Journal of Clinical Neuroscience

🧠 Tool for aSAH prognosis: The GAHR score uses 4 clinical predictors to estimate in-hospital mortality with strong accuracy (AUC 0.83). Simple, practical, and validated in an Asian population.

#NeurocriticalCare #neurology #neurosurgery #brainhealth

🔗 www.sciencedirect.com/science/arti...

🚨New video case alert!🚨
Watch full-endoscopic decompression in action for L5/S1 far-out syndrome—minimally invasive relief for extraforaminal L5 radiculopathy with elegant technique and excellent outcomes! 🎥🧠💥

🔗 www.sciencedirect.com/science/arti...

#Neurosurgery

🚨“What the mind does not know, the eyes do not see!”🚨

A rare case of tandem vertebral artery anomalies—PFIA + arcuate canal—causing recurrent syncope in a teen. Missed on MRI, revealed on CTA & Doppler.

🔗 doi.org/10.1016/j.jo...

#NeuroTwitter #Neurosurgery

🚨 Rare brain tumor presentation: case of olfactory groove schwannoma mimicking meningioma—but with a twist: communicating hydrocephalus that resolved after resection alone. 🧠✨
Radiographic clues: no dural tail, bone erosion, microbleeds, + hydro.

🔗 lnkd.in/gyghAz4X

#Neurosurgery #NeuroOncology

🧠 New month, new brain fuel!
The August issue of Journal of Clinical Neuroscience is here:

🧵 VP shunt complications
🧠 Radiosurgery for meningioma
🧍‍♂️ Vertebral artery injury
🛌 Sleepiness after stroke
…and more!

🔗 www.sciencedirect.com/journal/jour...

#Neurosurgery #Stroke #NeuroOncology

Enhancing cerebrospinal fluid clearance in subarachnoid hemorrhage: A systematic review of combined ventricular and lumbar drainage Aneurysmal subarachnoid hemorrhage (aSAH) is a severe type of stroke associated with high rates of mortality and morbidity. Two major complications fo…

🧠💧Can two drains be better than one? This systematic review explores combined ventricular + lumbar drainage in aneurysmal #SAH. Early data show promise in reducing vasospasm & improving outcomes, but more studies needed!

📖👉 www.sciencedirect.com/science/arti...

#Stroke #NeurocriticalCare

🔍 Does optic nerve sheath fenestration (ONSF) relieve headaches in IIH?

📉 In this retrospective trial, while ONSF improves vision, headaches persist in 60% post-op.

📰 Read the study: www.sciencedirect.com/science/arti...

#NeuroTwitter #IIH #NeuroOphthalmology #Headache #ONSF #Neurosurgery

Comparative analysis of facial nerve outcomes in petroclival versus posterior petrous meningioma surgery: A systematic review and meta-analysis of 2884 patients Even conservative resection of petroclival (PC) and posterior petrous (PP) meningiomas may cause facial nerve (FN) morbidities. While inconsistent cla…

🎯 Facial nerve outcomes after meningioma surgery—location matters early, not long-term!

In this meta-analysis of 2,884 patients, long-term FN outcomes…

🔗 www.sciencedirect.com/science/arti...

#Neurosurgery #FacialNerve #Meningioma

🛠️ Fragmentectomy vs Microdiscectomy for lumbar disc herniation—what’s better?
📊 This new meta-analysis shows no significant difference in pain relief, reherniation, or reop rates.

🔗 www.sciencedirect.com/science/arti...
#SpineSurgery #Neurosurgery #BackPain #LumbarDisc #Microdiscectomy

🧠😴 Post-stroke fatigue is more than just feeling tired—it’s multifaceted and highly prevalent. This new study breaks down physical vs cognitive fatigue and their unique predictors.

👉 www.sciencedirect.com/science/arti...

#StrokeRecovery #Neurorehab #PostStrokeFatigue

☀️ Sun, sand, and synapses—your ultimate beach read has arrived! The July issue is packed with brainy summer hits:

🧠 Cavernous malformations
⚡ Status epilepticus
🕺 Parkinson’s disease
🧬 Brain tumors

Dive in 👉 www.sciencedirect.com/journal/jour...

#JOCN #Neurosurgery #Neurology #CavMal #Parkinsons

Pituitary surgery in New Zealand: A single neurosurgeon case series of 1,224 operations Pituitary neuroendocrine tumours (PitNETs) are among the most common tumours of the central nervous system, yet data regarding surgical outcomes is li…

🧠🇳🇿 Spanning 2 decades, 1,224 pituitary ops. This massive NZ case series shows outcomes on par with global standards—low complication rates, strong remission stats, and key predictors of recurrence. A must-read!
👉 www.sciencedirect.com/science/arti...

#Neurosurgery #PituitaryTumor #Endocrinology

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doi.org/10.1016/j.jo...

Think we fixed it for you!

