Neurosurgery
-
Encouraging early time of discharge (TOD) for medical inpatients is commonplace and may potentially improve patient throughput. It is unclear, however, whether early TOD after elective spine surgery achieves this goal without a consequent increase in re-presentations to the hospital. ⋯ There does not appear to be an association between readmission or return to the emergency department and early TOD after elective spine surgery. Overuse of inpatient physical and occupational therapy consultations may contribute to decreased patient throughput in surgical admissions.
-
Deep neural networks (DNNs) have not been proven to detect blood loss (BL) or predict surgeon performance from video. ⋯ BL and task outcome classification are important components of an automated assessment of surgical performance. DNNs can predict BL and outcome of hemorrhage control from video alone; their performance is improved with surgical instrument presence data. The generalizability of DNNs trained on hemorrhage control tasks should be investigated.
-
The optimal management of asymptomatic, presumed WHO grade I meningiomas remains controversial. ⋯ Up-front SRS affords superior radiological PFPS meningioma control as compared with active surveillance and may lower the risk of meningioma-related permanent neurological deficit and/or death.
-
Comment Letter Multicenter Study
Letter: Prospective, Multicenter Clinical Study of Microvascular Decompression for Hemifacial Spasm.
-
Comment Letter Multicenter Study
In Reply: Prospective, Multicenter Clinical Study of Microvascular Decompression for Hemifacial Spasm.