Delayed Presentations and Worse Outcomes After Aneurysmal Subarachnoid Hemorrhage in the Early COVID-19 Era
BACKGROUND:
The early phase of the COVID-19 pandemic led to significant healthcare avoidance, perhaps explaining some of the excess reported deaths that exceeded known infections. The impact of the early COVID-19 era on aneurysmal subarachnoid hemorrhage (aSAH) care remains unclear.
OBJECTIVE:
To determine the impact of the early phase of the COVID-19 pandemic on latency to presentation, neurological complications, and clinical outcomes after aSAH.
METHODS:
We performed a retrospective cohort study from March 2, 2012, to June 30, 2021, of all patients with aSAH admitted to our center. The early COVID-19 e...
Source: Neurosurgery - June 22, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Cerebrovascular Source Type: research
Moral Distress and Moral Injury Among Attending Neurosurgeons: A National Survey
BACKGROUND:
“Moral distress” describes the psychological strain a provider faces when unable to uphold professional values because of external constraints. Recurrent or intense moral distress risks moral injury, burnout, and physician attrition but has not been systematically studied among neurosurgeons.
OBJECTIVE:
To develop a unique instrument to test moral distress among neurosurgeons, evaluate the frequency and intensity of scenarios that may elicit moral distress and injury, and determine their impact on neurosurgical burnout and turnover.
METHODS:
An online survey investigating moral distress, b...
Source: Neurosurgery - June 22, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Socioeconomics, Health Policy and Law Source Type: research
Stereotactic Radiosurgery for Dural Arteriovenous Fistulas: A Systematic Review and Meta-Analysis and International Stereotactic Radiosurgery Society Practice Guidelines
CONCLUSION:
SRS for dAVFs results in CO in the majority of patients with excellent symptom improvement rates with minimal toxicity. Patients with NCS and/or higher-grade dAVFs have poorer symptom cure rates. Combined therapy with embolization and SRS is recommended when feasible for clinically aggressive dAVFs or those refractory to embolization to maximize the likelihood of symptom cure. (Source: Neurosurgery)
Source: Neurosurgery - June 22, 2022 Category: Neurosurgery Tags: Review: Radiation Oncology Source Type: research
A Century With Craniopagus Twin Separation Surgeries: Nihilism to Optimism
We report our surgical experience with conjoined craniopagus twins (JB) with type III total vertical joining and shared circumferential/circular sinus with left-sided dominance. A brief review of the literature is also provided. In our twins, the meticulous preoperative study and planning by the multidisciplinary team consisting of 125-member, first-staged surgical separation consisted of creation of venous conduit to bypass part of shared circumferential sinus and partial hemispheric disconnection. Six weeks later, twin J manifested acute cardiac overload because of one-way fistula development from blocked venous bypass g...
Source: Neurosurgery - June 22, 2022 Category: Neurosurgery Tags: Review: Pediatrics Source Type: research
Artificial Intelligence for Survival Prediction in Brain Tumors on Neuroimaging
Survival prediction of patients affected by brain tumors provides essential information to guide surgical planning, adjuvant treatment selection, and patient counseling. Current reliance on clinical factors, such as Karnofsky Performance Status Scale, and simplistic radiological characteristics are, however, inadequate for survival prediction in tumors such as glioma that demonstrate molecular and clinical heterogeneity with variable survival outcomes. Advances in the domain of artificial intelligence have afforded powerful tools to capture a large number of hidden high-dimensional imaging features that reflect abundant in...
Source: Neurosurgery - June 22, 2022 Category: Neurosurgery Tags: Review: Tumor Source Type: research
Review of Cerebrospinal Fluid Physiology and Dynamics: A Call for Medical Education Reform
CONCLUSION:
We have highlighted major studies to illustrate modern principles of CSF dynamics. Despite these, the medical education system has been slow to reform curricula and update learning resources. (Source: Neurosurgery)
Source: Neurosurgery - June 22, 2022 Category: Neurosurgery Tags: Review: Neuroscience Source Type: research
In Reply: Permanent Cerebrospinal Fluid Diversion in Adults With Posterior Fossa Tumors: Incidence and Predictors
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: Tumor Source Type: research
Letter: Permanent Cerebrospinal Fluid Diversion in Adults With Posterior Fossa Tumors: Incidence and Predictors
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: Tumor Source Type: research
In Reply: Recommendation to Create New Neuropathologic Guidelines for the Postmortem Diagnosis of Chronic Traumatic Encephalopathy
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: Neurotrauma Source Type: research
Letter: The American Society for Stereotactic and Functional Neurosurgery Position Statement on Laser Interstitial Thermal Therapy for the Treatment of Drug-Resistant Epilepsy
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: General Neurosurgery Source Type: research
Letter: The World Health Organization's Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders 2022-2031
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: Socioeconomics, Health Policy and Law Source Type: research
In Reply: An Update of Neuroanesthesia for Intraoperative Brain Mapping Craniotomy
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: Tumor Source Type: research
Letter: An Update of Neuroanesthesia for Intraoperative Brain Mapping Craniotomy
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: General Neurosurgery Source Type: research
In Reply: Operationalizing Global Neurosurgery Research in Neurosurgical Journals
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - May 25, 2022 Category: Neurosurgery Tags: CORRESPONDENCE: General Neurosurgery Source Type: research
