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

Effect of White-Matter Lesions on Peri-Procedural Stroke Risk After Carotid Artery Stenting Versus Endarterectomy

October 1, 2013
By: 
Alexander A. Khalessi, MD
Source: 
The Lancet

Pre-procedural white matter changes as a predictive factor for stroke within 30 days of carotid artery stenting (CAS) versus carotid endarterectomy (CEA) was tested in analyzing the International Carotid Stenting Study (ICSS), a multicenter, double-blinded randomized clinical trial treating symptomatic...

Time Course and Factors Affecting Long-Term Recovery After Poor-Grade SAH

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

The incidence and factors predicting long term neurological improvement and recovery of patients with poor-grade aneurysmal subarachnoid hemorrhage (SAH) are reported by Wilson et al in a cohort study of 88 poor-grade SAH patients from the Barrow Ruptured Aneurysm Trial...

TU

Does Prior Microsurgery Improve or Worsen Stereotactic Radiosurgery Outcome for Cavernous Sinus Meningiomas?

October 1, 2013
Tumor
By: 
Jonathan Sherman, MD
J. Bradley Elder, MD
Source: 
Neurosurgery

Cavernous sinus meningiomas are increasingly treated with stereotactic radiosurgery alone or combined with surgical resection of tumor external to the cavernous sinus. From the University of Pittsburgh, Kano et al reported one of the largest series of cavernous sinus meningiomas...

SF
TU

Radiosurgical Management of Non-Functional Pituitary Adenomas

October 1, 2013
Stereotactic & Functional, Tumor
By: 
Gavin P. Dunn, MD PhD
Gabriel Zada, MD
Source: 
Journal of Neurosurgery

The North American Gamma Knife Consortium reported outcomes following gamma knife radiosurgery (GKRS) for nonfunctioning pituitary adenomas in 512 patients (93.6% with prior surgical resection) with median 36 months followup (range 1-223 months) and median tumor margin dose of 16...

Pilot Study of Focused Ultrasound Thalamotomy for Essential Tremor

October 1, 2013
By: 
Andrew H. Marky, MD
Shivanand P. Lad, MD, PhD
Source: 
The New England Journal of Medicine

An open-label, uncontrolled pilot study using transcranial MRI-guided focused ultrasound thalamotomy for essential tremor was recently published by Elias et al in the New England Journal of Medicine. The unilateral ventral intermediate (VIM) nucleus of the thalamus was targeted, with...

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