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Journal Neurosurgery

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Evolution and Impact of the Brain Trauma Foundation Guidelines.

Gregory W J Hawryluk, Jamshid Ghajar,

The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Head Injury were the first clinical practice guidelines published by any surgical specialty. These guidelines have earned a reputation for rigor and have been widely adopted around the world. Implementation of these guidelines has been associated with a 50% ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Commentary: Brain Structural Changes in Carpal Tunnel Syndrome Patients: From the Perspectives of Structural Connectivity and Structural Covariance Network.

Mariano Socolovsky,

Neurosurgery (Neurosurgery)
[2021, :]

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Brain Structural Changes in Carpal Tunnel Syndrome Patients: From the Perspectives of Structural Connectivity and Structural Covariance Network.

Yu-Lin Li, Jia-Jia Wu, Jie Ma, Si-Si Li, Xin Xue, Dong Wei, Chun-Lei Shan, Mou-Xiong Zheng, Xu-Yun Hua, Jian-Guang Xu,

<h4>Background</h4>Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy. However, CTS-related changes of brain structural covariance and structural covariance networks (SCNs) patterns have not been clearly studied.<h4>Objective</h4>To explore CTS-related brain changes from perspectives of structural connectivity and SCNs.<h4>Methods</h4>Brain structural magnetic resonance images were acquired from 27 CTS patients and ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Classifying Patients Operated for Spondylolisthesis: A K-Means Clustering Analysis of Clinical Presentation Phenotypes.

Andrew K Chan, Thomas A Wozny, Erica F Bisson, Brenton H Pennicooke, Mohamad Bydon, Steven D Glassman, Kevin T Foley, Christopher I Shaffrey, Eric A Potts, Mark E Shaffrey, Domagoj Coric, John J Knightly, Paul Park, Michael Y Wang, Kai-Ming Fu, Jonathan R Slotkin, Anthony L Asher, Michael S Virk, Panagiotis Kerezoudis, Mohammed A Alvi, Jian Guan, Regis W Haid, Praveen V Mummaneni,

<h4>Background</h4>Trials of lumbar spondylolisthesis are difficult to compare because of the heterogeneity in the populations studied.<h4>Objective</h4>This study aims to define patterns of clinical presentation.<h4>Methods</h4>This is a study of the prospective Quality Outcomes Database spondylolisthesis registry, including patients who underwent single-segment surgery for grade 1 degenerative lumbar spondylolisthesis. Twenty-four-month patient-reported outcomes ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Formation, Growth, or Rupture of De Novo Intracranial Aneurysms: Long-Term Follow-up Study of Subarachnoid Hemorrhage Survivors.

Hyun Jin Han, Woosung Lee, Junhyung Kim, Keun Young Park, Sang Kyu Park, Joonho Chung, Yong Bae Kim,

<h4>Background</h4>The survival rate of aneurysmal subarachnoid hemorrhage (aSAH) has gradually increased, leading to more clinical cases of de novo intracranial aneurysms (DNIAs).<h4>Objective</h4>To identify the characteristics of patients with DNIA growth or rupture.<h4>Methods</h4>We included 1601 patients with aSAH treated by clipping from January 1993 to May 2010. According to the inclusion ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Overlap Before the Critical Step of Lumbar Fusion Does Not Lead to Increased Short-Term Morbidity.

Ali S Farooqi, Austin J Borja, Donald K E Detchou, Gregory Glauser, Kaitlyn Shultz, Scott D McClintock, Neil R Malhotra,

<h4>Background</h4>Few studies have assessed the impact of overlapping surgery during different timepoints of neurosurgical procedures.<h4>Objective</h4>To evaluate the impact of overlap before the critical portion of surgery on short-term patient outcomes following lumbar fusion.<h4>Methods</h4>In total, 3799 consecutive patients who underwent single-level, posterior-only lumbar fusion over 6 yr (2013-2019) at an academic ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Thrombus Histology as It Relates to Mechanical Thrombectomy: A Meta-Analysis and Systematic Review.

