abstract：:Glioblastoma (GBM) is infiltrative neoplasm with limited treatment options and poor overall survival. Stereotactic radiosurgery (SRS) allows spatially precise and conformal delivery of high doses of radiation. Salvage SRS for locally recurrent GBM was shown to improve patient survival and have more favorable safety pr...

journal_title：Neurosurgery clinics of North America

authors： Bunevicius A,Sheehan JP

更新日期：2021-01-01 00:00:00

abstract：:Whenever possible, maximal safe resection is the first intervention for management of glioblastoma. Resection offers tissue for diagnosis, decompression of the brain, cytoreduction, and has been associated with prolonged survival in numerous retrospective studies. In this review, we provide a critical overview of the ...

journal_title：Neurosurgery clinics of North America

authors： Youngblood MW,Stupp R,Sonabend AM

更新日期：2021-01-01 00:00:00

abstract：:Laser interstitial thermal therapy is a minimally invasive surgical alternative to craniotomy that uses laser light through a fiber optic probe placed within a target lesion to create thermal tissue damage, resulting in cellular death. It is used in neuro-oncology to treat inaccessible lesions and obviate morbidity in...

journal_title：Neurosurgery clinics of North America

authors： Luther E,Mansour S,Echeverry N,McCarthy D,Eichberg DG,Shah A,Nada A,Berry K,Kader M,Ivan M,Komotar R

更新日期：2020-10-01 00:00:00

abstract：:Autopsy studies suggest that skull base metastases are likely underrecognized in patients with cancer. Patients frequently present with one or a combination of skull base clinical syndromes that manifest as pain or cranial neuropathy. Once a skull base metastasis is suspected, establishing a histologic diagnosis, dedi...

journal_title：Neurosurgery clinics of North America

authors： Mehta GU,Raza SM

更新日期：2020-10-01 00:00:00

abstract：:We provide a history and overview of the network approach to epilepsy surgery. Models of the epileptogenic zone (EZ) have evolved considerably over the years with more recent models accounting for the connectivity and network properties of epileptic foci. Next, we describe several examples of network phenotypes of foc...

journal_title：Neurosurgery clinics of North America

authors： Amorim-Leite R,Remick M,Welch W,Abel TJ

更新日期：2020-07-01 00:00:00

abstract：:The intracranial electroencephalogram (iEEG) is essential in decision making for epilepsy surgery. Although localization of epileptogenic brain regions by means of iEEG has been the gold standard for surgical decision-making for more than 70 years, established guidelines for what constitutes genuine iEEG epileptic act...

journal_title：Neurosurgery clinics of North America

authors： Kokkinos V

更新日期：2020-07-01 00:00:00

abstract：:The combination of separation surgery and stereotactic body radiotherapy optimizes the treatment of metastatic spine tumors. The integration of SBRT into treatment paradigms produces superb local control rates and consequently has diminished the role of surgery from principle treatment to one of adjuvant therapy. Unde...

journal_title：Neurosurgery clinics of North America

authors： Rothrock R,Pennington Z,Ehresman J,Bilsky MH,Barzilai O,Szerlip NJ,Sciubba DM

更新日期：2020-04-01 00:00:00

abstract：:In contrast to other surgical fields, robotics is relatively new to spinal surgery. The initial focus for spinal robotics has been on accurate pedicle screw placement, which early studies have shown to be successful. Beyond pedicle screw placement, however, newer generation spinal robots have the capability of navigat...

journal_title：Neurosurgery clinics of North America

authors： Elswick CM,Strong MJ,Joseph JR,Saadeh Y,Oppenlander M,Park P

更新日期：2020-01-01 00:00:00

abstract：:Patients with symptomatic instability of the spine may be treated surgically with interbody fusion. Cost and complexity in this procedure arises owing to the implanted materials involved with facilitating fusion such as titanium or polyetheretherketone. Surface modifications have been developed to augment these base m...

journal_title：Neurosurgery clinics of North America

authors： Enders JJ,Coughlin D,Mroz TE,Vira S

更新日期：2020-01-01 00:00:00

abstract：:Giant adenomas represent a significant surgical challenge. Although traditionally several transcranial and transsphenoidal microscopic approaches have had a central role in their management, in the last 2 decades here have been increasing reports of the endoscopic endonasal approach for giant adenomas, citing its impr...

