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

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...

SP

Adult Spinal Deformity Classification Provides Further Treatment Insight

November 1, 2013
Spine
By: 
Nathaniel P. Brooks, MD
Source: 
http://journals.lww.com/neurosurgery/Fulltext/2013/10000/The_SRS_Schwab_Adult_Sp...

Adult spinal deformity (ASD) is an extremely difficult condition to treat. Recognizing the appropriate indication and selecting the proper surgical solution is difficult because of the three dimensional nature of spine deformity. In an effort to facilitate surgical decision-making, the...

Long-Term Risk of Rupture of Unruptured Intracranial Aneurysms Is 1.1%

November 1, 2013
By: 
Robert M. Starke, MD MSC
Source: 
American Heart Association

Our understanding of the natural history of unruptured intracranial aneurysms (UIAs) has been limited by studies with short follow-up. Long-term studies are essential for critically evaluating the role of intervention. Juvela and colleagues followed 142 patients with 181 UIA until...

Operator and Site Experience Impacts Outcomes After Angioplasty and Stenting

November 1, 2013
By: 
Michelle J. Smith, MD
Source: 
Journal of NeuroInterventional Surgery

The Stenting and Aggressive Medical Management for the Prevention of Recurrent Ischemic Stroke (SAMMPRIS), a randomized controlled trial comparing angioplasty and stenting versus medical management for intracranial arterial stenosis, was stopped early due a high 30 day stroke or death...

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