Ankur Bhambri, Arjun Rohit Adapa, Yang Liu, Tobias Boeckh-Behrens, Václav Procházka, Francisco Hernández-Fernández, Rosa Angélica Barbella-Aponte, Tetsuya Hashimoto, Luis E Savastano, Joseph J Gemmete, Neeraj Chaudhary, Albert J Shih, Aditya S Pandey,

<h4>Background</h4>Appropriate thrombus-device interaction is critical for recanalization. Histology can serve as a proxy for mechanical properties, and thus inform technique selection.<h4>Objective</h4>To investigate the value of histologic characterization, we conducted a systematic review and meta-analysis on the relationship between thrombus histology and recanalization, technique, etiology, procedural efficiency, and imaging findings.<h4>Methods</h4>In this ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Prophylactic Low-Molecular-Weight Heparin Versus Unfractionated Heparin in Spine Surgery (PLUSS): A Pilot Matched Cohort Study.

Mohamed Macki, Yazeed Haddad, Raviteja Suryadevara, Abed Latif Dabaja, Mokbel Chedid, Victor Chang, ,

<h4>Background</h4>Despite a proven superior efficacy of prophylactic low-molecular-weight heparin (LMWH) over unfractionated heparin (UFH) in the majority of surgical specialties, chemoprophylactic techniques after spine surgery have not been established because of the fear of epidural hematomas with LMWH.<h4>Objective</h4>To determine the efficacy of LMWH vs UFH in the prevention of venous ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Flow Diversion for Middle Cerebral Artery Aneurysms: An International Cohort Study.

Jose Danilo Bengzon Diestro, Nimer Adeeb, Mahmoud Dibas, William Boisseau, Pablo Harker, Waleed Brinjikji, Sishi Xiang, Evan Joyce, Maksim Shapiro, Eytan Raz, Carmen Parra-Farinas, Gwynedd Pickett, Naif M Alotaibi, Robert W Regenhardt, Joshua D Bernstock, Julian Spears, Christoph J Griessenauer, Jan-Karl Burkhardt, Muhammad U Hafeez, Peter Kan, Ramesh Grandhi, Philipp Taussky, Erez Nossek, Tao Hong, Hongqi Zhang, Lorenzo Rinaldo, Giuseppe Lanzino, Christopher J Stapleton, James D Rabinov, Aman B Patel, Thomas R Marotta, Daniel Roy, Adam A Dmytriw,

<h4>Background</h4>Open surgery has traditionally been preferred for the management of bifurcation middle cerebral artery (MCA) aneurysms. Flow diverting stents present a novel endovascular strategy for aneurysm treatment.<h4>Objective</h4>To add to the limited literature describing the outcomes and complications in the use of flow diverters for the treatment of these complex aneurysms.<h4>Methods</h4>This ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Commentary: An Examination of Standardized Letters of Recommendation Rating Scales Among Neurosurgical Residency Candidates During the 2020 to 2021 Application Cycle.

Jason Heth, Stacey Quintero Wolfe,

Neurosurgery (Neurosurgery)
[2021, :]

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An Examination of Standardized Letters of Recommendation Rating Scales Among Neurosurgical Residency Candidates During the 2020-2021 Application Cycle.

Michael J Feldman, Alexander V Ortiz, Steven G Roth, Robert J Dambrino, Aaron M Yengo-Kahn, Rohan V Chitale, Lola B Chambless,

<h4>Background</h4>Letters of recommendation (LORs) are historically an important, though subjective, component of the neurosurgery residency application process. Standardized LORs (SLORs) were introduced during the 2020 to 2021 application cycle. The intent of SLORs is to allow objective comparison of applicants and to reduce bias.<h4>Objective</h4>To examine the utility of SLORs during ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Commentary: An Examination of Standardized Letters of Recommendation Rating Scales Among Neurosurgical Residency Candidates During the 2020-2021 Application Cycle.

Nickalus Khan, Andrew J Gienapp, L Madison Michael Ii,

Neurosurgery (Neurosurgery)
[2021, :]

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Commentary: Longitudinal Cost-Profiles of Pipeline Embolization Device Versus Stent-Assisted Coiling in Propensity-Matched Unruptured Small Anterior Circulation Aneurysms.