journal_title：Neurosurgery clinics of North America

authors： Marigil Sanchez M,Karekezi C,Almeida JP,Kalyvas A,Castro V,Velasquez C,Gentili F

更新日期：2019-10-01 00:00:00

abstract：:Degenerative lumbar spondylolisthesis is one of the most common causes of low back pain and is defined as displacement of one vertebra over subjacent vertebra, associated with degenerative changes, without an associated disruption or defect in the vertebral ring. Undersetanding natural history of degenerative spondylo...

journal_title：Neurosurgery clinics of North America

authors： Bydon M,Alvi MA,Goyal A

更新日期：2019-07-01 00:00:00

abstract：:Intrathecal drug delivery has been well established an effective and safe method for the treatment of pain, including palliative cancer-related and chronic nonmalignant pain. In this article, we discuss the role of intrathecal pain therapy in the management of chronic, refractory nonmalignant pain. Common indications,...

journal_title：Neurosurgery clinics of North America

authors： Sukul VV

更新日期：2019-04-01 00:00:00

abstract：:For the neurosurgical oncologist, a specialty practice in gliomas represents an intersection of tailored surgical approaches, emerging intraoperative technologies, expanding surgical trial portfolios, and new paradigms in glioma biology. Assembling these disparate pieces into a cohesive career trajectory is a difficul...

journal_title：Neurosurgery clinics of North America

authors： Sanai N

更新日期：2019-01-01 00:00:00

abstract：:Hemostasis is a cell-based process that is regulated in a tissue-specific manner by the differential expression of procoagulant and anticoagulant factors on endothelial cells from different sites throughout the vasculature. The central nervous system, in particular, exhibits unique mechanisms of hemostatic regulation ...

journal_title：Neurosurgery clinics of North America

authors： Fager AM,Hoffman M

更新日期：2018-10-01 00:00:00

abstract：:Management of anticoagulation and antiplatelet medications after neurosurgery can be complex, especially given that these patients have multiple medical comorbidities. In turn, neurosurgical patients are at high risk for the development of venous thromboembolism after surgery, so neurosurgeons must consider the use of...

journal_title：Neurosurgery clinics of North America

authors： Passer JZ,Loftus CM

更新日期：2018-10-01 00:00:00

abstract：:The pelvic incidence defines the amount of lordosis required in the lumbar spine, and a lumbar lordosis within 11° of the pelvic incidence defines alignment of the lumbo-pelvic region. Pelvic tilt is a compensatory mechanism that allows patients to achieve sagittal balance in the setting of decreased lumbar lordosis w...

journal_title：Neurosurgery clinics of North America

authors： Celestre PC,Dimar JR 2nd,Glassman SD

更新日期：2018-07-01 00:00:00

abstract：:Lateral anterior column release (ACR) is a powerful extension of the minimally invasive lateral lumbar interbody fusion procedure that incorporates division of the anterior longitudinal ligament to allow manipulation of the anterior and middle spinal columns. The resulting surgical control permits restoration of signi...

journal_title：Neurosurgery clinics of North America

authors： Xu DS,Paluzzi J,Kanter AS,Uribe JS

更新日期：2018-07-01 00:00:00

abstract：:Shared decision making is a collaborative decision-making process between health care providers and patients or their surrogates, taking into account the best scientific evidence available while considering the patient's values, goals, and preferences. Decision aids are tools enabling SDM. This article discusses share...

journal_title：Neurosurgery clinics of North America

authors： Khan MW,Muehlschlegel S

更新日期：2018-04-01 00:00:00

abstract：:Degenerative cervical myelopathy (DCM) is the leading cause of spinal cord impairment worldwide. Surgical intervention has been demonstrated to be effective and is becoming standard of care. Spine surgery, however, is costly and value needs to be demonstrated. This review serves to summarize the key health economic co...

journal_title：Neurosurgery clinics of North America

authors： Witiw CD,Smieliauskas F,Fehlings MG

更新日期：2018-01-01 00:00:00

abstract：:Stand-alone cervical laminectomy for degenerative cervical myelopathy (DCM) has become increasingly rare due to risk of postlaminectomy kyphosis. This article discusses the biomechanics of cervical degeneration and how laminectomy effects spine stability, and summarizes relevant clinical studies to help guide surgical...

