NEUROSURGERY Report

Daily news and updates provided by the NEUROSURGERY® Editorial Office

Free Article with CME: SEEG in Children and Adolescents With Difficult-to-Localize Refractory Focal Epilepsy

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Screen Shot 2014-08-27 at 7.59.45 AMBackground: Although stereoelectroencephalography (SEEG) has been shown to be a valuable tool for preoperative decision making in focal epilepsy, there are few reports addressing the utility and safety of SEEG methodology applied to children and adolescents.

Objective: To present the results of our early experience using SEEG in pediatric patients with difficult-to-localize epilepsy who were not considered candidates for subdural grid evaluation.

Methods: Thirty children and adolescents with the diagnosis of medically refractory focal epilepsy (not considered ideal candidates for subdural grids and strip placement) underwent SEEG implantation. Demographics, electrophysiological localization of the hypothetical epileptogenic zone, complications, and seizure outcome after resections were analyzed.

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Written by NEUROSURGERY® Editorial Office

August 27, 2014 at 8:00 AM

Download the Free Neurosurgery iPad Application

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March 2012 EditorialDownload the free Neurosurgery iPad application which includes free full-text access to subscribers. Read full issues of Neurosurgery and Operative Neurosurgery on your iPad, archive or delete downloaded issues, share articles via email or social media, access digital supplemental content, and recieve automatic notification of new issues.

To download the free Neurosurgery iPad application, visit the Apple App Store and search for “Neurosurgery,” or click here.

Written by NEUROSURGERY® Editorial Office

August 26, 2014 at 2:00 PM

Posted in News

Free Editor Choice: Surgical Management of Trigeminal Neuralgia

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Background: Trigeminal neuralgia is a relatively common neurosurgical pathology with multiple management options. Microvascular decompression (MVD) is nonablative and is considered the gold standard. However, stereotaxic radiosurgery (SRS) and percutaneous stereotaxic rhizotomy (PSR) are 2 noninvasive but ablative options that have rapidly gained support.

Objective: To use Medicare claims data in conjunction with a literature review to assess the usage, effectiveness, and cost-effectiveness of the 3 different invasive treatments for trigeminal neuralgia.

Methods: All of the claims of trigeminal neuralgia treatment were extracted from the 2011 5% Inpatient and Outpatient Limited Data Set. Current Procedural Terminology, 4th Edition/International Classification of Diseases, Ninth Revision codes for the 3 different surgical treatment modalities were used to further classify these claims. Kaplan-Meier survival curves in key articles were used to calculate quality-adjusted life years and cost-effectiveness for each procedure.

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Written by NEUROSURGERY® Editorial Office

August 26, 2014 at 8:12 AM

Free Editor Choice with CME: Solitaire AB Stent-Assisted Coiling of Wide-Necked Intracranial Aneurysms

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Screen Shot 2014-08-25 at 7.50.31 AMBackground: Endovascular treatment of intracranial aneurysms can be technically difficult when the neck is wide. The Solitaire AB stent (Covidien, Irvine, California), the only fully retrieved stent, assists in the coiling of wide-neck intracranial aneurysms.

Objective: To evaluate the mid-term angiographic follow-up of wide-necked aneurysms treated with the Solitaire AB stent.

Methods: SOLARE (SOLitaire Aneurysm Remodeling) is a consecutive, prospective study conducted in 7 European centers. A core laboratory evaluated the postoperative and mid-term (6 month ± 15 days) angiographic results by using the Raymond classification Scale. Recanalization was defined as worsening, and progressive thrombosis was defined as improvement in the Raymond scale score.

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Written by NEUROSURGERY® Editorial Office

August 25, 2014 at 8:00 AM

September 2014 Issue of Operative Neurosurgery is Now Online

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09 Sept ONS 2014The September 2014 issue of Operative Neurosurgery is now online and full-text access is available for print subscribers. Non-subscribers may access all article abstracts and the full-text of selected articles.

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Written by NEUROSURGERY® Editorial Office

August 22, 2014 at 8:00 AM

Posted in News

Journal Club Interview, New International Podcasts Available for Free Download

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An interview with Monica S. Vavilala M.D., the senior author of August’s Journal Club target article, is available for download. Additional episodes have also been added to the Russian, Korean and Japanese Neurosurgery International Podcasts on iTunes. Each podcast episode is the scientific abstract from a published article translated into a foreign language and read by a native speaker. Use iTunes to download new and existing podcasts in your preferred language.

Written by NEUROSURGERY® Editorial Office

August 21, 2014 at 8:00 AM

Posted in Podcast

Free Editor Choice with CME: Outcomes After Surgery and Radiotherapy for Spinal Myxopapillary Ependymoma

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Background: The role of radiotherapy after surgery for myxopapillary ependymoma (MPE) is unclear.

Objective: To review long-term outcomes after surgery, with or without radiation, for spinal MPE.

Methods: Fifty-one patients with spinal MPE treated from 1968 to 2007 were included. Associations between clinical variables and overall survival (OS), progression-free survival (PFS), and local control (LC) were tested with Cox regression analysis.

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Written by NEUROSURGERY® Editorial Office

August 20, 2014 at 8:00 AM

Posted in CME, Editor Choice, Free

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