Christoph Wipplinger, Tamara Wipplinger, Christoph J Griessenauer,

Neurosurgery (Neurosurgery)
[2021, :]

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Letter: A Proposal for Improving Neurotrauma Literature in Low- and Middle-Income Countries.

Chidinma M Wilson, Donald K E Detchou,

Neurosurgery (Neurosurgery)
[2021, :]

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Letter: Home-Turf Advantage? The Neurosurgery Residency Match During the COVID-19 Pandemic.

Cecile Riviere-Cazaux, Luis A Antezana, Katherine Z Xie, Jamie J Van Gompel,

Neurosurgery (Neurosurgery)
[2021, :]

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The Morbidity and Mortality of Surgery for Traumatic Brain Injury in Geriatric Patients: A Study of Over 100 000 Patient Cases.

Alexander F Haddad, Anthony M DiGiorgio, Young M Lee, Anthony T Lee, John F Burke, Michael C Huang, Sanjay S Dhall, Geoffrey T Manley, Phiroz E Tarapore,

<h4>Background</h4>Geriatric patients have the highest rates of Traumatic Brain Injury (TBI)-related hospitalization and death. This contributes to an assumption of futility in aggressive management in this population.<h4>Objective</h4>To evaluate the effect of surgical intervention on the morbidity and mortality of geriatric patients with TBI.<h4>Methods</h4>A retrospective analysis of patients ≥80 yr old ... Read more >>

Neurosurgery (Neurosurgery)
[2021, :]

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Corrigendum to: "A Novel Framework for Network-Targeted Neuropsychiatric Deep Brain Stimulation" by Anusha Allawala, BS, Kelly R Bijanki, PhD, Wayne Goodman, MD, Jeffrey F Cohn, PhD, Ashwin Viswanathan, MD, Daniel Yoshor, MD, David A Borton, PhD, Nader Pouratian, MD, PhD, Sameer A Sheth, MD, PhD. Neurosurgery, nyab112, https://doi.org/10.1093/neuros/nyab112.

Neurosurgery (Neurosurgery)
[2021, :]

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Corrigendum to: "Surgery for Degenerative Cervical Myelopathy: A Nationwide Registry-Based Observational Study With Patient-Reported Outcomes" by Sasha Gulati, MD, PhD, Vetle Vangen-Lønne, MS, Øystein P Nygaard, MD, PhD, Agnete M Gulati, MD, PhD, Tommy A Hammer, MD, Tonje O Johansen, MD, Wilco C Peul, MD, PhD, Øyvind O Salvesen, MSc, PhD, Tore K Solberg, MD, PhD. Neurosurgery, nyab259, https://doi.org/10.1093/neuros/nyab259.

Neurosurgery (Neurosurgery)
[2021, 89(5):943]

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Machine Assist for Pediatric Posterior Fossa Tumor Diagnosis: A Multinational Study.

Michael Zhang, Samuel W Wong, Jason N Wright, Sebastian Toescu, Maryam Mohammadzadeh, Michelle Han, Seth Lummus, Matthias W Wagner, Derek Yecies, Hollie Lai, Azam Eghbal, Alireza Radmanesh, Jordan Nemelka, Stephen Harward, Michael Malinzak, Suzanne Laughlin, Sebastien Perreault, Kristina R M Braun, Arastoo Vossough, Tina Poussaint, Robert Goetti, Birgit Ertl-Wagner, Chang Y Ho, Ozgur Oztekin, Vijay Ramaswamy, Kshitij Mankad, Nicholas A Vitanza, Samuel H Cheshier, Mourad Said, Kristian Aquilina, Eric Thompson, Alok Jaju, Gerald A Grant, Robert M Lober, Kristen W Yeom,

<h4>Background</h4>Clinicians and machine classifiers reliably diagnose pilocytic astrocytoma (PA) on magnetic resonance imaging (MRI) but less accurately distinguish medulloblastoma (MB) from ependymoma (EP). One strategy is to first rule out the most identifiable diagnosis.<h4>Objective</h4>To hypothesize a sequential machine-learning classifier could improve diagnostic performance by mimicking a clinician's strategy of excluding ... Read more >>

Neurosurgery (Neurosurgery)
[2021, 89(5):892-900]

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Venous Causes of Pulsatile Tinnitus: Clinical Presentation, Clinical and Radiographic Evaluation, Pathogenesis, and Endovascular Treatments: A Literature Review.

