Neurosurgery
NCCN Guideline | Pediatric central nervous system cancers
12 Jan, 2023 | 13:11h | UTCEditorial: ASCO Living Guidelines: The Next Frontier
Review | The outcome of neurorehabilitation efficacy and management of traumatic brain injury
12 Jan, 2023 | 12:46h | UTC
Pictorial Review | Nerve entrapment syndromes of the upper limb.
15 Dec, 2022 | 13:25h | UTCNerve entrapment syndromes of the upper limb: a pictorial review – Insights into Imaging
Review | Airway management in patients with suspected or confirmed traumatic spinal cord injury.
13 Dec, 2022 | 14:01h | UTC
M-A | Evaluation of direct oral anticoagulant reversal agents in intracranial hemorrhage.
9 Dec, 2022 | 13:17h | UTC
Commentary on Twitter
Meta-analysis finds mostly successful DOAC reversal with 4F-PCC (77%), andexanet alfa (AA)(75%), and idarucizumab (82%) in patients with ICH. 4F-PCC and AA had comparable success in factor Xa inhibitor reversal, mortality, and thromboembolic outcomes. #OA https://t.co/aieJd9h5jo
— JAMA Network Open (@JAMANetworkOpen) November 4, 2022
Review | Intensive care unit management of traumatic brain injury patients.
5 Dec, 2022 | 00:04h | UTCIntensive Care Unit Management of Traumatic Brain Injury Patients – Journal of Neurointensive Care
RCT | Effect of irrigation fluid temperature on recurrence in the evacuation of chronic subdural hematoma.
30 Nov, 2022 | 13:45h | UTCNews Release: Warmer brain-irrigation fluid in surgery more efficacious – University of Gothenburg
Commentary on Twitter
Study explored how a physical property, such as irrigation fluid temperature, can affect outcomes of neurosurgery for chronic subdural hematoma evacuation. https://t.co/ZHciO3VaTP #Research
— JAMA Neurology (@JAMANeuro) November 22, 2022
Review | Safety and management of implanted epilepsy devices for imaging and surgery.
27 Nov, 2022 | 22:03h | UTC
Brief Review | Extubation in neurocritical care patients: lesson learned.
25 Nov, 2022 | 12:31h | UTCExtubation in neurocritical care patients: lesson learned – Intensive Care Medicine
Commentary on Twitter
Extubation in neuro #ICU
🧠 assess neuro function stability
🧠 perform if minimal level of consciousness, upper airway secure, negative fluid balance
📃 elaborate multi-disciplinary local protocols, selecting criteria according to resources/expertise
🖇️ https://t.co/5tvpdkHcar pic.twitter.com/DAdCKwkHng— Intensive Care Medicine (@yourICM) October 17, 2022
SR | Surgical decompression for malignant cerebral edema after ischemic stroke.
24 Nov, 2022 | 13:25h | UTCSurgical decompression for malignant cerebral oedema after ischaemic stroke – Cochrane Library
Summary: Surgical decompression for people with severe brain swelling after stroke – Cochrane Library
RCT | Posterior cervical foraminotomy is noninferior to anterior cervical discectomy in patients with cervical radiculopathy.
23 Nov, 2022 | 13:48h | UTCNoninferiority of Posterior Cervical Foraminotomy vs Anterior Cervical Discectomy With Fusion for Procedural Success and Reduction in Arm Pain Among Patients With Cervical Radiculopathy at 1 Year: The FACET Randomized Clinical Trial – JAMA Neurology (free for a limited period)
Commentary on Twitter
This study found noninferiority of posterior surgery compared to anterior surgery for patients with cervical radiculopathy in terms of success rate and arm pain at 1-year. https://t.co/Vdff9A7eGV #Research
— JAMA Neurology (@JAMANeuro) November 21, 2022
Cohort Study | Delayed intracranial hemorrhage after head injury among elderly patients on anticoagulation seen in the ED.
22 Nov, 2022 | 13:31h | UTCRelated:
Research: Incidence of Delayed Intracranial Hemorrhage in Older Patients After Blunt Head Trauma
Review | Penetrating brain injury: ethical quandaries in the trauma bay and beyond.
21 Nov, 2022 | 14:25h | UTCReview Paper on Penetrating Brain Injury: Ethical Quandaries in the Trauma Bay and Beyond – Annals of Surgery (free for a limited period)
RCT | Safety of withholding perioperative hydrocortisone for patients with pituitary adenomas with an intact HPA axis.
17 Nov, 2022 | 12:23h | UTC
Commentary on Twitter
https://twitter.com/JAMANetworkOpen/status/1592940564433059840
SR | Not enough evidence for routine use of antifibrinolytic therapy (e.g., tranexamic acid) in aneurysmal subarachnoid hemorrhage.
11 Nov, 2022 | 13:50h | UTCAntifibrinolytic therapy for aneurysmal subarachnoid haemorrhage – Cochrane Library
Post-trial follow-up | Long-term outcomes with stereotactic radiosurgery vs. whole-brain RT for resected brain metastasis.