🚨 Scoping review of 22 stent retrievers used in mechanical thrombectomy for acute ischemic stroke 🚑🧠

🔹 Solitaire & Trevo dominate M1/ICA
🔹 Distal occlusions underrepresented
🔹 Need for data on MVOS devices

📖 doi.org/10.1016/j.jo...
#Stroke #NeuroIR #Thrombectomy #LVO #MVOS #NeuroTwitter

🧠👶 New meta-analysis shows helmet therapy offers significantly greater short-term improvement in cranial asymmetry for infants with positional cranial deformation vs. non-helmet options.

More RCTs still needed to guide long-term outcomes.

🔗 doi.org/10.1016/j.jo...

#Pediatrics #Neurosurgery

🧠 Prone vs. sitting for Chiari I surgery in kids: no difference in complications, but sitting had shorter op time—especially in high BMI patients. A safe alternative when done by experienced teams?
🔗 doi.org/10.1016/j.jo...
#Neurosurgery #Pediatrics #ChiariMalformation #NeuroTwitter

🧠 Images in neuroscience: Lentiform fork sign linked to acute chorea after GI illness in a patient with ESRD.

💡 Metabolic acidosis + uremia = basal ganglia vulnerability
📸 MRI shows classic LFS
🧬 Chorea resolved with olanzapine + dialysis

🔗 doi.org/10.1016/j.jo...

#NeuroRad #MovementDisorders

🚨 New meta-analysis alert!
Minimally invasive surgery (MIS) for ICH leads to better functional outcomes, less blood loss, and shorter operative time vs. craniotomy—without increasing mortality or rebleeding.

🔗 doi.org/10.1016/j.jo...
#Neurosurgery #ICH #NeurocriticalCare #Stroke

Clipping vs coiling for unruptured anterior circulation aneurysms 🧠⚖️
EVT = fewer peri-op complications
MSC = better occlusion, lower retreatment
Functional outcomes? Similar.

🧵 Nuanced decisions require individualized care.

🔗 doi.org/10.1016/j.jo...
#NeuroTwitter #Neurosurgery #Endovascular

🧠 We love these historical pieces! A tribute to Dr. Joseph J. Volpe, the father of neonatal neurology, whose work shaped care for our tiniest patients. From IVH to PVL, his legacy endures through research, mentorship, and impact. 👶📚

🔗 doi.org/10.1016/j.jo...
#NeonatalNeurology #NeuroTwitter

🧠 New meta-analysis on brainstem cavernous malformations (BSCMs):

📉 Post-op mRS improved from 2.42 ➡️ 1.63
🧍‍♂️ Male sex = ↑ morbidity/mortality
📆 Outcomes improved 1996–2024
🔍 81 studies | 4046 patients

Surgery helps—but risk remains.

🔗 doi.org/10.1016/j.jo...
#Neurosurgery #NeuroTwitter #BSCM

🧠 Despite decades of research, VP shunt complication management still lacks unified, evidence-based protocols. Is it time for global consensus? 🌍

📖 Onyia & Ojo call for structured surveys.

🔗 doi.org/10.1016/j.jo...

#Neurosurgery #Hydrocephalus #VPS #NeuroTwitter #EvidenceBasedMedicine

🚨New in J Clin Neurosci🚨
Is the Supplemented Spetzler-Martin (Supp-SM) grading system better for AVM surgical risk?

🧠 Supp-SM ≥6 = 🔼 postop morbidity
📉 SM vs. Supp-SM: similar AUROC, but Supp-SM shows stronger correlation with outcomes

🔗 doi.org/10.1016/j.jo...
#Neurosurgery #AVM #SpetzlerMartin

A simple, step-by-step guide to laparoscopic VP shunt insertion 💡
✅ Pneumoperitoneum made easy
✅ Visual confirmation of distal catheter
✅ Neurosurgeons & general surgeons welcome!

🔗 doi.org/10.1016/j.jo...
#Neurosurgery #Laparoscopy #VPS #MedTwitter #NeuroTwitter

🚨 New in @JOCNonline! Video article!

A tailored soctrans-horizontal fissure approach enables safe, minimally invasive resection of deep cerebellar cavernous mal using DVAs as landmarks 🧠🧵

🔗 doi.org/10.1016/j.jo...

#Neurosurgery #Microsurgery #NeuroTwitter #BrainSurgery #CavernousMalformation

🚨 July issue of Journal of Clinical Neuroscience out now!

Meningioma biomarkers to MMS embolization in cSDH, radiosurgery, SRS, and stroke prognostics— packed with cutting-edge reviews & original research.

🔗 www.sciencedirect.com/journal/jour...

#Neurosurgery #NeurocriticalCare #NeuroOncology

🚨 One-stop stroke care? Yes, please!
Angio–CT merges CT + angiography in a single suite to slash door-to-puncture times and boost outcomes for AIS patients 💥🧠
#Stroke #NeuroIR #Thrombectomy #NeuroTwitter

🔗 doi.org/10.1016/j.jo...

🚨 Retrospective study: Platelet transfusions don’t prevent ventriculostomy hemorrhage in aSAH—even on DAPT

🔄 Timing didn’t matter
❌ No outcome benefit
🧠 Symptomatic bleeds still rare

📖 doi.org/10.1016/j.jo...

#NeurocriticalCare #Neurosurgery #SAH #Antiplatelet #ICU #NeuroTwitter #MedTwitter