Muhammed Amir Essibayi, Soliman H Oushy, Giuseppe Lanzino, Waleed Brinjikji,

Tinnitus is an abnormal perception of a sound without external stimulation. Venous pulsatile tinnitus (VPT) is a specific form of tinnitus characterized by an objective and often subjective bruit that occurs as a result of localized venous abnormalities. Clinical evaluation relies on sound quality, duration, and precipitating factors. Idiopathic intracranial ... Read more >>

Neurosurgery (Neurosurgery)
[2021, 89(5):760-768]

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Midterm Outcomes After Low-Profile Visualization Endoluminal Support or Atlas Stent-Assisted Coiling of Intracranial Aneurysms: A Propensity Score Matching Analysis.

Eung Koo Yeon, Young Dae Cho, Dong Hyun Yoo, Jeong Eun Kim, Kang Min Kim, Sung Ho Lee, Won-Sang Cho, Hyun-Seung Kang,

<h4>Background</h4>The interplay of various commercially available stents during coil embolization of intracranial aneurysms and their ultimate impact are subject to debate.<h4>Objective</h4>To compare midterm outcomes of Low-Profile Visualization Endoluminal Support (LVIS) (MicroVention Inc) and Atlas (Stryker) stent-assisted coiling procedures.<h4>Methods</h4>A total of 459 intracranial aneurysms subjected to coil embolization using LVIS (n = 318) ... Read more >>

Neurosurgery (Neurosurgery)
[2021, 89(5):862-866]

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Highly Selective Partial Neurectomies for Spasticity: A Single-Center Experience.

Mark A Mahan, Ilyas Eli, Forrest Hamrick, Hussam Abou-Al-Shaar, Robert Shingleton, Kara Tucker Balun, Steven R Edgley,

<h4>Background</h4>Sedating antispastic medications and focal therapies like botulinum toxin are the most common therapies for spasticity but are temporary and must be performed continuously for a principally static neurological insult. Alternatively, highly selective partial neurectomies (HSPNs) may reduce focal spasticity more permanently.<h4>Objective</h4>To quantify the change in spasticity after HSPN and ... Read more >>

Neurosurgery (Neurosurgery)
[2021, 89(5):827-835]

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Commentary: Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 Statement: What Neurosurgeons Should Know.

Nathan A Shlobin, David Moher,

Neurosurgery (Neurosurgery)
[2021, 89(5):E267-E268]

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Commentary: "Zooming in" on Glioblastoma: Understanding Tumor Heterogeneity and Its Clinical Implications in the Era of Single-Cell Ribonucleic Acid Sequencing.

Alfredo Lucas, James H Eberwine, Stephen J Bagley, Yi Fan, MacLean P Nasrallah, Steven Brem,

Neurosurgery (Neurosurgery)
[2021, 89(5):E262-E263]

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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Perioperative Spine: Preoperative Surgical Risk Assessment.

James S Harrop, Basma Mohamed, Erica F Bisson, Sanjay Dhall, John Dimar, Praveen V Mummaneni, Marjorie C Wang, Daniel J Hoh,

<h4>Background</h4>Patient factors (increased body mass index [BMI], smoking, and diabetes) may impact outcomes after spine surgery. There is a lack of consensus regarding which factors should be screened for and potentially modified preoperatively to optimize outcome.<h4>Objective</h4>The purpose of this evidence-based clinical practice guideline is to determine if preoperative patient factors ... Read more >>

Neurosurgery (Neurosurgery)
[2021, 89(Supplement_1):S9-S18]

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