- Emergency TeleNeurosurgery Physician Consultation Program and Associated Health Care Utilization Benefits: Corrigendum. [Journal Article]Neurosurgery. 2026 Jul 16. [Online ahead of print]N
- Publisher Full Text (DOI)
- Commentary: CEREBLEED: Automated Quantification and Severity Scoring of Intracranial Hemorrhage on Noncontrast CT. [Journal Article]Neurosurgery. 2026 Jul 16. [Online ahead of print]N
- Publisher Full Text (DOI)
- Implantable Vagus Nerve Stimulator-Paired Neurorehabilitation for Upper Limb Function After Ischemic Stroke: Evidence From a Systematic Review and Meta-Analysis With Best Practice Recommendations: Corrigendum. [Journal Article]Neurosurgery. 2026 Jul 15. [Online ahead of print]N
- Publisher Full Text (DOI)
- The Neuronal Reserve Capacity Defines the Neurological Outcome in Motor-Eloquent Glioma Patients. [Journal Article]Neurosurgery. 2026 Jul 13. [Online ahead of print]N
- CONCLUSIONS: Hyperexcitability and inadequate neuronal recruitment in tumor-affected hemispheres indicate an unstable compensatory capacity and warn of impending motor impairment, with shorter tumor-to-tract distance also increasing risk. Excessive GABAergic inhibition reflects neuronal reserve exhaustion, whereas shrunken motor volume may indicate failure to initiate compensatory remodeling. More robust reserve is seen in primary tumor presentations and female sex. Integrating nTMS findings with tumor characteristics and patient history ensures a tailored approach aimed at optimizing neurological outcomes.
- Publisher Full Text (DOI)
- Burr-Hole Drainage With or Without Irrigation for Chronic Subdural Hematoma, Postoperative Hematoma Volume, and Risk of Reoperation: A Post Hoc Analysis of the FINISH Trial. [Journal Article]Neurosurgery. 2026 Jul 09. [Online ahead of print]N
- CONCLUSIONS: Irrigation did not reduce postoperative hematoma volume compared with no-irrigation, suggesting that the previously reported reoperation benefit of irrigation is not mediated through volume reduction. Volumetric parameters predicted reoperation but not functional outcome, questioning the value of radiological end points in CSDH trials.
- Publisher Full Text (DOI)
- Commentary: Volume-Staged Stereotactic Radiosurgery in Pediatric Patients With Large Brain Arteriovenous Malformations: An International, Multicenter Study. [Journal Article]Neurosurgery. 2026 Jul 09. [Online ahead of print]N
- Publisher Full Text (DOI)
- Epistemology of Kocher's Point. [Journal Article]Neurosurgery. 2026 Jul 09. [Online ahead of print]N
- Although ventricular puncture remains one of the oldest and most frequent procedures in neurosurgery and most neurosurgeons perform ventriculostomy via Kocher's point, Swiss surgeon Theodor Emil Kocher is almost never cited. In fact, a plethora of measurements is ascribed to "Kocher's point." This article tracks the original technique described by Theodor E. Kocher. His thorough investigation of …
- Publisher Full Text (DOI)
- Tranexamic Acid and Tocilizumab as Adjuvant Therapy to Chronic Subdural Hematoma Surgery: A Randomized Controlled Trial. [Journal Article]Neurosurgery. 2026 Jul 09. [Online ahead of print]N
- CONCLUSIONS: Adjuvant TXA, alone or combined with TCZ, significantly reduced postoperative CSDH recurrence without increasing overall AEs. Exploratory analyses suggested additional radiographic and functional benefits with TXA-TCZ although infectious complications were numerically more frequent. Larger adequately powered trials are warranted to define the risk-benefit profile of combined TXA-TCZ therapy.
- Publisher Full Text (DOI)
- The CSDH Grading Scheme for Middle Meningeal Artery Embolization: Stratified Risk of Surgical Rescue. [Journal Article]Neurosurgery. 2026 Jul 09. [Online ahead of print]N
- CONCLUSIONS: Comprehensive assessment of CSDH imaging features, neurological deficits, and predisposing hemorrhagic factors may delineate appropriate candidates for stand-alone MMAE.
- Publisher Full Text (DOI)
- Microsurgical Evacuation Efficacy and Functional Outcomes in Spontaneous Intracerebral Hemorrhage by Type of Antithrombotic Therapy. [Journal Article]Neurosurgery. 2026 Aug 01; 99(2):354-363.N
- CONCLUSIONS: Despite preoperative emergency reversal, antithrombotics contributed to higher hematoma volumes, poorer microsurgical evacuation efficacy and worse functional outcome. Particularly for patients receiving APT, the findings underline the importance of optimizing antithrombotic reversal strategies.
- Publisher Full Text (DOI)
- Neurosurgeons Are Essential in the Interdisciplinary Care of Patients With Brain Metastasis. [Journal Article]Neurosurgery. 2026 Aug 01; 99(2):253-255.N
- Publisher Full Text (DOI)
- Performance of Risk Scores in Predicting Intracranial Aneurysm Instability. [Journal Article]Neurosurgery. 2026 Jul 02. [Online ahead of print]N
- CONCLUSIONS: In the ruptured aneurysm cohort, PHASES showed the highest sensitivity for identifying rupture-prone aneurysms. In the conservatively managed cohort, ELAPSS and triple-S best discriminated instability, and all models except Juvela showed high sensitivity for rupture. All models had low positive predictive value and limited specificity, indicating that current risk scores alone are insufficient for treatment selection and require further refinement.
- Publisher Full Text (DOI)
- Electric-Scooters: An Emerging Source of High-Severity Pediatric Head Trauma. [Journal Article]Neurosurgery. 2026 Jul 02. [Online ahead of print]N
- CONCLUSIONS: ES have emerged as a high-severity mechanism of pediatric HT, comparable to motorbikes. Enhanced prevention strategies, including helmet enforcement, and age regulation, are urgently needed.
- Publisher Full Text (DOI)
- Survival After Surgery for Spinal Osteosarcoma and the Role of Chemotherapy and Treatment Sequencing: A National Cohort Multivariable Analysis. [Journal Article]Neurosurgery. 2026 Jul 07. [Online ahead of print]N
- CONCLUSIONS: Among patients undergoing resection for spinal osteosarcoma, perioperative chemotherapy was associated with improved early and unadjusted OS, with the greatest impact observed in high-grade tumors. However, this survival advantage was attenuated in adjusted analysis. These findings suggest that although chemotherapy remains critical in high-grade spinal osteosarcoma, its role in low-grade disease where toxicity may outweigh the benefit warrants further investigation.
- Publisher Full Text (DOI)
- Safety and Efficacy of 3-Month Versus 6-Month Duration of Dual Antiplatelet Therapy in Pipeline Embolization Treatment of Intracranial Aneurysms. [Journal Article]Neurosurgery. 2026 Jul 07. [Online ahead of print]N
- CONCLUSIONS: In this study, we found that early termination of DAPT at 3 months after PED treatment has overall similar safety and efficacy outcomes as compared with the current standard 6-month regimen. These preliminary data encourage prospective studies to determine optimal DAPT durations in the PED treatment of intracranial aneurysms.
- Publisher Full Text (DOI)