Journal of neurosurgery
-
Journal of neurosurgery · Jul 2015
Cochlear line: a novel landmark for hearing preservation using the anterior petrosal approach.
The goal of this study was to develop a practical landmark for the safe and easy identification of the cochlea when performing anterior petrosectomy based on cadaver dissection results. ⋯ Anterior petrosectomy can be performed more efficiently by using the cochlear line as a key landmark to preserve the cochlea.
-
Journal of neurosurgery · Jul 2015
Factors associated with career satisfaction and burnout among US neurosurgeons: results of a nationwide survey.
OBJECT :The object of this study was to identify and quantify predictors of burnout and career satisfaction among US neurosurgeons. ⋯ The rates of burnout and career satisfaction were both high in this survey study of US neurosurgeons. The negative effects of burnout on the lives of surgeons, patients, and their families require further study and probably necessitate the development of interventional programs at local, regional, and even national levels.
-
Journal of neurosurgery · Jul 2015
Multicenter Study Comparative StudyRisks associated with preoperative anemia and perioperative blood transfusion in open surgery for intracranial aneurysms.
Preoperative anemia may be treated with a blood transfusion. Both are associated with adverse outcomes in various surgical procedures, but this has not been clearly elucidated in surgery for cerebral aneurysms. In this study the authors assessed the association of preoperative anemia and perioperative blood transfusion, separately, on 30-day morbidity and mortality in patients undergoing open surgery for ruptured and unruptured intracranial aneurysms. ⋯ Preoperative anemia and transfusion are each independent risk factors for perioperative complications in patients undergoing surgery for cerebral aneurysms. Perioperative anemia is also associated with prolonged hospital LOS and 30-day return to the operating room.
-
Journal of neurosurgery · Jul 2015
Review Comparative StudyEndoscopic endonasal transsphenoidal surgery in elderly patients with pituitary adenomas.
With the increase in the average life expectancy, medical care of elderly patients with symptomatic pituitary adenoma (PA) will continue to grow. Little information exists in the literature about the surgical treatment of these patients. The aim of this study was to present the results of a single pituitary center in the surgical treatment of PAs in patients > 70 years of age. ⋯ Endoscopic transsphenoidal surgery for elderly patients with PAs may be associated with higher complication rates, especially secondary to early transitory complications, when compared with surgery performed in younger patients. Although the worst preoperative clinical status might be observed in this group, age alone is not associated with a worst final prognosis after endoscopic removal of nonfunctioning PAs.