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In this issue, experts describe endovascular treatment of intracranial aneurysms, highlight the experienced treatment team at the UPMC Pituitary Center of Excellence, review indications for dynamic stabilization of the lumbar spine, and discuss functional neurosurgery procedures.

Educational objectives:

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

  • Recognize various types of stent devices used in intracranial aneurysm treatment
  • Improve knowledge of pituitary tumor treatment
  • Improve patient outcomes by identifying patients who would benefit from dynamic stabilization of the lumbar spine
  • Implement appropriate guidelines for referring patients with epilepsy and movement disorders for surgery

Reading Resources:

1.    Moon K, Albuquerque FC, Ducruet AF, Crowley RW, McDougall CG. Resolution of Cranial Neuropathies Following Treatment of Intracranial Aneurysms With the Pipeline Embolization Device. J Neurosurg. 2014 Nov;121(5):1085-92.
2.    Kooshkabadi A, Jankowitz B, Choi PA, Weiner GM, Greene S. Thrombosis and Spontaneous Recanalization of a Giant Intracranial Aneurysm: Diagnostic and Management Pearls in a Pediatric Patient. J Neurosurg Pediatr. 2015 Jan;15(1):78-81.
3.    Fernandez-Miranda JC, Gardner PA, Rastelli MM Jr, Peris-Celda M, Koutourousiou M, Peace D, Snyderman CH, Rhoton AL Jr. Endoscopic Endonasal Transcavernous Posterior Clinoidectomy With Interdural Pituitary Transposition. J Neurosurg. 2014 Jul;121(1):91-9.
4.    Gerszten PC, Tobler W, Raley TJ, Miller LE, Block JE, Nasca RJ. Axial Presacral Lumbar Interbody Fusion and Percutaneous Posterior Fixation for Stabilization of Lumbosacral Isthmic Spondylolisthesis. J Spinal Disord Tech. 2012 Apr;25(2):E36-40.
5.    Zwagerman NT, Richardson RM. Inhibitory Neuron Therapy for Epilepsy. Neurosurgery. 2013 Oct;73(4):N18-9.

Disclosures:

Drs. Ducruet, Jankowitz, Fernandez-Miranda, Richardson, and Erin E. Paschel, PA-C, have reported no relevant relationships with any entities producing health care goods or services.

Dr. Gerszten has as financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Zimmer 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 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: 2/19/2015 | Last Modified On: 2/19/2015 | Expires: 2/18/2016

This course has been expired.