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Receive news, Theory modules and updates from neurosurgical community!

Dom Mahoney, MS

Dom Mahoney, MS

Date: Monday 28th May 2018, 14:00 GMT

Speaker: Professor Franco Servadei
Topic: Global Neurosurgery

This will be the first webinar in a series held by the WFNS Young Neurosurgeons committee. The WFNS president, Professor Franco Servadei, will be speaking on the topic of global neurosurgery. In recent years, global surgery had gained attention as an area for improvement, with an estimated 5 billion people worldwide not having access to safe surgical care. Professor Servadei will be speaking about how neurosurgery may be coordinated on a global scale in order to meet this challenge and others.

Follow the webinar 

Meeting ID: 957-780-803

Saturday, 19 May 2018 07:03

WFNS Young Neurosurgeons Survey

If you are a neurosurgery trainee or have been a consultant/attending for 10 years or less, the WFNS Young Neurosurgeons committee would like to hear from you. In order to best serve the needs of young neurosurgeons worldwide, we must first get to know them! This short survey is the first of many opportunities for the young neurosurgery community to voice their thoughts.

Participate in the Survey now

Thursday, 03 May 2018 18:04

Brainbook collaboration

We are excited to announce our collaboration with Brainbook, an imaginative neurosurgical education platform based in London, UK. The team at Brainbook aim to provide a resource through which neurosurgery is made an accessible topic to the public, and also trainees of various levels can share ideas.

Visit the website

If you are a young neurosurgeon (i.e. in training or within 10 years after the end of residency), WFNS - Young Neurosurgeons Committee likes to hear from you!

This online survey aims to document, for the first time, the demographics and needs of Young Neurosurgeons worldwide but also their views on improving neurosurgical care for all those who need it.

The survey should not take you more than 10 minutes to complete.

Take part in this important initiative!

Participate in the Survey now

The authors of this article state that the average incidence of congenital hydrocephalus approaches 46.5 in 100,000 live births, highlighting the clinical relevance of the condition. In spite of this, investigations into the underlying genetic bases for this condition are lacking. Only 4 genes have previously been identified to play a significant role in the occurrence of congenital hydrocephalus. These are L1CAM and AP1S2 (X-linked) and CCDC88C and MPDZ (autosomal recessive). The aim of the present study was to establish the genetic aetiology of this condition.

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The complex anatomy of the brainstem, and the presence of important structures in close proximity to one another, mean that operating on lesions in this location provides a particular challenge to neurosurgeons. The anterior mesencephalic (or perioculomotor) entry zone has previously been described in surgery for lesions of the midbrain. The perioculomotor entry zone lies between the PCA and SCA, and in the medial fifth of the cerebral peduncle lateral to the oculomotor nerve. The authors of this article describe an approach through the interpeduncular fossa for tackling more medial lesions in this area.

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According to the authors of this study, approximately one third of patients with tumours residing in the posterior fossa will develop hydrocephalus. In spite of this significant clinical problem, little research has previously been done to elucidate the optimal treatment modality to address the hydrocephalus in these patients. The authors of the current study aimed to compare durability of CSF diversion in patients managed with endoscopic third ventriculostomy (ETV) compared to ventriculoperitoneal shunting (VPS). A systematic review was performed including 12 studies - a cumulative sample of 408 patients. In conclusion, the authors found that ETV failed sooner than VPS; however, ETV may impart a greater treatment durability in the longer term. There were fewer complications in the ETV group. More prospective data is required to establish which of these two methods is superior in patients with hydrocephalus due to a posterior fossa mass, and what predictive factors may exist to identify patients that would benefit from a particular intervention more than another.

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Internal carotid artery bifurcation aneurysms (ICAbifAs) make up approximately 5% of all intracranial aneurysms, tending to present in younger patients. They often reside in close proximity to the anteromedial and anterolateral perforators, inhibiting simple dissection, and may become intimately associated with the parenchyma of the frontal lobe. The authors present a review of 51 patients with ICAbifAs, 40 of whom underwent surgical clipping. They propose a simple classification system for these aneurysms based on the direction in which they deviate.

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The technique of transcranial focused ultrasound has emerged as a potentially revolutionary tool in functional neurosurgery. This platform provides a method of ablating specific voxels of brain tissue without surgery. Ablative techniques suffer the disadvantage when compared to neuromodulatory interventions of being largely irreversible. However, as both our understanding of neurology and the technology we have access to improves, minimally invasive techniques such as focused ultrasound will undoubtedly become safer and evolve to play a significant role in the future of functional neurosurgery. In this review, the authors summarise the application of the technique to various common movement disorders.


Dejerine-Roussy syndrome (or thalamic pain syndrome) is a phenomenon experienced by some patients following thalamic stroke. Such lesions initially may cause hemibody numbness and/or paraesthesia contralateral to the affected hemisphere. This can progress into dysaesthesia and pain in the same distribution over the course of weeks or months. This pain is often refractory to standard treatments with analgesia such as opioids. This paper is a review of the application of DBS in patients with Dejerine-Roussy syndrome. The authors conclude that neuromodulation is a potentially viable management option in these patients when their pain is found to be refractory to other treatments. However, in order to achieve this, more research is required to elucidate potential anatomical targets, and a greater degree of homogeneity is required in the studied patient populations.


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