Neurosurgery: a historical prologue to the future

2000 ◽  
Vol 93 (5) ◽  
pp. 733-737 ◽  
Author(s):  
Martin H. Weiss
Keyword(s):  
American Association ◽  
Content Type ◽  
The Future ◽  
History Of ◽  
Formation And Evolution ◽  
Future Practice ◽  
Fine Print

✓ The author provides a brief history of the genesis of organized neurosurgery and, in particular, the formation and evolution of the American Association of Neurological Surgeons. The legacy of neurosurgery is noted and the author discusses the present and future practice of neurosurgery.

The “future trends” in neurosurgery are here

1975 ◽  
Vol 43 (6) ◽  
pp. 651-660 ◽  
Author(s):  
Richard C. Schneider
Keyword(s):  
Medical Education ◽  
American Association ◽  
Medical Liability ◽  
Future Trends ◽  
Content Type ◽  
The Future ◽  
Fine Print

✓ The President of The American Association of Neurological Surgeons discusses the three major problems of his year in office — medical education, neurosurgical manpower, and professional medical liability — and the attempts that are being made to solve them.

The American Association of Neurological Surgeons and the era of issues

1973 ◽  
Vol 39 (5) ◽  
pp. 555-562
Author(s):  
William F. Meacham
Keyword(s):  
Continuing Education ◽  
American Association ◽  
Social Economic ◽  
Training Programs ◽  
Content Type ◽  
Government Influence ◽  
Medical Fees ◽  
History Of ◽  
And Control ◽  
Fine Print

✓ The president of the American Association of Neurological Surgeons (AANS) reviews the history of the AANS and discusses some national issues affecting the practice of neurosurgery in America: government influence and control, inadequate funding for training programs and research, neurosurgical manpower, professional liability, continuing education, recertification and relicensure, medical fees, and the influence of current social, economic, and political philosophies.

Now is our time

1991 ◽  
Vol 75 (5) ◽  
pp. 677-684 ◽  
Author(s):  
David L. Kelly
Keyword(s):  
Strategic Planning ◽  
Planning Process ◽  
American Association ◽  
Presidential Address ◽  
Content Type ◽  
Strategic Planning Process ◽  
The Future ◽  
Fine Print

✓ The President of the American Association of Neurological Surgeons (AANS) in his presidential address discussed the challenges faced by neurosurgery today. He stressed three essentials to meeting the future: an effective and introspective organization; ample participation by the membership of the specialty; and a plan. He defined some of the problems before neurosurgery and the strategic planning process that has been undertaken during his presidency.

History of the Journal of Neurosurgery, 1965–1980

1994 ◽  
Vol 80 (5) ◽  
pp. 939-940 ◽  
Author(s):  
Henry G. Schwartz
Keyword(s):  
Content Type ◽  
The Future ◽  
History Of ◽  
Fine Print

✓ The author, who was Editor of the Journal of Neurosurgery from 1975 to 1985, recalls the history of the Journal during the 15 years beginning in 1965, when Dr. Louise Eisenhardt resigned as its first Editor. In an addendum, he presents some thoughts on the future of neurosurgery and the role the Journal should play in it.

Neurosurgery at the crossroads: leadership role of the American Association of Neurological Surgeons

1979 ◽  
Vol 51 (4) ◽  
pp. 429-436 ◽  
Author(s):  
Donald F. Dohn
Keyword(s):  
Patient Care ◽  
Long Range ◽  
American Association ◽  
Leadership Role ◽  
Professional Organizations ◽  
Content Type ◽  
History Of ◽  
Long Range Planning ◽  
Fine Print

✓ The President of the American Association of Neurological Surgeons (AANS) reviews the formative history of the major neurosurgical societies, together with their agreement to consolidate their efforts in the joint AANS. As a united group, the Association has been effective in carrying out relations with other professional organizations and with government. Long-range planning is being pursued steadily to increase the role of organized neurosurgery in maintenance of, and improvement in, patient care, education, and research.

Give neurosurgery a place to stand

2001 ◽  
Vol 95 (6) ◽  
pp. 927-932
Author(s):  
Stewart B. Dunsker
Keyword(s):  
American Association ◽  
Presidential Address ◽  
Local State ◽  
Content Type ◽  
Medical Societies ◽  
History Of ◽  
Intimate Knowledge ◽  
Fine Print

✓ In his 2001 Presidential Address to the American Association of Neurological Surgeons, Dr. Dunsker calls on all neurosurgeons to become active participants in the ongoing debates over healthcare. He reviews some history of the debates and points out that regulation of healthcare has been left to bureaucrats—both government and private—physicians, who have intimate knowledge of the field, being excluded. Dr. Dunsker encourages neurosurgeons to volunteer in local, state, and federal medical societies and to join forces with other physicians to gain leverage in the healthcare debate. In this manner it is hoped that better ways of delivering the best healthcare to patients can be accomplished.

