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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PE

Guidelines for the Management of Patients with Positional Plagiocephaly

November 30, 2016
Pediatrics
By: 
Brandon G. Rocque, MD, MS
Source: 
CNS

Guidelines for the treatment of positional plagiocephaly have recently been published after systematic reviews of evidence related to four main topics. Key points are as follows:

  1. Physical examination is recommended for diagnosis of plagiocephaly with imaging necessary only rarely
  2. ...
PE

Prospective, multicenter results of endoscopic third ventriculostomy in children

November 30, 2016
Pediatrics
By: 
Brandon G. Rocque, MD, MS
Source: 
Journal of Neurosurgery: Pediatrics

Investigators from the Hydrocephalus Clinical Research Network (HCRN) present the results of 336 patients who underwent endoscopic third ventriculostomy (ETV) between 2008 and 2013. Clinical and intraoperative data were collected prospectively, with minimum follow-up of 18 months. ETV failure was...

TU

Guidelines for the Management of Nonfunctional Pituitary Adenomas

October 31, 2016
Tumor
By: 
Jason Heth, MD
Source: 
Congress of Neurological Surgeons

Nonfunctioning pituitary adenomas (NFPAs) are a unique subset of pituitary tumors.  While NFPA treatment may seem straightforward, there are many alternatives in their evaluation and management.   To examine the evidentiary support of these alternatives, the Congress of Neurological Surgeons...

SP

Randomized trial of anterior cervical discectomy and fusion for radiculopathy

September 30, 2016
Spine
By: 
H. Francis Farhadi, MD PhD
Vibhu K. Viswanathan, MBBS
Source: 
Pubmed

Anterior cervical discectomy and fusion (ACDF) significantly enhances clinical outcomes at two years when compared to non-operative treatment for cervical radiculopathy. However, there is little evidence to suggest benefit beyond this period. In this Swedish multicenter randomized study, 5-8...

SF
TU

Radiosurgery with and without whole brain radiation for metastases: A randomized clinical trial

August 30, 2016
Stereotactic & Functional, Tumor
By: 
Jonathan Sherman, MD
Source: 
JAMA

A prospective, multicenter, randomized cohort trial compared the post-treatment cognitive function of patients with 1 to 3 brain metastases treated with either stereotactic radiosurgery alone (SRS) (n = 111) or stereotactic radiosurgery plus whole brain radiation therapy (WBRT) (n=102). The...

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