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In this issue of Neurosurgery News several experts join together to discuss aneurysm treatment with the Flow Diversion Pipeline®, anterior cervical discectomy and fusion device for a herniated disc, cranial nerve disorders in older patients, and stereo-electroencephalography for diagnostic epilepsy surgery.

Educational objectives:

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

  • Discuss the effectiveness of new stent devices in treating aneurysms
  • Discuss the decreased risk of side effects associated with zero-profile anterior cervical discectomy for the treatment of a herniated disc
  • Review the benefits of treating older trigeminal neuralgia and hemifacial spasm patients with microvascular decompression
  • Identify the epileptogenic zone using stereo-electroencephalography in patients who may be candidates for epilepsy surgery

Reading Resources:

  1. Sekula RF, Frederickson AM, Arnone, GD, et al. Microvascular decompression for hemifacial spasm in patients >65 years of age: An analysis of outcomes and complications. Muscle & Nerve. 2011; 48(5): 770-76.
  2. Gerszten PC, Welch WC, King JT. Quality of life assessment in patients undergoing nucleoplasty-based percutaneous disectomy. J Neurosurgery Spine. 2006;  4:36-42.
  3. Ducruet AF, Crowley RW, Albuquerque FC, McDougall CG. Reconstructive endovascular treatment of a ruptured vertebral artery dissecting aneurysm using the Pipeline embolization device. J NeuroInterv Surg. 2013.
  4. Zwagerman NT, Richardson RM. Inhibitory neuron therapy for epilepsy. Neurosurgery. 2013.


Andrew M. Frederickson and Drs. Andrew F. Ducruet, Peter C. Gerszten, Brian T. Jankowitz, and Raymond F. Sekula Jr. have reported no relevant relationships with any entities producing health care goods or services.

Dr. R. Mark Richardson reports grant and research support from Medtronic, Inc., and Erin E. Paschel is a consultant for Medtronic and Centinel Spine

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 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: 2/18/2014 | Last Modified On: 2/18/2014 | Expires: 2/18/2015

This course has been expired.