7 Nov, 2022 | 12:22h | UTCAssociation of Long-term Outcomes With Stereotactic Radiosurgery vs Whole-Brain Radiotherapy for Resected Brain Metastasis: A Secondary Analysis of The N107C/CEC.3 (Alliance for Clinical Trials in Oncology/Canadian Cancer Trials Group) Randomized Clinical Trial – JAMA Oncology (link to abstract – $ for full-text)
Commentary: Survivors face less late cognitive deterioration after stereotactic radiosurgery than WBRT – medwire News
Original Study: Postoperative stereotactic radiosurgery compared with whole brain radiotherapy for resected metastatic brain disease (NCCTG N107C/CEC·3): a multicentre, randomised, controlled, phase 3 trial – The Lancet Oncology (link to abstract – $ for full-text)
Commentary on Twitter
In pts w limited brain mets after surgical resection, secondary analysis of rand phase 3 trial shows more patients declined significantly in 1 or more cognitive tests with whole brain radiation therapy (WBRT) vs stereotactic radiosurgery (SRS) https://t.co/6nSCO5kSpW #BTSM
— JAMA Oncology (@JAMAOnc) October 22, 2022
RCT | Intraoperative electrocorticography using high-frequency oscillations or spikes to tailor epilepsy surgery.
26 Oct, 2022 | 14:34h | UTC
Crossover RCT | Spinal cord burst stimulation does not improve disability in chronic radicular pain after lumbar spine surgery.
19 Oct, 2022 | 14:29h | UTCEffect of Spinal Cord Burst Stimulation vs Placebo Stimulation on Disability in Patients With Chronic Radicular Pain After Lumbar Spine Surgery: A Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
Among patients with chronic radicular pain after lumbar spine surgery, spinal cord burst stimulation, compared with placebo stimulation, resulted in no significant difference in back pain–related disability. https://t.co/XGiRRB4Njm #Research
— JAMA (@JAMA_current) October 18, 2022
Consensus Paper | Surgical management of giant pituitary neuroendocrine tumors.
19 Oct, 2022 | 14:25h | UTC
The Lancet Commission | Traumatic brain injury: progress and challenges in prevention, clinical care, and research.
4 Oct, 2022 | 14:36h | UTCHomepage: Traumatic brain injury: progress and challenges in prevention, clinical care, and research (free registration required for all articles)
Traumatic brain injury advances since 2017: what has changed? – The Lancet Neurology
Review | Nutritional support for pediatric severe traumatic brain injury.
14 Sep, 2022 | 13:04h | UTCNutritional Support for Pediatric Severe Traumatic Brain Injury – Frontiers in Pediatrics
Systematic Review | Reexamining the role of postoperative ICU admission for patients undergoing elective craniotomy.
8 Sep, 2022 | 14:38h | UTCReexamining the Role of Postoperative ICU Admission for Patients Undergoing Elective Craniotomy: A Systematic Review – Critical Care Medicine (free for a limited period)
Commentary on Twitter
Optimizing healthcare resources is more important now than ever
Reviewing 2,469 patients, @tdazad @pav_shah+ found only 2.1% of elective craniotomies triaged to non-ICU required care escalation, potential huge savings
See the full results @CritCareMed:https://t.co/uJu3gXolD6 pic.twitter.com/wQuKes9hpn
— Johns Hopkins Neuro-Oncology Surgical Outcomes Lab (@NeuroOncSurgery) June 12, 2022
Severe prognoses for intracerebral and intraventricular hemorrhage may greatly underestimate functional recovery.
8 Sep, 2022 | 14:28h | UTCOriginal Study: One-Year Outcome Trajectories and Factors Associated with Functional Recovery Among Survivors of Intracerebral and Intraventricular Hemorrhage With Initial Severe Disability – JAMA Neurology (link to abstract – $ for full-text)
Commentary on Twitter
In this cohort study, nearly half of the survivors of intracerebral hemorrhage with poor-outcome in the early-phase recovered to a good outcome by 1-year. Including first 30-day events in prognostic models improved prediction of recovery. https://t.co/uQ7IqxCqBD
— JAMA Neurology (@JAMANeuro) July 25, 2022
A cohort study of patients with mild traumatic brain injury found that 56% of patients had incomplete recovery after 6 months.
23 Aug, 2022 | 13:27h | UTCCommentary: Incomplete Recovery Common 6 Months After Mild TBI – Medscape (free registration required)
Commentary on Twitter (thread – click for more)
1/🧵Mild Traumatic Brain Injury (TBI) isn’t “Mild” 🧠
Our daughter fell off a high diving board headfirst to cement years ago. Though she had 2 cracks through her foramen magnum, her GCS was 15 & CT had no bleeding.
“She’s OK,” they said.
Wrong answer 😔#TrackTBI Data… pic.twitter.com/1FZuRnt4so— WesElyMD (@WesElyMD) August 22, 2022
Guideline | Application of anti-seizure medications in the perioperative period of supratentorial craniocerebral surgery.
23 Aug, 2022 | 13:13h | UTC