An Introduction to Neurosurgery
Neurosurgery, one of the most innovative, fastest advancing specialties, is broad in that it encompasses surgery of the CNS (brain and spinal cord), as well as peripheral nerves to the entire body. It serves as a tool for both diagnosis and treatment of patients with injury to, or diseases/disorders of the nervous system. Surgical advances continue in areas such as craniotomy, brain and spinal tumours, endovascular procedures, epilepsy, movement disorders, paediatrics, traumatic injuries, ventricular shunts and more.
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Integrating the latest evidence surrounding reversal agents for direct oral anticoagulants for patients experiencing intracerebral haemorrhage into clinical practice
Watch three experts provide insights on the impact of ICH in patients receiving DOACs, DOAC-ICH reversal agents and optimizing treatment outcomes.
- Recognize the risk of ICH amongst different patient populations receiving DOACs based on clinical trial and real-world evidence
- Appraise the latest clinical trial and real-world evidence on the efficacy and safety of oral anticoagulant reversal strategies in the acute management of DOAC-ICH
- Assess the factors guiding selection and administration of reversal agents and supportive care in the acute management of DOAC-ICH
History of Frameless Radiosurgery
touchREVIEWS in Neurology. 2022;19(1): DOI: https://doi.org/10.17925/USN.2023.19.1.30
Intracranial radiosurgery, no matter the means or methods of administration, is predicated on a core set of principles, including head immobilization and precise delineation of the treatment target. For some five decades after Leksell introduced the concept of stereotactic radiosurgery in 1951,1 rigid head fixation via an invasive device was an integral component towards these ends. […]
Lumbar Puncture: Indications, Challenges and Recent Advances
touchREVIEWS in Neurology. 2021;17(1):23–31 DOI: https://doi.org/10.17925/USN.2021.17.1.23
Studying cerebrospinal fluid (CSF) is essential for diagnosing many central nervous system (CNS) diseases, including infection, inflammation and malignancy. Lumbar puncture is a relatively safe and routinely performed procedure for extracting CSF.1 In this review, we summarize the essential CSF flow dynamics, common indications and contraindications for lumbar puncture, and describe the procedures to rule out […]
Optimal Approaches to Skin Preparation Prior to Neurosurgery
US Neurology. 2020:16(1):50–3 DOI: https://doi.org/10.17925/USN.2020.16.1.50
Infections and their prevention have long been a significant concern for surgeons around the world. Surgical site infections (SSIs) represent a considerable burden for both patients and providers alike, as they often result in significant morbidity and mortality, as well as high costs to healthcare systems. In the United States, SSIs have been identified as […]
What to expect at INS 2019
Timothy Deer, President of the International Neuromodulation Society (INS), on how the attending global neuromodulation community at INS 2019 is set to experience a meaningful and unforgettable event. The International Neuromodulation Society’s 14th World Congress will be held in Sydney, Australia on 25–30 May 2019. Source: This video was produced by the INS and is shared […]
High-definition Fiber Tractography as Surgical Adjunct for Management of Hyper-eloquent Brain Lesions
US Neurology. 2018;14(2):78–9 DOI: https://doi.org/10.17925/USN.2018.14.2.78
Cerebral cavernous malformations are commonly found in deep regions of the brain, such as the thalamus and brainstem.1 While posing a significant risk of hemorrage,2 they also present a surgical challenge as the rates of morbidity and mortality are high.1,3 In patients with brain blood vessel malformations, planning the safest approach to surgery is critical. […]
Updated American Academy Guidelines on the Use of Disease-modifying Therapies in Multiple Sclerosis—What’s New?
US Neurology. 2018;14(2):76–7 DOI: https://doi.org/10.17925/USN.2018.14.2.76
Recently released guidelines on the use of disease-modifying therapies (DMTs) in patients with multiple sclerosis (MS) include guidance on starting, switching, and stopping treatment. The guidelines, which were produced by a multidisciplinary panel and endorsed by the Multiple Sclerosis Association of America and the National Multiple Sclerosis Society, were presented at the American Academy of […]
Importance of Cognitive Screening and Management in Multiple Sclerosis Care—Reflection on the Recent Recommendations
US Neurology. 2018;14(2):73–5 DOI: https://doi.org/10.17925/USN.2018.14.2.73
The importance of recognizing and including cognition as a key factor to consider when ensuring comprehensive care for individuals with multiple sclerosis (MS) cannot be over emphasized. Unfortunately, despite it being accepted as a common symptom, cognitive function in MS is still not openly discussed, routinely assessed, or optimally treated. In an expert interview, Rosalind […]
Data Sharing in Alzheimer’s Disease Research
US Neurology. 2018;14(2):68–70 DOI: https://doi.org/10.17925/USN.2018.14.2.68
There has been an explosion of data in the field of Alzheimer’s disease (AD), not only from clinical studies but also studies that generate hypotheses and opportunities that may accelerate drug development. In order to make optimal use of these data, scientists must share findings across organizations and countries. While many researchers recognize the […]
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