Craniopharyngioma arising de novo in middle age

1997 ◽  
Vol 86 (6) ◽  
pp. 1046-1048 ◽  
Author(s):  
Marc S. Arginteanu ◽  
Karin Hague ◽  
Robert Zimmerman ◽  
Mark J. Kupersmith ◽  
John H. Shaiu ◽  
...  
Keyword(s):  
Magnetic Resonance Image ◽  
De Novo ◽  
Middle Age ◽  
Benign Tumors ◽  
Fetal Life ◽  
Content Type ◽  
Steady Growth ◽  
History Of ◽  
Sixth Decade ◽  
Fine Print

✓ The authors report the case of a 55-year-old woman who developed a symptomatic craniopharyngioma within 2 years of obtaining a normal magnetic resonance image of her brain. Craniopharyngiomas are histologically benign tumors. They are thought to arise from embryonic remnants of Rathke's pouch and sac and to manifest themselves clinically after a steady growth that commences in fetal life. To the authors' knowlege, this is the first report that documents a tumor arising de novo in the sixth decade of life. This report appears to challenge the concept of the origin and natural history of craniopharyngiomas.

Neurosurgery at the Mount Sinai Hospital

1994 ◽  
Vol 80 (5) ◽  
pp. 935-938 ◽  
Author(s):  
Jeffrey S. Oppenheim
Keyword(s):  
Mount Sinai Hospital ◽  
Content Type ◽  
History Of Neurosurgery ◽  
History Of ◽  
Mount Sinai ◽  
Fine Print

✓ The Mount Sinai Hospital was founded in 1852 under the name “The Jews' Hospital.” Neurosurgery at Mount Sinai Hospital can be traced to the work of Dr. Charles Elsberg. In 1932, the Department of Neurosurgery was created under the direction of Dr. Ira Cohen. The history of neurosurgery at the Mount Sinai Hospital is recounted.

Upper basilar artery aneurysms: oculomotor outcomes in 163 cases

2005 ◽  
Vol 102 (3) ◽  
pp. 482-488 ◽  
Author(s):  
Hisham Al-Khayat ◽  
Haitham Al-Khayat ◽  
Jonathan White ◽  
David Manner ◽  
Duke Samson
Keyword(s):  
Basilar Artery ◽  
Nerve Palsy ◽  
Arterial Occlusion ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Stepwise Logistic Regression ◽  
Categorical Data Analysis ◽  
Content Type ◽  
History Of ◽  
Fine Print

Object. The purpose of this study was to identify factors predictive of postoperative oculomotor nerve palsy among patients who undergo surgery for distal basilar artery (BA) aneurysms. The data can be used to estimate preoperative risk in this population. The natural history of oculomotor nerve palsy in patients with good outcomes is also defined. Methods. The cases of 163 patients with distal BA aneurysms, who were treated surgically between 1996 and 2002, were retrospectively studied to identify factors contributing to oculomotor nerve palsy. After the data had been collected, stepwise logistic regression procedures were used to determine the predictive effects of each variable on the development of oculomotor nerve palsy and to create a scoring system. Factors that interfered with resolution of oculomotor dysfunction in patients with good outcomes were also studied. Postoperative oculomotor nerve palsy occurred in 86 patients (52.8%) with distal BA aneurysms. The following factors were associated with postoperative oculomotor dysfunction, as determined by a categorical data analysis: 1) younger patient age (p < 0.001); 2) poor admission Hunt and Hess grade (p < 0.001); 3) use of temporary arterial occlusion (p < 0.001); 4) poor Glasgow Outcome Scale score (p < 0.001); and 5) the presence of a BA apex aneurysm that projected posteriorly (p < 0.001). For patients with good outcomes, postoperative oculomotor nerve palsy resolved completely within 3 months in 31 patients (52%) and within 6 months in 47 patients (80%). The projection of the BA aneurysm was associated with incomplete oculomotor recovery at 6 months postoperatively (p = 0.019). Conclusions. The results of this study can help identify patients with a high risk for the development of oculomotor nerve palsy. This may help neurosurgeons in preoperative planning and discussions.

The natural history of intracranial venous angiomas

1991 ◽  
Vol 75 (5) ◽  
pp. 715-722 ◽  
Author(s):  
Timothy B. Garner ◽  
O. Del Curling ◽  
David L. Kelly ◽  
D. Wayne Laster
Keyword(s):  
Natural History ◽  
Imaging Techniques ◽  
Venous Drainage ◽  
Vascular Lesion ◽  
Neurological Dysfunction ◽  
Content Type ◽  
History Of ◽  
Clinical Records ◽  
Venous Angiomas ◽  
Fine Print

✓ Cerebral venous angiomas are congenital anomalies of the intracranial venous drainage. Many believe that they are associated with a high risk of hemorrhage and neurological dysfunction, but newer neurodiagnostic imaging techniques are showing not only that they are more common than previously known but also that many have no associated symptoms. In this retrospective study, the natural history of venous angiomas was examined in 100 patients (48 males and 52 females) with radiographically identifiable lesions treated over a 14-year period. Information on the natural history of the lesion was obtained from clinical records and follow-up data. Imaging studies included angiography, computerized tomography, and magnetic resonance imaging. Angioma locations were classified as frontal (42 cases), parietal (24 cases), occipital (4 cases), temporal (2 cases), basal or ventricular (11 cases), cerebellar (14 cases), or brain stem (3 cases); 47 lesions were on the left side. Headache as a presenting symptom was common (36 patients) and often led to other radiographic studies, but this appeared to be related to the vascular lesion in only four patients. Other possibly related complications were hemorrhage in one patient, seizures in five, and transient focal deficits in eight. Fifteen patients had no neurological signs or symptoms. The mean patient age at last contact was 45.3 years (range 3 to 94 years). All patients have been managed without surgery. It is concluded that significant complications secondary to venous angiomas are infrequent and that surgical resection of these lesions and of surrounding brain is rarely indicated.

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