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  • World Class Science for the Early Birds: Guidelines Sessions and Sunrise Science

    Authors: Jennifer A Sweet, MD
    Martin Stippler




    Recognizing that our members give up valuable time away from their practices, families, and other responsibilities to attend the CNS Annual Meeting, the Annual Meeting Committee strives to fill each day with valuable scientific content and meaningful opportunities to earn CME. One of the ways we have achieved this is through the highly popular morning Guidelines and Sunrise Science Sessions.

    Each morning, before the General Plenary Session, the CNS has lined up a series of Subspecialty Guideline Sessions and Sunrise Science abstract presentations to help members stay abreast of both the evidence-based practice guidelines and the newest developments in each area of neurosurgery.

    Guidelines Sessions

    As the number of clinical studies and publications continue to expand, it is not only difficult to stay up to date on key clinical trials but it is also increasingly challenging to judge the quality and value of each study and how it should impact your clinical practice. In an effort to address these concerns, the CNS Guidelines Committee works closely with each subspecialty Section to develop clinical practice guidelines that better meet the needs of practicing clinicians. Published neurosurgical guidelines, written by experts in their respective fields, comprehensively evaluate the literature to generate evidence-based recommendations to impact clinical decision-making. These guidelines can be found in Neurosurgery, and can also be downloaded in user-friendly CNS Guidelines App. In addition, the CNS now offers morning Guidelines Sessions during the Annual Meeting, which aim to deliver the results of these evidence-based guidelines in a comprehensive 90-minute presentation.

    Monday morning, the program kicks off with two concurrent sessions, presenting data from three sets of neurosurgical guidelines: 1) Guidelines for the Management of Metastatic Disease to the Spine will review concepts regarding minimally invasive approaches, separation surgery, the need for stabilization and the role and timing adjuvant therapy. 2) Stereotactic & Functional Guidelines for Deep Brain Stimulation (DBS) for Parkinson Disease will review differing DBS targets for the treatment of Parkinson disease, and 3) Pain Section Guidelines on Neuroablation for Cancer Pain will discuss the various types of cancer-related pain and their respective lesioning procedures.

    On Tuesday, Guidelines on Management of Brain Metastases Update will address the role of surgery, radiosurgery, whole brain radiation, and emerging and investigational therapies. This session features a multidisciplinary panel of experts to advance the care of complex intracranial metastatic disease. Also on Tuesday, the trauma section will present The Voice of Reason in Brain Death: From Bedside to the News addressing brain death protocols and guidelines and discuss their neuroethical implications.

    Finally, Wednesday morning will pack in three popular guideline topics: 1) The Cerebrovascular Guidelines Update, reviewing the current recommendations for cerebral aneurysms, arteriovenous malformations, and acute ischemic and hemorrhagic stroke; 2) Guidelines on the Management of Glial Tumors, covering surgical nuances such as the extent of resection and its clinical impact, the role of neuromonitoring in surgery, and the expanding indications for laser ablation; and, lastly, 3) Brain and Spine Trauma Guidelines will discuss severe traumatic brain injury and recommendations pertaining to intracranial pressure monitoring, hemicraniectomy, and navigating the timing and reversal of antithrombotic agents. This will be followed by a discussion of the guidelines for acute cervical and thoracolumbar spine trauma, focusing on surgical and nonoperative management strategies.

    With so much clinically relevant content on these essential areas of practice, the Guidelines Sessions have been among the most well-attended events at the Annual Meeting. The standing-room-only crowds and lively dialogue between faculty and attendees attest to their value.

    Sunrise Science Abstracts

    Concurrent to our Guidelines Sessions, the program will also offer two abstract sessions each morning. Selected discussants will present their most recent original scientific data. Abstracts will be organized by subspecialty area. Monday morning we will present abstracts in Tumor and Cerebrovascular. Tuesday sessions feature Spine and Pediatric Neurosurgery abstracts, and Wednesday sessions will cover Functional and Pain. Efforts have been made to stagger the content to minimize overlap in any subspecialty areas. So plan your schedule according to your interests and start your day off with essential information for your practice.

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