- Advancing Evidence Quality and Reproducibility in Bypass in Neurosurgery Research: A Systematic Review and Reporting Guideline for Enhanced Comparability. [Journal Article]Neurosurgery. 2026 Aug 07. [Online ahead of print]N
- CONCLUSIONS: This systematic review on bypass surgery for IA and MMD identified substantial methodological and reporting limitations that compromise evidence quality and comparability. The proposed reporting guideline provides a structured framework to address these gaps, enhancing transparency, reproducibility, and standardization, with the potential to strengthen the evidence base and improve patient care.
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- Evaluation of the Relative Citation Ratio Versus the H-Index as Measures of Citation-Based Scholarly Influence in Academic Neurosurgery. [Journal Article]Neurosurgery. 2026 Aug 07. [Online ahead of print]N
- CONCLUSIONS: m-RCR showed a weaker association with career duration than h-index, suggesting that it may provide a more career-stage-independent measure of citation-based scholarly influence. However, persistent subspecialty differences and the inability of both RCR-derived metrics and h-index to account for author-level contribution indicate that these bibliometrics should be interpreted as complementary tools rather than standalone measures.
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- Commentary: Identifying Unmonitored Tone Drift in Patient Education Materials Transcribed to a Lower Reading Level by a Large Language Model. [Journal Article]Neurosurgery. 2026 Aug 06. [Online ahead of print]N
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- Anticoagulation and Antiplatelet Therapy in Chronic Subdural Hematoma: A Multicenter Evaluation. [Journal Article]Neurosurgery. 2026 Aug 05. [Online ahead of print]N
- CONCLUSIONS: Preoperative ACAP use and longer preoperative discontinuation are not independently associated with increased reoperation risk in patients with cSDH. Earlier postoperative ACAP reinitiation is also not significantly associated with reoperation risk. However, more extensive large scale prospective studies are required to support these findings and form clinical recommendations.
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- In Reply: Early Career First and Senior Authorship and Its Relation to Future Neurosurgical Leadership. [Journal Article]Neurosurgery. 2026 Jul 29. [Online ahead of print]N
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- Letter: Early Career First and Senior Authorship and Its Relation to Future Neurosurgical Leadership. [Journal Article]Neurosurgery. 2026 Jul 29. [Online ahead of print]N
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- Anatomic Predictors of Occlusion After Flow Diversion for Posterior Inferior Cerebellar Artery Aneurysms: A Single-Center Experience and Systematic Review. [Journal Article]Neurosurgery. 2026 Jul 29. [Online ahead of print]N
- CONCLUSIONS: This large cohort provides insights into the safety and efficacy of FD for PICA aneurysms. FD seems highly effective for distal aneurysms, whereas in proximal lesions it should be considered more selectively, after weighing alternative treatments, given the comparatively lower rates of angiographic occlusion.
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- Commentary: Risk Factors for Revision Surgery After Acute Proximal Junctional Fracture Following Adult Spinal Deformity Surgery. [Journal Article]Neurosurgery. 2026 Jul 24. [Online ahead of print]N
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- Management of Anticoagulation Therapy in Focused Ultrasound Thalamotomy: A Series of 687 Patients. [Journal Article]Neurosurgery. 2026 Jul 24. [Online ahead of print]N
- CONCLUSIONS: Our series of 179 uncomplicated MRgFUS cases performed while on continued antithrombotic therapy may suggest that continuing antithrombotic therapy during MRgFUS is reasonable in select patients.
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- Characterizing Dysphagia: Eating Assessment Tool-10 Severity Categories After Cervical Spine Surgery. [Journal Article]Neurosurgery. 2026 Jul 23. [Online ahead of print]N
- CONCLUSIONS: We propose none (0-2), mild (3-4), moderate (5-15), and severe (16-40) dysphagia categories based on EAT-10 scores. Evidence from univariate and multivariate analyses strengthens the validity of our proposed EAT-10 severity categories, providing statistical justification for their incorporation into clinical practice.
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- A Tale of 2 Institutions: Differences in Sociodemographic Factors, Presenting Features, Treatment Characteristics, and Outcomes in Patients Undergoing Surgery for Spinal Metastases. [Journal Article]Neurosurgery. 2026 Jul 22. [Online ahead of print]N
- CONCLUSIONS: There were substantial disparities in sociodemographic factors, presenting local disease burden, and postoperative neurological outcome but no difference in survival outcome, between patients treated at our public and private hospitals. These findings underscore the need for more equitable screening, surveillance, and referral structures.
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- Absence of Persistent Complete Membranous Obstruction at the Foramen of Magendie in Pediatric Blake's Pouch Cyst With Hydrocephalus: Evidence for a Delayed Perforation Theory. [Journal Article]Neurosurgery. 2026 Jul 22. [Online ahead of print]N
- CONCLUSIONS: Our findings challenge the concept of persistent complete membranous obstruction at the foramen of Magendie in postnatal pediatric patients with BPC and hydrocephalus. On the basis of these observations, we propose a delayed perforation theory. In our cohort, endoscopic third ventriculostomy showed limited efficacy in treating hydrocephalus associated with BPC. Careful evaluation of the posterior fossa anatomy is therefore essential when planning treatment.
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- Preoperative Opioid Weaning in Adult Spinal Deformity Surgery: Who Can Do It and Does It Predict Outcomes? [Journal Article]Neurosurgery. 2026 Jul 22. [Online ahead of print]N
- CONCLUSIONS: Preoperative opioid weaning independently predicted sustained postoperative opioid freedom and was associated with trends toward lower reoperation rates for mechanical complications. Opioid duration was the key barrier to successful weaning, reinforcing the urgency of early surgical referral.
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- Familial Chiari Malformation: Prevalence of Connective Tissue Disorders and Other Comorbidities. [Journal Article]Neurosurgery. 2026 Jul 22. [Online ahead of print]N
- CONCLUSIONS: Familial CM-I is strongly associated with CTDs, particularly EDS, and systemic comorbidities such as hypermobility, postural orthostatic tachycardia syndrome, and mast cell activation disorder. These findings support a heritable link between CM-I and CTDs and highlight the importance of detailed family history and connective tissue evaluation in CM-I patients. Comprehensive assessment and counseling of at-risk relatives may improve diagnosis, surgical planning, and long-term outcomes.
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- Is rhBMP-2 Worth the Risk? A Data-Driven Look at Fusion Outcomes and rhBMP-2-Related Complication Burden in High-Risk Adult Spinal Deformity Patients. [Journal Article]Neurosurgery. 2026 Jul 21. [Online ahead of print]N
- CONCLUSIONS: In a cohort of patients undergoing ASD surgery, rhBMP-2 use was independently associated with fewer mechanical complications without an increase in BMP-related adverse events. rhBMP-2 demonstrated differential efficacy across high-risk populations, specifically benefiting patients with obesity and osteoporosis/osteopenia.
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