Management of aneurysmal subarachnoid hemorrhage Objective: Acute aneurysmal subarachnoid hemorrhage (SAH) is a complex multifaceted disorder that plays out over days to weeks. Many patients with SAH are seriously ill and require a prolonged intensive care unit stay. Cardiopulmonary complications are common. The management of patients with SAH focuses on the anticipation, prevention, and management [...]

Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis The skin is a source of infection associated with surgery. In this multicenter, randomized trial, the preoperative application of chlorhexidine-alcohol was found to be a more effective skin preparation than povidone-iodine for preventing incisional infections.

Treatment of anterior skull base defects by a transnasal endoscopic approach in children Journal of Neurosurgery: Pediatrics, Volume 6, Issue 5, Page 459-463, November 2010. Federico Di Rocco, M.D., Vincent Couloigner, M.D., Patricia Dastoli, M.D., Christian Sainte-Rose, M.D., Michel Zerah, M.D., and Gilles Roger, M.D. Object The object of this study was to assess the [...]

Advances in the Treatment and Outcome of Brainstem Cavernous Malformation Surgery: A Single-Center Case Series of 300 Surgically Treated Patients BACKGROUND: Brainstem cavernous malformations (BSCMs) are relatively uncommon, low-flow vascular lesions. Because of their relative rarity, relatively little data on their natural history and on the efficacy and durability of their treatment. OBJECTIVE: To evaluate [...]

Quality of life in patients with intracranial gliomas: the impact of modern image-guided surgery Journal of Neurosurgery, Volume 114, Issue 6, Page 1622-1630, June 2011. Asgeir S. Jakola, M.D., Geirmund Unsgård, Ph.D., and Ole Solheim, M.D. Object Outcome following brain tumor operations is often assessed by health professionals using various gross function scales. However, surprisingly [...]

Treatment of cervical stenotic myelopathy: a cost and outcome comparison of laminoplasty versus laminectomy and lateral mass fusion Journal of Neurosurgery: Spine, Volume 14, Issue 5, Page 619-625, May 2011. Jason M. Highsmith, M.D., Sanjay S. Dhall, M.D., Regis W. Haid Jr., M.D., Gerald E. Rodts Jr., M.D., and Praveen V. Mummaneni, M.D. Object Cervical [...]

New Guidelines on Carotid and Vertebral Artery Disease New Guidelines on Carotid and Vertebral Artery Disease Susan Jeffrey Authors and Disclosures January 31, 2011 — New guidelines on the management of patients with extracranial carotid and vertebral artery disease (ECVD) were released today by the American College of Cardiology Foundation/American Heart Association Task Force on [...]

The distance between the posterior communicating arteries and their relation to the endoscopic third ventriculostomy in adults: An anatomic study Alicia Del Carmen Becerra Romero, Carlos Eduardo da Silva, Paulo Henrique Pires de Aguiar Surgical Neurology International 2011 2(1):91-91 Background: The diencephalic leaf of the Liliequist’s membrane is a continuous structure that should be perforated [...]

Cervical carotid pseudoaneurysm: A carotid artery stenting complication Jair Raso, Rogerio Darwich, Carlos Ornellas, Gustavo Cariri Surgical Neurology International 2011 2(1):86-86 Background: As carotid artery stenting becomes increasingly used, more complications are likely to occur. We present a case of Staphylococcus septicemia and pseudoaneurysm arising in the neck portion of the carotid artery after stenting. [...]

“Unnecessary” spinal surgery: A prospective 1-year study of one surgeon’s experience Nancy E Epstein, Donald C Hood Surgical Neurology International 2011 2(1):83-83 Background : There are marked disparities in the frequency of spinal surgery performed within the United States over time, as well as across different geographic areas. One possible source of these disparities is [...]