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

Lack of efficacy of an intradural nerve anastomosis for bladder control

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

Chinese urologist C. G. Xiao has published extensively on an intradural nerve root transfer procedure reported to improve urinary continence and voluntary bladder control in patients with spinal cord injuries and spinal dysraphism. This month, Tuite et al report the...

SP

Prospective Evaluation of Complication Rates Associated with Adult Spinal Deformity Surgery

August 1, 2016
Spine
By: 
H. Francis Farhadi, MD, PhD
Source: 
J Neurosurg Spine 25:1-14, 2016

Adult spinal deformity (ASD) surgery significantly improved quality of life compared to non-operative management at 2 years follow-up in a multicenter study. Researchers prospectively evaluated complication rates in 291 patients with a mean age of 56.2 years who achieved a...

CV

Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage

August 1, 2016
Cerebrovascular
By: 
Robert Starke, MD, MSc
Source: 
Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage June 8, 2016DOI: 10.1056/NEJMoa1603460

Optimal blood pressure management for intracerebral hemorrhage (ICH) patients remains unclear. In a prospective randomized clinical trial, patients with ICH volume <60 cm3 and Glasgow Coma Scale (GCS) score of >5 were randomized to a systolic blood pressure of 110-139...

SP

Outcomes of Operative and Nonoperative Treatment for Adult Spinal Deformity

June 30, 2016
Spine
By: 
Jonathan Sherman, MD
J. Bradley Elder, MD
Source: 
Neurosurgery

A prospective, multicenter, propensity-matched cohort assessment compared the outcomes of patients with at least a 2 year follow-up with adult spinal deformity (ASD) that were treated with operative versus non-operative measures (97 in each group).  The patients displayed at least...

PE

ETV vs Shunting: Results of a Prospective Multicenter Comparison

June 30, 2016
Pediatrics
By: 
Brandon G. Rocque, MD, MS
Source: 
Child's Nervous System

The International Infant Hydrocephalus Study (IIHS) is a comprehensive cohort study, with both randomized and non-randomized arms, comparing endoscopic third ventriculostomy (ETV) to CSF shunting for infants (age < 24m) with hydrocephalus caused by congenital aqueductal stenosis. It is the...

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