🚨 New study in Clinical Neurology and Neurosurgery on aneurysmal subarachnoid hemorrhage (aSAH) management 🩸 🧠
Anticipatory initiation of Intrathecal Nicardipine (ITN)—given before clinical or imaging evidence of delayed cerebral ischemia (DCI)—significantly reduces DCI parenchymal infarcts compared to controls (31.3% vs 55.2%).
Key findings:
📉 Starting ITN prior to intra-arterial (IA) spasmolytics significantly lowers the need for serial IA treatments for recalcitrant vasospasm from 71.4% down to 23.1%.
🛡️ It is a safe intervention with no increased risk of EVD-related complications or meningitis.
⚠️ Timing is everything, because reactionary ITN given after DCI onset did not reduce the rate of additional infarcts or the need for serial IA treatments.
Question: Does this article change your practice?
#NeuroTwitter #NeuroCriticalCare #SubarachnoidHemorrhage #Vasospasm #NeuroSurgery
https://t.co/t09vQGuY3W
Skills lab today @URNeurosurgery simulating type 2 and 3 CSF leak repair. Seeing more and more of these cases. Great to practice and teach technique. Appreciate educational grant support from @BioventusGlobal for bone scalpel laminoplasty. @spinalCSFleak
Such a treat to visit and share my experience treating patients with spontaneous intracranial hypotension. Clever residents and inspiring faculty! @spinalCSFleak@URNeurosurgery
We are honored to welcome Matthew T. Bender, M.D., from @URNeurosurgery, as our Invited Visiting Professor! Join us as we host Dr. Bender for an insightful session sharing his expertise in neurosurgery and patient care. #VisitingProfessor#WakeForestNeurosurg
🧠 New narrative review: A proposed disease model for #IIH suggests altered brain fluid regulation, linked to obesity, may drive a cycle of fluid buildup, venous compression, & ⬆️intracranial pressure.
Read the full article: https://t.co/XEf6UD5Rgd
@D_SchartzMD@mtbendermd
Congrats to @AaronAnandaraj1 one of our most productive @penn undergraduates in the #NeuroVERT lab, now a med student up in Rochester.
Look forward to following your work with @mtbendermd and crew
Fun seeing friends and collaborators at @UofLNeurosurg while sharing research on neutrophil extracellular traps and complement proteins in ischemic stroke thrombus @URNeurosurgery
https://t.co/p0IdCvGrSO
Thrilled to show our findings implicating the glymphatic system in futile recanalization after thrombectomy in LVO #stroke. Is the glymphatic system a potential therapeutic target? @mtbendermd
Interesting analysis from RESCU ICAS led by @mtbendermd . Worse NIHSS on presentation and higher number of passes are strong predictors for futile recanalization, while stenting and complete recan provide protective effect
…and there are consistent molecular patterns found in thrombi from patients with post-thrombectomy hemorrhage. More to come from @URNeurosurgery@SajalAkkipeddi
Navin had trouble walking, remembering, and needed help with daily tasks—signs of normal pressure hydrocephalus (NPH), caused by fluid buildup in the brain.
A new study helped treat his condition without major surgery. Now he walks 3–4 miles a day! #URochesterResearch