Journal of neurosurgery
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Journal of neurosurgery · Feb 2024
The effect of patient age on the degree of midline shift caused by chronic subdural hematomas: a volumetric analysis.
Chronic subdural hematomas (CSDHs) are the among the most common conditions treated by neurosurgeons. Midline shift (MLS) is used as a radiological marker of CSDH severity and the potential need for urgent surgical evacuation. However, a patient's age may affect the degree of MLS for a given hematoma volume. This study aimed to investigate the correlation between the patient's age and the MLS caused by CSDH. ⋯ For a fixed CSDH volume, older age correlates with significantly lower MLS. This could be explained by higher parenchymal compliance in older individuals due to increased brain atrophy, and a larger subdural space. Clinical use of MLS to estimate severity of CSDH and gauge treatment decisions should take the patient's age into account.
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Journal of neurosurgery · Jan 2024
Multicenter Study Observational StudyComputational fluid dynamics for predicting the growth of small unruptured cerebral aneurysms.
Larger cerebral aneurysms are more likely to enlarge, but even small aneurysms can grow. The aim of this study was to investigate the hemodynamic characteristics regarding the growth of small aneurysms using computational fluid dynamics (CFD). ⋯ HSCR may be a useful hemodynamic parameter to predict the growth of small unruptured cerebral aneurysms.
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Journal of neurosurgery · Jan 2024
Neurosurgery residency match for international medical graduates in the United States.
Training of international medical graduates (IMGs) offers opportunities for the US neurosurgery community to engage the global talent pool and impact national and international healthcare. Here, the authors analyzed the time trend of IMGs matching into US neurosurgery programs and identified potential opportunities for enhancing IMG engagement. ⋯ The number of IMGs matching successfully in neurosurgery has increased marginally during the past decade. The authors outline the challenges that IMGs encounter in this process and suggest strategies for considerations of IMG training in NRMP-associated institutions.