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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Comparing GPi vs STN deep brain stimulation for advanced Parkinson disease

April 5, 2016
Stereotactic & Functional
By: 
Jason M. Schwalb, MD
Bradley Merker, PhD
Source: 
Neurology

Is GPi or the STN is the optimal target for Deep Brain Stimulation (DBS) for Parkinson Disease (PD)? 3-year follow-up results reported from the Netherlands NSTAPS prospective controlled trial show STN DBS provides more off-phase motor improvement, with a similar...

CV

Non-inferiority of stenting vs endarterectomy for asymptomatic carotid stenosis in non-high-risk patients

March 8, 2016
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
New England Journal of Medicine

Previous clinical trials suggest that carotid artery stenting is an effective alternative to endarterectomy in patients who are at average or high risk for surgical complications. The Carotid Angioplasty and Stenting Versus Endarterectomy in Asymptomatic Patients Trial was carried out...

CV

Stenting and endarterectomy have equivalent 10 year outcomes for significant carotid stenosis

March 8, 2016
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
New England Journal of Medicine

Differences in long-term outcomes between stenting and endarterectomy for significant carotid artery stenosis remain unclear.  Recently, the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) published extended 10 year results.  Among 2502 randomized patients with both symptomatic and asymptomatic significant carotid...

PE
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Long-term outcomes after instrumented occipitocervical and atlantoaxial fusion in young children

February 8, 2016
Pediatrics, Spine
By: 
Brandon G. Rocque, MD, MS
Source: 
Journal of Neurosurgery: Pediatrics

Craniocervical junction instability in children is a rare problem, and occipitocervical (O-C2) or atlantoaxial (AA) fusions are the commonly accepted treatments. One of the major theoretical risks is differential growth of the fused vertebrae relative to normal spine, possibly leading...

PE

Long-term outcomes of patients requiring cerebrospinal fluid shunts

February 5, 2016
Pediatrics
By: 
Mark Kramer, BS
Bermans J Iskandar, MD
Source: 
Journal of Neurosurgery

Modern hydrocephalus treatment nears its sixth decade after Frank Nulsen, Eugene Spitz, John Holter and others pioneered the first successful cerebrospinal fluid shunts. Yet, since the development of these life-saving devices, the long-term impact of mechanical CSF diversion has not...

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