journal_title：Neurosurgery clinics of North America

authors： Abduljabbar FH,Teles AR,Bokhari R,Weber M,Santaguida C

更新日期：2018-01-01 00:00:00

abstract：:Spinal laser interstitial thermal therapy (LITT) appears to be a promising novel modality for treatment of epidural metastatic spine disease in patients who are poor candidates for larger-scale oncologic spinal surgery and can act synergetically with spinal stereotactic radiosurgery to maximize local control and palli...

journal_title：Neurosurgery clinics of North America

authors： Thomas JG,Al-Holou WN,de Almeida Bastos DC,Ghia AJ,Li J,Bishop AJ,Amini B,Rhines LD,Tatsui CE

更新日期：2017-10-01 00:00:00

abstract：:Offering real-time, high-resolution images via intraoperative ultrasound is advantageous for a variety of peripheral nerve applications. To highlight the advantages of ultrasound, its extraoperative uses are reviewed. The current intraoperative uses, including nerve localization, real-time evaluation of peripheral ner...

journal_title：Neurosurgery clinics of North America

authors： Willsey M,Wilson TJ,Henning PT,Yang LJ

更新日期：2017-10-01 00:00:00

abstract：:Malignant large artery stroke is associated with high mortality of 70% to 80% with best medical management. Decompressive craniectomy (DC) is a highly effective tool in reducing mortality. Convincing evidence has accumulated from several randomized trials, in addition to multiple retrospective studies, that demonstrat...

journal_title：Neurosurgery clinics of North America

authors： Gupta A,Sattur MG,Aoun RJN,Krishna C,Bolton PB,Chong BW,Demaerschalk BM,Lyons MK,McClendon J Jr,Patel N,Sen A,Swanson K,Zimmerman RS,Bendok BR

更新日期：2017-07-01 00:00:00

abstract：:Cranioplasty following craniectomy for trauma is a common, safe neurosurgical procedure that restores the natural cosmesis and protective barrier of the skull and may be instrumental in normalizing cerebrospinal fluid dynamics after decompressive surgery. Understanding the factors influencing patient selection and tim...

journal_title：Neurosurgery clinics of North America

authors： Piazza M,Grady MS

更新日期：2017-04-01 00:00:00

abstract：:Although timing for surgical intervention after spinal cord injury remains controversial, there is accumulating evidence suggesting that early surgery may improve neurologic outcomes, particularly with incomplete spinal cord injury, and may reduce non-neurologic complications and health care resource utilization. More...

journal_title：Neurosurgery clinics of North America

authors： Piazza M,Schuster J

更新日期：2017-01-01 00:00:00

abstract：:This article reviews the role of modalities that directly monitor brain parenchyma in patients with severe traumatic brain injury. The physiology monitored involves compartmental and perfusion pressures, tissue oxygenation and metabolism, quantitative blood flow, pressure autoregulation, and electrophysiology. There a...

journal_title：Neurosurgery clinics of North America

authors： Lazaridis C,Robertson CS

更新日期：2016-10-01 00:00:00

abstract：:Cancer-associated facial pain can be caused by a variety of pathologic conditions. Here the authors describe the symptoms and incidence of facial pain secondary to three separate anatomic subcategories of cancer. The authors subsequently discuss the effectiveness and drawbacks of the most common methods of treatment. ...

journal_title：Neurosurgery clinics of North America

authors： Reddy GD,Wagner K,Phan J,DeMonte F,Raza SM

更新日期：2016-07-01 00:00:00

abstract：:Endovascular embolization is a frequently used adjunct to operative resection of meningiomas. Embolization may decrease intraoperative blood loss, operative time, and surgical difficulty associated with resection. The specific clinical applications of this treatment have not been defined clearly. Procedural indication...

journal_title：Neurosurgery clinics of North America

authors： James RF,Kramer DR,Page PS,Gaughen JR Jr,Martin LB,Mack WJ

更新日期：2016-04-01 00:00:00

abstract：:Medial temporal lobe epilepsy associated with mesial temporal sclerosis (MTS) is perhaps the most well-defined epilepsy syndrome that is responsive to structural interventions such as surgery. Several minimally invasive techniques have arisen that provide additional options for the treatment of MTS while potentially a...

journal_title：Neurosurgery clinics of North America

authors： Gianaris T,Witt T,Barbaro NM

更新日期：2016-01-01 00:00:00

abstract：:This article describes the presentation of tussive headaches in the adult population. Posterior headaches can also occur in patients with basilar invagination, and they may require occipital cervical fusion. Lower cranial nerve dysfunction is another common presenting symptom in adult Chiari patients. Almost 25% of sy...

