A brief review of technical nuances of functional hemispherotomy

Join us today, Monday, at noon EST for a brief review of technical nuances of functional hemispherotomy.

Based on the request of the residents and faculty, the Atlas will start a series of Virtual Operating Room live lectures every Mon at noon EST. During each session, one procedure will be reviewed using an HD video broadcasting platform while the participants can chat their questions. Virtual reality technology will be utilized for the OR setup and the surgical video will be reviewed. Space is limited to the first 300 participants.

Virtual OR webconference info: cohen.omnovia.com/room1 Use the Google Chrome browser, login as attendee and download the Flash Player. A strong Internet connection is required for these HD presentations.

Aaron Cohen-Gadol, MD, MSc, MBA
Indiana University Department of Neurosurgery
CEO, The Neurosurgical Atlas

Advances and Technical Standards in Neurosurgery: Volume 43

Advances and Technical Standards in Neurosurgery: Volume 43

List Price: $159.00
This volume reviews standard treatments for spinal dural arteriovenous fistulas, examining the anatomy of arteries and veins of the sylvian fissure, as well as microsurgical advances and the development of modern therapeutic strategies in intracranial meningiomas. The advances section presents a strategy for minimizing hearing loss after stereotactic radiosurgery for vestibular schwannomas, as well as a description of the mode of action and biology of ALA, including its interaction with tumor cells and the limits of this method. A dedicated chapter addresses the essential question of the limits (and merits) of various tractography techniques and of their importance for non-specialists, who may be tempted to use them uncritically. A further chapter examines molecular markers, which have become standard in neuropathological reports on intracranial tumors, reviewing the prognostic and predictive value of these modern molecular markers in gliomas. Additional chapters round out the coverage, offering a comprehensive overview of standard and advanced techniques.

Neurosurgery: A profession or a technical trade?

The American Association of Neurological Surgeons (AANS), 11 years ago converted its Internal Revenue Code (IRC) tax status from a 501 (c) (3) to a 501 (c) (6) entity. By doing so, the professional medical association, now a trade association, was able to more aggressively lobby, support political campaigns, and pursue business opportunities for its members. In the following decade, major changes were seen in the practice of neurosurgery, especially as it relates to spine surgery. With the majority of neurosurgeons limiting themselves to a spine practice, an increased number of spinal procedures, most noted in the Medicare population, was recorded. For example, a 15-fold increase in complex spinal fusions for spinal stenosis was seen between 2002 and 2007. While the basis for this increase was not readily apparent, it was associated with a reduction in reimbursement per case of about 50%, fueling the belief that the increase in complexity of surgery permitted recovery of fees in complex cases to off-set the loss of reimbursement for simpler cases. Considering the growth of spinal surgery within neurosurgery, and decrease funding for spine surgery, in the future there may be too many surgeons chasing too few dollars. There appears to be within neurosurgery a crisis developing where future manpower projections do not realistically match future anticipated specialty ((Watts C. Neurosurgery: A profession or a technical trade? Surg Neurol .2014 Nov 29;5:168. doi: 10.4103/2152-7806.145932. eCollection 2014. PubMed PMID:25558426.))

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