Challenges to neurosurgical professionalism.

Abstract:

:At present, neurosurgical practice is confronted by an explosion of technology. Rapid advances in neurosurgical knowledge and technology are putting increased pressure on neurosurgeons to process huge quantities of information, with requirements for continuous learning and updating scientific knowledge and skills which are time consuming but essential. Changes to the venerated status quo of neurosurgical practice have created an environment that may have a negative impact upon neurosurgical professional behavior. As a result, neurosurgeons may find it increasingly difficult to meet their moral and ethical responsibilities to patients, trainees and colleagues, and society. In these circumstances, reaffirming the fundamental and universal principles and values of neurosurgical professionalism, which remain the ideals to be pursued by all neurosurgeons, becomes all the more important.

journal_name

Clin Neurol Neurosurg

authors

Kanat A,Epstein CR

doi

10.1016/j.clineuro.2010.07.012

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

839-43

issue

10

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(10)00226-X

journal_volume

112

pub_type

杂志文章,评审
  • Spatial contrast sensitivity in clinical neurology.

    abstract::We studied contrast sensitivity function in normal subjects and in three illustrative cases with various neurological disorders. This was done by measuring contrast sensitivity over a range of spatial frequencies for vertical sinewave grating stimuli. It is demonstrated that contrast sensitivity function can give info...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(88)80006-4

    authors: Bulens C,Meerwaldt JD,van der Wildt GJ,Keemink CJ

    更新日期:1988-01-01 00:00:00

  • The correlation of helios and neuropilin-1 frequencies with parkinson disease severity.

    abstract:OBJECTIVES:Parkinson disease (PD), a neurodegenerative disease, has also some immunologic basis in which several regulatory factors, like Helios and Neuropilin-1 (NRP-1) may show some roles in its pathogenesis. We aimed to evaluate the circulatory frequency of T regulatory cells (Tregs) expressing Helios and NRP-1 in P...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105833

    authors: Daneshvar Kakhaki R,Kouchaki E,Dadgostar E,Behnam M,Tamtaji OR,Nikoueinejad H,Akbari H

    更新日期:2020-05-01 00:00:00

  • Does kyphotic configuration on upright lateral radiograph correlate with instability in patients with degenerative lumbar spondylolisthesis?

    abstract:OBJECTIVE:To investigate the segmental instability of degenerative lumbar spondylolisthesis (DLS) with a kyphotic configuration at the involved segment, and to determine the most useful diagnostic modalities in the evaluation of instability. PATIENTS AND METHODS:This study reviewed a consecutive series of patients wit...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2018.07.020

    authors: Chen X,Zhou QS,Xu L,Chen ZH,Zhu ZZ,Li S,Qiu Y,Sun X

    更新日期:2018-10-01 00:00:00

  • Precision surgery of rolandic glioma and insights from extended functional mapping.

    abstract:OBJECTIVES:Electrical cortical stimulation mapping (ECSM) is the current gold standard functional mapping technique; however, it is burdened by several limitations. Our objective in this study is to show that extended functional mapping modalities can (1) allow neurosurgeons to map and preserve eloquent regions that ar...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2017.10.008

    authors: Flouty O,Reddy C,Holland M,Kovach C,Kawasaki H,Oya H,Greenlee J,Hitchon P,Howard M

    更新日期:2017-12-01 00:00:00

  • Diabetes mellitus is associated with a lower risk of amyotrophic lateral sclerosis: A systematic review and meta-analysis.

    abstract:BACKGROUND/AIMS:Previous studies have suggested that diabetes mellitus (DM) could be a protective factor against amyotrophic lateral sclerosis (ALS) although the results are inconsistent. This study aimed to comprehensively investigate this relationship by identifying all available studies and summarizing their results...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106248

    authors: Wannarong T,Ungprasert P

    更新日期:2020-12-01 00:00:00

  • Results and risk factors for recurrence following endoscopic endonasal transsphenoidal surgery for pituitary adenoma.

    abstract:BACKGROUND:Endoscopic endonasal (EE) transsphenoidal surgery is an important surgical approach to the treatment of sellar pathology, particularly for pituitary adenomas. Risk factors for the radiographic recurrence of pituitary adenomas resected using a purely endoscopic approach have not been established. This study i...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.01.020

    authors: Bodhinayake I,Ottenhausen M,Mooney MA,Kesavabhotla K,Christos P,Schwarz JT,Boockvar JA

