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
Search Neurosurgery Watch

Routine CT Angiography in Acute Stroke Does Not Delay Thrombolytic Therapy

November 1, 2013
By: 
Justin F. Fraser, MD
Source: 
Canadian Journal of Neurological Sciences

With the emphasis on reducing time from ‘last known normal’ to recanalization, acute stroke therapy requires rapid, accurate diagnosis for treatment decision-making. The authors reviewed 850 stroke thrombolysis patients in a single institution, separated into two groups: the earlier protocol...

STiCH 2: Early Surgery Does Not Provide a Clear Advantage in Lobar ICH

November 1, 2013
By: 
Alexander A. Khalessi, MD
Source: 
http://www.sciencedirect.com/science/article/pii/S0140673613609861

STiCH 2 is a multicenter, prospective randomized trial comparing early craniotomy with conservative management of spontaneous lobar intracerebral hematomas within 1 cm of a cortical surface. Among the 601 patients studied, median ICH volume was 36 cc (23-55cc) and 50%...

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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...

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