In this issue of Neurosurgery News Fall 2014, Dr. D. Kojo
Hamilton discusses when surgery is appropriate for Adjacent Segment Disease of
the Lumbar Spine, Drs. Johnathan A. Engh and Nduka Amankulor provide an overview
on Fluorescent-Guided Brain Tumor Surgery, and Dr. Paul Gardner discusses
Setting a New Standard of Care for
Endoscopic Endonasal Cranial Base Surgery.
Educational Objectives:
Upon completion of this activity, participants should be
able to:
- Improve counseling of patients with high grade
glioma with regard to effects of maximal resection and outcome
- Increase knowledge of available fluorophores
- Distinguish optical patterns of fluorescein from
other fluorophores
- Review the development of the endoscopic
endonasal approach
- Discuss the endoscopic endonasal approach for
the treatment of chordomas and craniopharyngiomas
- Discuss the role of the nasoseptal and inferior
turbinate flaps in endonasal reconstruction
- Discuss adjacent level disease
- Review diagnostic requirements of adjacent level
disease of the spine
- Discuss management requirements of adjacent level
disease of the spine
Reading Resources:
- Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F,
Reulen HJ. Fluorescence-Guided Surgery With 5-Aminolevulinic Acid for Resection
of Malignant Glioma: A Randomised Controlled Multicentre Phase III Trial.
Lancet Oncol. 2006 May;7(5):392-401.
- Li Y, Rey-Dios R, Roberts DW, Valdés PA, Cohen-Gadol AA.
Intraoperative Fluorescence-Guided Resection of High-Grade Gliomas: A
Comparison of the Present Techniques and Evolution of Future Strategies. World
Neurosurg. 2014 Jul-Aug;82(1-2):175-85.
- Acerbi F, Broggi M, Eoli M, Anghileri E, Cavallo C, Boffano
C, Cordella R, Cuppini L, Pollo B, Schiariti M, Visintini S, Orsi C, La Corte
E, Broggi G, Ferroli P. Is Fluorescein-Guided Technique Able to Help in
Resection of High-Grade Gliomas? Neurosurg Focus. 2014 Feb;36(2):E5.
- Koutourousiou M, Gardner PA, Tormenti MJ, Henry SL, Stefko
ST, Kassam AB, Fernandez-Miranda JC, Snyderman CH. Endoscopic Endonasal
Approach for Resection of Skull Base Chordomas: Outcomes and Learning Curve.
Neurosurgery. 2012 Sep;71(3):614-25.
- Koutourousiou M, Gardner PA, Fernandez-Miranda JC,
Tyler-Kabara EC, Wang EW, Snyderman CH. Endoscopic Endonasal Surgery for
Craniopharyngiomas: Surgical Outcome in 64 Patients. J Neurosurg. 2013
Nov;1119(5):1194-207.
- Pinheiro-Neto CD, Ramos HF, Peris-Celda M, Fernandez-Miranda
JC, Gardner PA, Snyderman CH, Sennes LU. Study of the Nasoseptal Flap for
Endoscopic Anterior Cranial Base Reconstruction. Laryngoscope. 2011
Dec;121(12):2514-20.
- Perez-Cruet MJ, Hussain NS, White GZ, Begun EM, Collins RA,
Fahim DK, Hiremath GK, Adbi FM, Yacob SA. Quality-of-Life Outcomes With
Minimally Invasive Transforaminal Lumbar Interbody Fusion Based on Long-Term
Analysis of 304 Consecutive Patients. Spine (Phila Pa 1976).2014 Feb
1;39(3):E191-8.
- Choi KC, Kim JS, Shim HK, Ahn Y, Lee SH. Changes in the
Adjacent Segment 10 Years After Anterior Lumbar Interbody Fusion for Low-Grade
Isthmic Spondylolisthesis. Clin Orthop Relat Res. 2014 Jun;472(6):1845-54.
- Sakaura H, Yamashita T, Miwa T, Ohzono K, Ohwada T.
Symptomatic Adjacent Segment Pathology After Posterior Lumbar Interbody Fusion
for Adult Low-Grade Isthmic Spondylolisthesis. Global Spine J. 2013
Dec;3(4):219-24.
Disclosures:
Drs. Nduka Amankulor, Johnathan Engh, Paul A. Gardner, and
D. Kojo Hamilton have reported no relevant relationships with any entities producing
health care goods or services. Dr. Carl Snyderman is a consultant and
stockholder of SPIWay, LLC.
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
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Release Date: 12/10/2014 | Last Modified On: 12/10/2014 |
Expires: 12/10/2015