    更新日期:2014-04-01 00:00:00

  • Influence of smoking status at time of surgery for herniated lumbar disk on postoperative pain and health-related quality of life.

    abstract:BACKGROUND:It is well established that smoking has a myriad of negative effects on varies aspects of bodily health. The aim of this study was to examine the effects of the smoking status at time of surgery on the postoperative subjective pain course and health related quality of life (HRQoL) until 1 year after surgery ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.04.015

    authors: Stienen MN,Smoll NR,Hildebrandt G,Schaller K,Gautschi OP

    更新日期:2014-07-01 00:00:00

  • Muscle hypertrophy with complex repetitive discharges in C-6 radiculopathy.

    abstract:OBJECTIVE:To report on a case of post-denervation muscle hypertrophy in an unusual distribution. CASE REPORT:A 52-year-old patient with severe flaccid paraparesis after polio developed unilateral C-6 radiculopathy that resolved with conservative treatment. Within 2 years marked hypertrophy, stiffness and pain in the m...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2004.09.019

    authors: Rousseff RT,Tzvetanov P

    更新日期:2005-08-01 00:00:00

  • Neostigmine-induced fasciculations--a useful diagnostic test?

    abstract::Previous studies have concluded that provocation of fasciculations by neostigmine indicates a lesion of lower motor neurones. We performed 20 control experiments in 18 healthy volunteers. Ten subjects received an intramuscular injection of 1.0 mg neostigmine per 60 kg body weight. All showed fasciculations, most profu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(83)90073-2

    authors: Heijnsbroek GJ,van Gijn J

    更新日期:1983-01-01 00:00:00

  • Development of intimal thickening in superficial temporal arteries in patients with moyamoya disease.

    abstract::To investigate the possible mechanism of neointimal formation in Moyamoya disease, we histologically examined the superficial temporal arteries and also investigated cultured smooth muscle cells (SMCs) from the arteries. Intimal thickening of the scalp arteries developed significantly at an early age in Moyamoya patie...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(97)00046-2

    authors: Aoyagi M,Fukai N,Yamamoto M,Matsushima Y,Yamamoto K

    更新日期:1997-10-01 00:00:00

  • Basal ganglionic angioleiomyoma.

    abstract::A rare case of basal ganglionic angioleiomyoma in a 12-year-old girl is reported. She presented with features of raised intracranial tension, multifocal seizures, left hemidystonia and apraxia of eyelid closure. Cranial CT scan showed a large hypodense lesion with an enhancing mural nodule in the region of head of the...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(96)00021-2

    authors: Ravikumar C,Veerendrakumar M,Hegde T,Nagaraja D,Jayakumar PN,Shankar SK

    更新日期:1996-08-01 00:00:00

  • Supine catch sign--a simple clinical test to differentiate between true and false (pseudo) radial nerve palsy.

    abstract::Patients at times present with neurological symptoms and signs for which at times extensive investigation fails to identify any structural or organic pathology within the nervous system. These pseudo neurological syndromes can mimic almost any organic disease of the central and peripheral nervous system. Some such as ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2010.01.005

    authors: Sethi NK,Sethi PK,Torgovnick J

    更新日期:2010-06-01 00:00:00

  • Gamma knife surgery efficacy in controlling postoperative residual clival chordoma growth.

    abstract:OBJECTIVE:This study primarily aims to evaluate the efficacy of gamma knife surgery in controlling growth progression rate of residual clival chordoma through retrospective outcome analysis of 12 consecutive patients. PATIENTS AND METHODS:Data for 12 consecutive patients underwent GKS for post-operative residual histo...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.01.017

    authors: Hafez RFA,Fahmy OM,Hassan HT

    更新日期:2019-03-01 00:00:00

  • A missed diagnosis: acute encephalopathy with biphasic seizures and late reduced diffusion.

    abstract::Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) is a very rare encephalopathy subtype which is characterized by biphasic seizures and disturbance of consciousness in the acute stage followed in the subacute stage by restricted diffusion in the subcortical white matter and finally resultin...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 信件

    doi:10.1016/j.clineuro.2014.08.038

    authors: Bekci T,Aslan K,Bilgici MC,Onaral CS,Yosma E

    更新日期:2014-12-01 00:00:00

  • Bilateral phrenic neuropathies in a diabetic patient responsive to intravenous immunoglobulin: a case report.

