Neurosurgery
Physician insights on operative techniques, spinal disorders, neuro-oncology, cerebrovascular disease, and functional neurosurgery.
Recent Discussions
How would you approach a patient with limited stage SCLC who progressed immediately after completing chemoradiation with brain metastasis?
For 1-10 brain metastases from SCLC, consider the NRG CC009 clinical trial randomizing between SRS and hippocampal-avoidance WBRT!
When do you refer patients diagnosed with Moyamoya disease to neurosurgery?
I almost always refer patients with Moyamoya to neurosurgery. The only treatment for this condition is either direct or indirect bypass surgery. If they have any active symptoms, have an old infarct, or recent stroke visible on scans, surgery is worth considering.
How would you treat grade 3 cauda equina meningioma status post biopsy only with a history of prior prostate/whole pelvis radiation?
This question is anything but routine. WHO grade 3 spinal meningiomas are exceedingly rare. I’ve been treating meningioma patients my entire career, now beyond 3 decades, and have never seen one. If this patient’s prostate cancer radiation therapy (RT) were many years ago and if his meningioma were ...