al. report long-term results of a prospective, randomized study evaluating ACDF outcomes. Clinically relevant improvement (CRI) was defined as ≥ 30-mm improvement on a visual analog scale and ≥ 20% improvement in the neck disability index from preoperative...

PA

Evidence-Based Guideline Update: Vagus Nerve Stimulation for the Treatment of Epilepsy

November 1, 2013
Pain
By: 
Jason M. Schwalb, MD
Source: 
PubMed

In the October 2013 issue of Neurology, Morris and colleagues authored an AAN and AES-supported guideline regarding vagal nerve stimulation. There was only one paper, the initial pivotal trial, that was felt to be better than Class III evidence. All...

Predictive Factors of Outcome in Primary Cervical Dystonia Following Pallidal Deep Brain Stimulation

November 1, 2013
By: 
Jason M. Schwalb, MD
Source: 
PubMed

Witt et al. report the UCSF and Toronto Western Hospital experiences with GPi DBS for cervical dystonia. Patients with cranial involvement or mild upper extremity dystonia were not excluded. With 28 patients, this is the largest retrospective cohort in the...

Continuous Cerebral Spinal Fluid Drainage Associated With Complications in Patients Admitted With Subarachnoid Hemorrhage

November 1, 2013
By: 
Stacey Quintero Wolfe, MD
Source: 
Journal of Neurosurgery

This randomized clinical trial addressed the question of whether continuous or intermittent CSF drainage was superior for reducing vasospasm in aneurysmal subarachnoid hemorrhage patients who required an EVD. Patients were randomized to undergo continuous CSF drainage (CD) with intermittent ICP...

Improved Grading Scale for Predicting Outcome After Radiosurgery for Arteriovenous Malformations

November 1, 2013
By: 
Yin C. Hu, MD
Source: 
Journal of Neurosurgery

The Virginia Radiosurgery AVM Scale was published as a practical scale to predict favorable outcomes for cerebral AVM patients treated with Gamma Knife radiosurgery (GKRS). The scale assigns 1 point each for AVM volume of 2-4 cm3, eloquent location, or...

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