    abstract:INTRODUCTION:Bilateral phrenic neuropathy is an uncommon complication of diabetes mellitus. CASE PRESENTATION:We present a patient with diabetes mellitus who developed dyspnea from diaphragmatic paresis secondary to bilateral phrenic neuropathies on the background of subclinical generalized polyneuropathy documented b...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.08.012

    authors: Rison RA,Beydoun SR

    更新日期:2011-11-01 00:00:00

  • Indication-based analysis of patient outcomes following deep brain stimulation surgery.

    abstract:BACKGROUND:While considered a safe operation, deep brain stimulation (DBS) has been associated with various morbidities. We assessed differences in postsurgical complication rates in patients undergoing the most common types of neurostimulation surgery. METHODS:The National Readmission Database (NRD) was queried to id...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106372

    authors: Tafreshi AR,Shahrestani S,Lien BV,Ransom S,Brown NJ,Ransom RC,Ballatori AM,Ton A,Chen XT,Sahyouni R,Lee B

    更新日期:2021-01-01 00:00:00

  • New cerebral microbleeds in ischemic stroke patients on warfarin treatment: two-year follow-up.

    abstract:OBJECTIVE:Cerebral microbleeds (CMBs) are known to be indicative of bleeding-prone microangiopathy. Little is known about the significance of CMBs in anticoagulated patients. We determined the frequency of new CMBs in ischemic stroke patients who had been receiving warfarin treatment for 2 years. METHODS:A total of 20...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.03.004

    authors: Orken DN,Uysal E,Timer E,Kuloglu-Pazarcı N,Mumcu S,Forta H

    更新日期:2013-09-01 00:00:00

  • Ulcerative colitis and interstitial myositis.

    abstract::Amongst the protean extra-intestinal manifestations of inflammatory bowel disease, scant mention is made of muscle involvement. This report outlines the clinical features, electrodiagnostic and muscle biopsy findings in a patient with ulcerative colitis who developed progressive proximal muscle weakness. The demonstra...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(87)80026-4

    authors: Bhigjee AI,Bill PL,Cosnett JE

    更新日期:1987-01-01 00:00:00

  • Intervention for A randomized trial of unruptured brain arteriovenous malformations (ARUBA) - Eligible patients: An evidence-based review.

    abstract::While intervention for ruptured arteriovenous malformations (AVMs) of the brain is typically warranted, the management of unruptured AVMs remains controversial. Despite numerous retrospective studies, only one randomized controlled trial has been conducted, comparing the role of medical management alone to medical man...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2016.09.007

    authors: Hong CS,Peterson EC,Ding D,Sur S,Hasan D,Dumont AS,Chalouhi N,Jabbour P,Starke RM

    更新日期:2016-11-01 00:00:00

  • Olfactory dysfunction in behavioral variant frontotemporal dementia.

    abstract:OBJECTIVE:Several neurodegenerative disorders show olfactory dysfunction. In patients with frontotemporal dementia (FTD), olfactory impairment is probably due to the involvement of the temporal and orbitofrontal lobes. We hypothesized that due to the disrupted areas in FTD, there would be an impairment in smell identif...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.01.003

    authors: Orasji SS,Mulder JL,de Bruijn SF,Wirtz PW

    更新日期:2016-02-01 00:00:00

  • The numb chin.

    abstract::An apparently innocuous complaint such as a numb chin may be associated with malignant disease, either as heralding symptom or as a manifestation of metastasis. A series of 15 patients with numbness of the chin is presented in which a malignancy was diagnosed prior to the numbness. The numbness diminished or disappear...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0303-8467(05)80001-0

    authors: Bruyn RP,Boogerd W

    更新日期:1991-01-01 00:00:00

  • Neurological involvement in patients with falciparum malaria; frequency and prognostic value.

    abstract:OBJECTIVE:The objective of this study was to evaluate the prognostic significance of neurological manifestations in falciparum malaria. METHODS:We analyzed adult patients with malaria admitted from 2001 to 2003, diagnosed by asexual forms of Plasmodium falciparum in peripheral blood films and identified cases of malar...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2010.09.010

    authors: Wasay M,Taqi A,Aziz H,Azam I,Beg MA

    更新日期:2011-02-01 00:00:00

  • Contrast enhanced ultrasound (CEUS) applications in neurosurgical and neurological settings - New scenarios for brain and spinal cord ultrasonography. A systematic review.

