Archive for November, 2006

MRI to Thermocoagulate Brain Tumors

Tuesday, November 28th, 2006

MRI US based thermocoagulation of tumors. [Neurosurgery – Current Table Of Contents] MRI guided ultrasound ablation of tumors, an experience from Israel with Zvi Ram reporting on 3 patients. Pre and Post ablation This is a technological tour de force, yet demonstrates how much further this technology needs to develop prior to widespread use. This evidences how technology will continue to drive neurosurgical practice.

Online Cases

Monday, November 27th, 2006

New cases posted on AANS Online Case Studies. Log in to MyAANS and choose “online case studies” on the left-hand side. New enhancements enable you to sort cases by date to see which are the newest [AANS Current News] We continue to upgrade the system for the Online Case Studies. Please browse the cases and contribute your own.

MGH Grading System for Cerebral Aneurysms

Monday, November 27th, 2006

OUTCOMES FOR SURGICAL AND ENDOVASCULAR MANAGEMENT OF INTRACRANIAL ANEURYSMS USING A COMPREHENSIVE GRADING SYSTEM. [Neurosurgery – Current Table Of Contents] Further work on the MGH Grading system for aneurysms with extension to the endovascular treatment modality. See also our original description of the grading system.

From this Month’s Neurosurgery

Monday, November 27th, 2006

Brain Computed Tomography Angiographic Scans as the Sole Diagnostic Examination for Excluding Aneurysms in Patients with Perimesencephalic Subarachnoid Hemorrhage. [Neurosurgery – Current Table Of Contents] This article further expands on the concept of using CTA as a diagnostic imaging study of choice for patients with perimesencephalic hemorrhage. Our center has had a long interest in the use of CTA to image cerebral aneurysms. Importantly, this large series begins to set the standard with which new CT detectors, at very high resolution, can now identify cerebral aneurysms. It is a harbinger of the emerging dominance of CTA in the diagnosis of cerebrovascular disease.

The Neurosurgical Workforce in North America: A Critical Review of Gender Issues. [Neurosurgery – Current Table Of Contents] This thought provoking article from University of Toronto with follow-up commentary by leading academic neurosurgeons highlights issues surrounding the integration of women into neurosurgery, which has lagged behind other specialites. The importance of mentoring, role models, and the emergence of a team approach to patient care are all highlighted.

Rosai-Dorfman Disease

Sunday, November 26th, 2006

Rosai-Dorfman disease presenting with widespread intracranial and spinal cord involvement.
Rosai-Dorfman disease is associated with a histiocytic infiltration of lymphoid tissue, but may also involve the orbit, nasopharynx, respiratory pathways, gastrointestinal tract, endocrine glands (particularly the thyroid), bone, and skin. Neurologic manifestations are rare, occurring in 4% of one series, and the diagnosis is often not made until pathology is available. MRI scan Using data from two cases, we present the clinical manifestations, pathology, and treatment, and review the literature regarding the ocular and neurologic manifestations. Finally, we discuss the optimum management of this disorder. [Neurology current issue] This Review highlights Rosai-Dorfman with CNS presentation.


Video Section

Time-lapse movies of oligodendrocyte progenitor migration. Oligodendrocytes are glial cells which form the myelin sheaths around axons in the central nervous system. These cells have a small number of cytoplasmic processes – the name oligodendrocyte comes from the Greek roots oligo, meaning few;, dendro meaning branch;, and kytos which denotes cell; – each of which forms a broad, flat structure after […] [The Neurophilosopher’s weblog]

Webcast: Hemispherectomy surgery. This film shows surgeons from the Neuroscience Institute at Le Bonheur Children’s Medical Center perform a hemispher-ectomy on a 6-year-old girl with epilepsy. This involves removing a large part of the childs left hemisphere, and severing the corpus callosum, the bundle of approximately 100 million nerve fibres connecting the two hemispheres.
One of […] [The Neurophilosopher’s weblog]

From the AANS

Saturday, November 25th, 2006

AANS announces 2007 International Visiting Surgeons Fellowship Program [AANS Current News] For international neurosurgeons, an opportunity to visit the United States and observe in a neurosurgery clinic.

Medical Students: Interested in Neurosurgery? Learn more about becoming a neurosurgeon [AANS Current News] More insights into neurosurgery.

AANS 2007 Annual Meeting Registration and Housing is now open for members [AANS Current News] Registration by January 29th for AANS member benefits.

Annual Meeting Audio Sessions Now Available [AANS Current News] Access audio sessions from the AANS

NEW! The Penn State Hershey ACGME Core Competencies Lecture Series has been resurrected! [AANS Current News] This is an important initiative for residency program seeking to add core competencies to their current program. Resident can earn certificates by reviewing the video series.

Grand Rounds at MGH Neurosurgery

Saturday, November 25th, 2006

Dr. Fred Barker will be speaking on Thursday, Nov. 30th.

From the literature…

Saturday, November 25th, 2006

 

Use of the Modified Rankin Scale to assess outcome after arteriovenous malformation radiosurgery. The authors highlight declines which can occur after radiosurgery for AVM.

Glioblastoma: What’s ischemia got to do with it? [Neurology current issue] Fromthe MGH group, this study documents that which is well understood from an operative neurosurgical approach. Glioma are freqeuntly entertwined with vasculature of varying sizes in the peritumoral regions. Hence, the difficulty of surgery for glioma in the sylvian fissure where the caliber and number of these vessels can be quite high. John Henson and colleagues bring forth some epidemiology aspects to this, documenting the frequency of the event.

 

Medical Students

Friday, November 24th, 2006

Access to the www.myaans.org case studies is available with a simple registration step. If affords medical students the opportunity to become involved with organized neurosurgery. Please see below for further description of the case studies demonstrating neurosurgical and neurology based decision making.

Links

Wednesday, November 22nd, 2006

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