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
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Guidelines for Severe Traumatic Brain Injury: 4th edition

January 10, 2017
Trauma
By: 
Roland Torres, MD
Source: 
Neurosurgery

Approximately 2.5 million Americans annually suffer traumatic brain injury (TBI). Severe TBI causes more than 30 percent of all injury-related deaths in the U.S. and account for 90 percent of the nearly $80 billion in annual costs. The new Guidelines...

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VAPOUR - A Randomized-Controlled Study of Vertebroplasty for Acute Painful Osteoporotic Fractures

November 30, 2016
Spine
By: 
Justin Slavin, MD
Source: 
The Lancet (2016) 388: 1408-16

Two prior RCTs showed no benefit for vertebroplasty compared to non-surgical management of osteoporotic fractures up to 12 months after onset. The VAPOUR study is a randomized, placebo-controlled, double-blinded trial to assess effectiveness of vertebroplasty for acute fractures. 120 patients...

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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. ...
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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...

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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...

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