    abstract::Contrast-enhanced ultrasound (CEUS) is a real-time, feasible technique. Both intraoperatively and bedside, it satisfies the need for serial assessment and easy performability. Initially employed in neuro-oncology, it has recently overcome this first application. We aimed to evaluate the literature and give a comprehen...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2020.106105

    authors: Della Pepa GM,Menna G,Ius T,Di Bonaventura R,Altieri R,Marchese E,Olivi A,Sabatino G,La Rocca G

    更新日期:2020-11-01 00:00:00

  • Abducens palsy after lumbar puncture.

    abstract:OBJECTIVE:We report the case of a 43-year-old patient with neuralgic shoulder amyotrophy who developed abducens palsy on the left 4 days after diagnostic lumbar puncture (LP), which recovered completely within 4 months. RESULTS:Side effects after spinal tap are due to prolonged spinal fluid leakage and delayed closure...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(01)00170-6

    authors: Niedermüller U,Trinka E,Bauer G

    更新日期:2002-01-01 00:00:00

  • Pregnancy and multiple sclerosis: the influence on long term disability.

    abstract::We studied 200 female patients with multiple sclerosis (MS) to investigate whether pregnancy after the onset of disease influences long term disability. As an index of progression, we used the time between disease onset and wheelchair dependence. Patients who had at least one pregnancy after onset were wheelchair depe...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(94)90027-2

    authors: Verdru P,Theys P,D'Hooghe MB,Carton H

    更新日期:1994-02-01 00:00:00

  • Multiple significant trauma with craniotomy: What impacts mortality?

    abstract:OBJECTIVE:The management of patients suffering traumatic brain injury (TBI) in the context of multiple significant trauma represents one of the most challenging scenarios in trauma critical care. The identification of risk factors, utilizing large national databases, may help in developing medical strategies and health...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105448

    authors: Dharia A,Lacci JV,Gupte N,Seifi A

    更新日期:2019-11-01 00:00:00

  • Serum uric acid levels in patients with Parkinson's disease: their relationship to treatment and disease duration.

    abstract:UNLABELLED:There is evidence to support that oxidative stress is increased in Parkinson's disease (PD) and contributes to degeneration of dopaminergic neurons. Uric acid (UA), a natural antioxidant in blood and brain tissue, scavenging superoxide, peroxynitrite and hydroxyl radical, was found reduced in the serum of PD...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.06.012

    authors: Andreadou E,Nikolaou C,Gournaras F,Rentzos M,Boufidou F,Tsoutsou A,Zournas C,Zissimopoulos V,Vassilopoulos D

    更新日期:2009-11-01 00:00:00

  • Endovascular therapy for vasospasm secondary to subarachnoid hemorrhage: A meta-analysis and systematic review.

    abstract::Endovascular therapy has been used as an alternative treatment for vasospasm following subarachnoid hemorrhage. The effectiveness and safety of endovascular therapy are still controversial. We performed a systematic review and meta-analysis to identify any advantage of endovascular therapy over traditional medical tre...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.clineuro.2017.09.016

    authors: Yao Z,Hu X,You C

    更新日期:2017-12-01 00:00:00

  • Combined approaches to the skull base for intracranial extension of tumors via perineural spread can improve patient outcomes.

    abstract::Many neoplasms of the head and neck extend centripetally, gaining access to the central nervous system via nerves through the skull base foramina. Often patients with perineural spread have been excluded from aggressive interventions given the overall poor prognosis and technical difficulty when addressing the perineu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.08.029

    authors: Palejwala SK,Barry JY,Rodriguez CN,Parikh CA,Goldstein SA,Lemole GM Jr

    更新日期:2016-11-01 00:00:00

  • Pornography headache.

    abstract::The headache associated with intercourse or masturbatory activity is a well-recognized clinical entity but pornography headache is barely mentioned. We report a young man who suffered preorgasmic headache pertaining only to pornography of specific erotic contents but not to other sexual or nonsexual act. An antecedent...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2017.10.026

    authors: Chen WH,Chen KY,Yin HL

    更新日期:2018-01-01 00:00:00