World Neurosurg
-
The relationship between metrics, such as the h-index, and the ability of researchers to generate funding has not been previously investigated in neurosurgery. This study was performed to determine whether a correlation exists between bibliometrics and National Institutes of Health (NIH) funding data among academic neurosurgeons. ⋯ Bibliometric indices are higher for those with NIH funding compared to those without, but only the contemporary h-index was shown to be predictive of NIH funding. Among neurosurgeons with NIH funding, higher bibliometric scores were associated with greater total amount of funding, number of grants, duration of grants, and earlier acquisition of their first grant.
-
I considered this commitment, assigned to me for 2013, a prestigious form of recognition, and I have tried to give this distinguished auditorium the sense of the work that has been evolving throughout my years of neurosurgery. Since the late 1970s, surgery via a transsphenoidal approach had been used in our medical school to treat pituitary adenomas. ⋯ This is a team of people who refuse to remain where they are, with respect for and always in favor of better outcomes for patients. This attitude has permitted the development of an efficient system of care and has made Naples a center of excellence for pituitary and skull base surgery.
-
Infection associated with an intracranial meningioma is an extremely rare condition. Only six cases have been described in the literature. Because of its dual pathologies, initial radiologic diagnosis can be difficult. We present the first reported case of multiple infected intracranial meningiomas and correlate the radiologic and histologic findings. ⋯ In the appropriate clinical context, diffusion-weighted imaging and apparent diffusion coefficient map aid the diagnosis of infected intracranial meningiomas.
-
Case Reports
Laser-interstitial thermal therapy for refractory cerebral edema from post-radiosurgery metastasis.
Stereotactic radiosurgery is often an effective tool for the treatment of brain metastases. A complication of radiosurgical treatment for brain metastasis can be persistent cerebral edema. Treatments of this refractory cerebral edema include observation, corticosteroids, and surgical resection of the edema-inducing mass. Laser-interstitial thermal therapy is a minimally invasive technique for ablating intracranial lesions. It may provide a treatment option for metastases after radiosurgery causing refractory cerebral edema. ⋯ Laser-interstitial thermal therapy may be a treatment option for refractory cerebral edema after stereotactic radiosurgery to a metastasis. This therapy may be of particular use in deep-seated lesions refractory to corticosteroid therapy.