in Journal of Neurosurgery: Pediatrics
In Brief
In a cohort of patients with adamantinomatous craniopharyngioma treated with surgery and radiation therapy (RT), the authors explored the association of gross tumor volume at the initiation of RT with disease progression after RT. In most patients, no association was observed, suggesting that aggressive tumor debulking prior to planned RT may be unnecessary. However, in the case of giant tumors, novel strategies may be necessary.
in Journal of Neurosurgery: Spine
In Brief
This study examined changes in utilization and Medicare trends for low-back pain (LBP) interventions, emphasizing nonsurgeon interventionalists. Spinal fusion utilization for nonsurgeon interventionalists increased 26% annually, with Medicare reimbursement rising 62% annually. Sacroiliac joint fusions exhibited a 415% annual utilization increase and a 435% annual rise in payments for this group. In contrast, neurosurgeon and orthopedic surgeon growth remained stable, below 5% annually. Nonsurgeon interventionalists disproportionately drive the substantial growth in Medicare payments for procedural LBP interventions.
in Journal of Neurosurgery: Spine
In Brief
The objective of this paper was to evaluate the outcomes of high-energy particle therapy as an adjuvant treatment for osteogenic sarcoma of the spine. The key finding was that in cases of osteosarcoma of the spine considered nonresectable with free margins, high-energy particle therapy improved survival rates. This study provides a valuable alternative treatment strategy for spinal osteogenic sarcoma, potentially leading to better patient outcomes.
in Journal of Neurosurgery: Pediatrics
In Brief
Data on unruptured brain aneurysms in pediatric sickle cell disease (PSCD) patients are limited. The study demonstrates that the incidence of unruptured brain aneurysm in PSCD patients is higher (10.81%) than previously reported. These aneurysms tended to occur in multiples (34.37% of patients) and be small in size (87.75% of aneurysms were < 3 mm), and most were stable on follow-up (median follow-up 61 months). Thus, regular imaging follow-up is warranted for the screening of brain aneurysm development and the detection of interval progression.
in Journal of Neurosurgery
In Brief
This is the first study to systematically evaluate length of stay (LOS) in the endoscopic skull base surgery population, especially when an intraoperative CSF leak was repaired. The study reported variability in LOS based on CSF leak flow rate and lesion site, and identified several drivers (extent of surgery, postoperative complications) for prolonged LOS. Setting benchmarks for LOS may help inform quality improvement and improve healthcare efficiency, especially with growing scrutiny in this area.
in Journal of Neurosurgery
In Brief
The Sang-Ku sign (SKS) could aid in identifying the offending vessel on the root exit zone (REZ), even in the absence of lateral spread response (LSR). The SKS could be an excellent navigator for facial nerve REZ. Along with LSR, SKS might be the key EMG finding we need for successful decompression in HFS.
Article Spotlight
Resection of corticotroph microadenomas invading the medial wall of the cavernous sinus in two cases of a primary and recurrent case of Cushing’s disease
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JNSPG Journal Club
July 2024 - Epilepsy surgery
Featuring presentations on selected articles published in this issue by Dr. Takeo Goto, Dr. Uğur Türe, and Dr. Jason Chen. Moderated by Dr. Howard Weiner with Drs. William Couldwell (Editor-in-Chief) and Aaron Cohen-Gadol (Deputy Editor).
Visit the JNSPG Journal Club page >
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