journal_title：Neurosurgery clinics of North America

authors： Batzdorf U

更新日期：2015-10-01 00:00:00

abstract：:Clival, petroclival, and foramen magnum meningiomas are challenging lesions to manage independently of the selected surgical approach. The expanded endoscopic endonasal approach (EEA) provided a safe alternative on the armamentarium of skull base approaches. There is a paucity of literature regarding endoscopic manage...

journal_title：Neurosurgery clinics of North America

authors： Beer-Furlan A,Vellutini EA,Balsalobre L,Stamm AC

更新日期：2015-07-01 00:00:00

abstract：:Medical errors are common and dangerous, estimated to cause over 400,000 deaths per year in the United States alone. The field of neurosurgery is not immune to these errors, and many studies have begun analyzing the frequency and types of errors that neurosurgical patients experience, along with their effects and caus...

journal_title：Neurosurgery clinics of North America

authors： Rolston JD,Bernstein M

更新日期：2015-04-01 00:00:00

abstract：:Widespread adoption of electronic medical records (EMRs) in the United States is transforming the practice of medicine from a paper-based cottage industry into an integrated health care delivery system. Most physicians and institutions view the widespread use of EMRs to be inevitable. But the transformation has not be...

journal_title：Neurosurgery clinics of North America

authors： Carter JT

更新日期：2015-04-01 00:00:00

abstract：:Central neurocytoma (CN) is a well-differentiated tumor of neural cells occurring within the ventricles. It is composed of monomorphic cells with round, regular nuclei within clear cytoplasm and must be distinguished from other clear cell tumors. Immunohistochemical markers of CN that aid in diagnosis include synaptop...

journal_title：Neurosurgery clinics of North America

authors： Bonney PA,Boettcher LB,Krysiak RS 3rd,Fung KM,Sughrue ME

更新日期：2015-01-01 00:00:00

abstract：:This article presents an overview of spinal neurocytomas. A rare manifestation of an uncommon tumor, extraventricular neurocytomas (EVNs) should be included in the differential for spinal intradural and intramedullary tumors. Spinal EVNs are generally benign with an indolent pathologic course but may display a variety...

journal_title：Neurosurgery clinics of North America

authors： Kim JE,Lim M

更新日期：2015-01-01 00:00:00

abstract：:Intrathecal drug delivery represents an advanced modality for refractory chronic pain patients as well as intractable spasticity. This article reviews the advantages and indications for intrathecal therapy, as well as recommendations for proper patient selection using a multidisciplinary team to provide a global asses...

journal_title：Neurosurgery clinics of North America

authors： Bolash R,Mekhail N

更新日期：2014-10-01 00:00:00

abstract：:The field of pain management has experienced tremendous growth in implantable therapies secondary to the innovations of bioengineers, implanters, and industry. Every aspect of neuromodulation is amenable to innovation from implanting devices to anchors, electrodes, programming, and even patient programmers. Patients w...

journal_title：Neurosurgery clinics of North America

authors： Shaw A,Sharma M,Deogaonkar M,Rezai A

更新日期：2014-10-01 00:00:00

abstract：:This article reviews complications associated with the endovascular management of intracranial aneurysms, focusing on risk factors, avoidance, recognition, and management. Such complications can be devastating. Both neurologic and nonneurologic complications can occur. Several patient and procedure related parameters ...

journal_title：Neurosurgery clinics of North America

authors： Zammar SG,Hamade YJ,El Ahmadieh TY,El Tecle NE,Bendok BR

更新日期：2014-07-01 00:00:00

abstract：:Endovascular management has become the treatment of choice for carotid-cavernous fistulas regardless of the fistula type. The endovascular method offers numerous options that render it capable of treating each fistula type by choosing an adequate technique. This advantage along with the advancement in the field has le...

journal_title：Neurosurgery clinics of North America

authors： Zanaty M,Chalouhi N,Tjoumakaris SI,Hasan D,Rosenwasser RH,Jabbour P

更新日期：2014-07-01 00:00:00

abstract：:Intramedullary spinal cord tumors constitute 8% to 10% of all primary spinal cord tumors. The clinical presentation of primary spinal cord tumors is determined in part by the location of the tumor, and in nearly all clinical instances pain is the predominant presenting symptom. Motor disturbance is the next most commo...

journal_title：Neurosurgery clinics of North America

authors： Tredway TL

更新日期：2014-04-01 00:00:00