The authors sought to determine if being obese or having psychiatric disease (anxiety or depression) affects how patients perceive clinical benefit after surgical intervention for grade 1 degenerative spondylolisthesis. Using data from a large, prospective multicenter spine surgery registry, the authors calculated minimum clinically important differences with both anchor-based and distribution-based methods. There were no variations in perceptions of improvement after surgery between patients with and those without obesity and/or psychiatric disease, findings that allow for improved preoperative patient counseling, risk stratification, and expectations management.
The authors report on the first prospective case series of children (n = 14) with different brain lesions involving motor- or language-eloquent locations who were scheduled for transcranial magnetic stimulation (TMS) motor and/or language mapping and consecutive diffusion tensor imaging fiber tracking of motor- and language-related white matter tracts. They analyzed the feasibility of TMS and its influence on counseling and surgical strategy. In 6 patients the surgical strategy was adapted according to navigated TMS data, and in 6 patients the extent of resection was redefined.
The authors investigated the role of biologically effective dose (BED) on obliteration and complication appearance in a series of patients with unruptured arteriovenous malformations (AVMs) treated by upfront radiosurgery. They found that the strongest predictor of obliteration was BED and proposed a radiosurgical obliteration score. Beam-on time was illustrated as significant for both obliteration and complication appearance. This is the first time that BED has been used and confirmed as the strongest predictor for obliteration after radiosurgery for AVMs.
The authors studied anxiety, depression, fatigue, and headache burden in the pediatric hydrocephalus population. This study is important because knowing the prevalence of these factors in this population provides an opportunity to potentially increase the quality of life by addressing these psychosocial comorbidities.
In this study, the authors describe the effects of cerebral venous thrombosis on patient outcome in the setting of traumatic brain injury by characterizing the complication rate and added mortality from cerebral venous thrombosis. The study is important because the question of whether cerebral venous thrombosis affects outcome in traumatic brain injury patients is unanswered, and this knowledge is important to be able to diagnose and treat the condition appropriately.
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October 28, 2019
Visit the Neurosurgical Atlas website >A lecture illustrating the external landmarks of the brainstem and their relationships to major tracts. Various surgical entry zones to the brainstem are explored. Narrated by Kaan Yagmurlu, who performed these dissections in Dr. Rhoton's laboratory.
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