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Neurosurgery News Winter 2017

In this issue of Neurosurgery News, Specialists join together to discuss minimally invasive, robotic-assisted surgery for diagnosis and treatment of epilepsy, the Brain Computer Interface (BCI), developed by researchers at the University of Pittsburgh and UPMC, that help a paralyzed patient regain sense of touch, and prophylactic antiepileptics and seizure incidence following subarachnoid hemorrhage.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Recognize that formal certification of subspecialty training within the field of neurological surgery is becoming a requirement for trainees in many subspecialty fields, including neuroendovascular surgery
  • Appreciate that neurovascular disease is increasingly treated with neuroendovascular therapies, in addition to open vascular therapies
  • Explain the technologies currently available for humans that allows for the microstimulation of sensory cortex.
  • Explain the importance of sensation feedback as part of normal movement when developing a brain computer interface system.
  • Recognize that microstimulation of the human sensory cortex is safe, and the evoked sensations are stable over months.
  • Follow the recommended management strategy of not administering prophylactic anti-epileptics to potentially decrease the incidence of post-SAH cerebral vasospasm.

Reading Resources:

  1. Panczykowski D, Pease M, Zhao Y, Weiner G, Ares W, Crago E, Jankowitz B, Ducruet AF.  Prophylactic Antiepileptics and Seizure Incidence Following Subarachnoid Hemorrhage: A Propensity Score-Matched Analysis. Stroke. 2016 Jul;47(7):1754-60. doi: 10.1161/STROKEAHA.116.013766.
  2. Riordan KC, Wingerchuk DM, Wellik KE, Zimmerman RS, Sirven JI, Noe KH: Anticonvulsant drug therapy after aneurysmal subarachnoid hemorrhage. A critically ap- praised topic. Neurologist 16:397-399, 2010.
  3. Raper DM, Starke RM, Komotar RJ, Allan R, Connolly ES, Jr. Seizures after aneurysmal SAH: A systematic review of outcomes. World Neurosurg. 2013;79:682-690

Disclosures:

All contributing editors report no relationships with proprietary entities producing health care goods or services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 2/23/2017 | Last Modified On: 2/23/2017 | Expires: 2/23/2018

Additional Resources

Presenters

R. Mark Richardson, MD, PhD

R. Mark Richardson, MD, PhD Assistant Professor of Neurological Surgery
Director, Epilepsy and Movement Disorders Surgery
Director, Brain Modulation Laboratory
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David Panczykowski, MD

David Panczykowski, MD David Panczykowski, MD received his bachelor’s degree from Clemson University in 2006 while concurrently employed as a fire fighter with the Clemson Fire Department. He matriculated to the University of Miami School of Medicine, where he had the opportunity to participate in research at the Miami ...
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Benjamin Zussman, MD

Benjamin Zussman, MD Benjamin M. Zussman, MD studied medicine at Jefferson Medical College where he was managing editor of the Jefferson Hospital for Neuroscience Journal, co-founder and president of the Neurosurgery Student Interest Group, and a teaching assistant in neuroanatomy.
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