Commentary: Machine Learning Applications of Surgical Imaging for the Diagnosis and Treatment of Spine Disorders: Current State of the Art
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Commentary: Spine Source Type: research

Commentary: Cost-Effectiveness Analysis of Encephaloduroarteriosynangiosis Surgery for Symptomatic Intracranial Atherosclerotic Disease
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Commentary: Cerebrovascular Source Type: research

Commentary: The Importance of the Temporary Clip Removal Phase on Exposure to Hypoxia: On-Line Measurement of Temporal Lobe Oxygen Levels During Surgery for Middle Cerebral Artery Aneurysms
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Commentary: Cerebrovascular Source Type: research

Book Review: Brain Fragments: Daily Notes and Reminiscences
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Book Reviews: Stereotactic Functional Source Type: research

Commentary: Clinical Characteristics, Outcomes, and Pathology Analysis in Patients With Dorsal Arachnoid Web
No abstract available (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Commentary: Spine Source Type: research

Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Management of Progressive Glioblastoma in Adults: Update of the 2014 Guidelines
CONCLUSION: Recent published literature provides new recommendations for the diagnosis and treatment of pGBM. The Central Nervous System Guidelines Committee will continue to pursue timely updates to further improve the care of patients with diagnosis. https://www.cns.org/guidelines/browse-guidelines-detail/guidelines-management-of-progressive-glioblastoma (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: CNS Progressive Glioblastoma Guideline Update: Tumor Source Type: research

Gender Equality in Neurosurgery and Strategic Goals Toward a More Balanced Workforce
The Women in Neurosurgery (WINS) and the American Association of Neurological Surgeons published a white paper in 2008 setting an ambitious goal for women to comprise 20% of neurosurgery residents by 2012 and 20% of practicing neurosurgeons by 2020. Although there has been steady progress, we have fallen short of these benchmarks. We take this opportunity to look back at the accomplishments made over the past decade and provide an update on our present status. We evaluate current barriers toward progress and propose new goals, highlighting the systemic changes necessary to accomplish them. We propose the following updated ...
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Special Article: Socioeconomics, Health Policy and Law Source Type: research

ASSFN Position Statement on Deep Brain Stimulation for Medication-Refractory Epilepsy
Neuromodulation has taken a foothold in the landscape of surgical treatment for medically refractory epilepsies and offers additional surgical treatment options for patients who are not candidates for resective/ablative surgery. Approximately one third of patients with epilepsy suffer with medication-refractory epilepsy. A persistent underuse of epilepsy surgery exists. Neuromodulation treatments including deep brain stimulation (DBS) expand the surgical options for patients with epilepsy and provide options for patients who are not candidates for resective surgery. DBS of the bilateral anterior nucleus of the thalamus is ...
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: ASSFN POSITION STATEMENT: Stereotactic Functional Source Type: research

Clipping Could Be the Best Treatment Modality for Recurring Anterior Communicating Artery Aneurysms Treated Endovascularly
BACKGROUND: The anterior communicating artery (AcoA) is the most common location for intracranial aneurysms. OBJECTIVE: To present occlusion outcomes, complication rate, recurrence rate, and predictors of recurrence in a large cohort with AcoA aneurysms treated primarily with endosaccular embolization. We also attempt to present data on the most effective treatment modality for recurrent AcoA aneurysms. METHODS: This is a retrospective, single-center study, reviewing the outcomes of 463 AcoA aneurysms treated endovascularly between 2003 and 2018. RESULTS: The study cohort consisted of 463 patients....
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Endovascular Source Type: research

Risk Stratification to Define the Role of Radiotherapy for Benign and Atypical Meningioma: A Recursive Partitioning Analysis
BACKGROUND: The role of adjuvant radiotherapy (RT) for benign or atypical meningioma is controversial. OBJECTIVE: To identify prognostic factors and a subgroup that could be potentially indicated for adjuvant RT. METHODS: A total of 336 patients with benign and 157 patients with atypical meningioma underwent surgical resection between January 2015 and December 2019. We retrospectively analyzed 407 patients who did not receive adjuvant RT to stratify risk groups for recurrence. A recursive partitioning analysis (RPA) with the prognostic factors for their failure-free survival (FFS) divided the patients int...
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Tumor Source Type: research

Machine Learning–Driven Clinical Image Analysis to Identify Craniosynostosis: A Pilot Study of Telemedicine and Clinic Patients
CONCLUSION: Machine learning–driven image analysis represents a promising strategy for the identification of craniosynostosis in a real-world practice setting. This approach has potential to reduce the need for imaging and facilitate referral by primary care providers. (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Pediatrics Source Type: research

Machine Learning for Predicting In-Hospital Mortality After Traumatic Brain Injury in Both High-Income and Low- and Middle-Income Countries
CONCLUSION: We developed high-performing well-calibrated ML models for predicting in-hospital mortality for both the HIC and LMIC settings that have the potential to influence clinical management and traumatic brain injury patient trajectories. (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Neurotrauma Source Type: research

Impact of Woven EndoBridge Shape Modification on Aneurysm Recanalization at Short-Term Follow-up Digital Subtraction Angiography
CONCLUSION: WSM was not independently associated with angiographic aneurysm occlusion status after 6 months. However, the “conventional” parameters including sex, rupture state, WEB type, WEB width, aneurysm width, height, and volume were associated with partial aneurysm recanalization in WEB-treated patients at the short-term follow-up. (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Cerebrovascular Source Type: research

Developing a Prediction Model for Identification of Distinct Perioperative Clinical Stages in Spine Surgery With Smartphone-Based Mobility Data
CONCLUSION: The perioperative clinical course of patients undergoing spine surgery was systematically classified using smartphone-based mobility data. Our findings highlight the potential utility of such data in a novel quantitative and longitudinal surgical outcome measure. (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Spine Source Type: research

Clinical Characteristics, Outcomes, and Pathology Analysis in Patients With Dorsal Arachnoid Web
CONCLUSION: DAW is a rare pathology that can result in myelopathy or inappropriate interventions if misdiagnosed. Surgical intervention using laminectomy with intradural exploration should be considered in symptomatic patients with DAW because it is curative with a strong chance of preoperative symptom resolution with relatively low complication rates. (Source: Neurosurgery)
Source: Neurosurgery - April 25, 2022 Category: Neurosurgery Tags: Research—Human—Clinical Studies: Spine Source Type: research