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  1. Article ; Online: Trapping and Superficial Temporal Artery to Distal Middle Cerebral Artery Bypass for Excision of an Iatrogenic Middle Cerebral Artery Pseudoaneurysm After Placement of Epilepsy Depth Electrodes: 2-Dimensional Operative Video.

    Lamanna, Jason J / Gross, Robert E / Barrow, Daniel L

    Operative neurosurgery (Hagerstown, Md.)

    2023  Volume 24, Issue 6, Page(s) e439–e440

    MeSH term(s) Humans ; Middle Cerebral Artery/diagnostic imaging ; Middle Cerebral Artery/surgery ; Temporal Arteries/diagnostic imaging ; Temporal Arteries/surgery ; Aneurysm, False/diagnostic imaging ; Aneurysm, False/etiology ; Aneurysm, False/surgery ; Iatrogenic Disease ; Electrodes
    Language English
    Publishing date 2023-02-20
    Publishing country United States
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000647
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Microsurgical treatment of a posterior fossa arteriovenous malformation initially mistaken for a dural arteriovenous fistula: avoidance of near disaster.

    Howard, Brian M / Barrow, Daniel L

    Neurosurgical focus: Video

    2021  Volume 4, Issue 1, Page(s) V7

    Abstract: Many brain arteriovenous malformations (AVMs) derive dural blood supply, while 10%-15% of dural arteriovenous fistulas (dAVFs) have pial arterial input. To differentiate between the two is critical, as treatment of these entities is diametrically opposed. ...

    Abstract Many brain arteriovenous malformations (AVMs) derive dural blood supply, while 10%-15% of dural arteriovenous fistulas (dAVFs) have pial arterial input. To differentiate between the two is critical, as treatment of these entities is diametrically opposed. To treat dAVFs, the draining vein(s) is disconnected from feeding arteries, which portends hemorrhagic complications for AVMs. The authors present an operative video of a subtle cerebellar AVM initially treated as a dAVF by attempted embolization through dural vessels. The lesion was subsequently microsurgically extirpated. The authors show a comparison case of an AVM mistaken for a dAVF and transvenous embolization that resulted in a fatal hemorrhage. The video can be found here: https://youtu.be/eDeiMrGoE0Q.
    Language English
    Publishing date 2021-01-01
    Publishing country United States
    Document type Journal Article
    ISSN 2643-5217
    ISSN (online) 2643-5217
    DOI 10.3171/2020.10.FOCVID2047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Microsurgical Management of Blister-Type Basilar Artery Apex Region Aneurysms: Companion Cases Demonstrate Technical Nuances of the Subtemporal Approach: 2-Dimensional Operative Video.

    Howard, Brian M / Barrow, Daniel L

    Operative neurosurgery (Hagerstown, Md.)

    2021  Volume 21, Issue 4, Page(s) E358

    Abstract: The proportion of intracranial aneurysms treated by microsurgical clip ligation has drastically decreased in the endovascular era. However, some aneurysms cannot be treated by current endovascular techniques. Therefore, trainees and young vascular ... ...

    Abstract The proportion of intracranial aneurysms treated by microsurgical clip ligation has drastically decreased in the endovascular era. However, some aneurysms cannot be treated by current endovascular techniques. Therefore, trainees and young vascular neurosurgeons must develop and maintain microsurgical skills to safely treat aneurysms that require surgery. Ruptured, basilar artery apex, blister-type aneurysms are particularly treacherous and require a high degree of skill to safely manage them surgically. In this video, 2 companion cases are exhibited to demonstrate the nuances of the subtemporal, skull base, approach to the basilar apex region. In each case, the patient consented to surgery and anonymized recording. The subtemporal approach is favored over the trans-sylvian for posteriorly directed basilar apex region aneurysms as the former affords a complete view of the relevant anatomy. Points for consideration include variations on the standard subtemporal approach, use of retractors vs lumbar drainage to mobilize the temporal lobe, and splitting the tentorium vs a suture-retraction technique for visualization of the basilar artery apex region. Techniques for successful navigation of intraoperative rupture are demonstrated. As the number of intracranial aneurysms treated by microsurgery continues to ebb, high-quality educational videos that supplement surgeon experience will become increasingly critical to ensure that a cohort of capable microvascular neurosurgeons is prepared to tackle challenging, but manageable aneurysms, such as the blister-type basilar apex variety. Video (c) Emory University School of Medicine, 2021. Used with permission.
    Language English
    Publishing date 2021-07-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1093/ons/opab237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Treatment of a Giant Thrombotic M1 Segment Middle Cerebral Artery Aneurysm With Radial Artery Bypass and Distal Occlusion to Create a "Blind Sac" Following Endovascular Failure: 2-Dimensional Operative Video.

    Eshraghi, Sheila R / Barrow, Daniel L

    Operative neurosurgery (Hagerstown, Md.)

    2021  Volume 21, Issue 3, Page(s) E266–E267

    Abstract: The case is of a 36-yr-old male with a previously coiled aneurysm arising from the proximal M1 segment of the middle cerebral artery (MCA) just beyond the internal carotid artery (ICA) bifurcation who presented to our institution with subjective left ... ...

    Abstract The case is of a 36-yr-old male with a previously coiled aneurysm arising from the proximal M1 segment of the middle cerebral artery (MCA) just beyond the internal carotid artery (ICA) bifurcation who presented to our institution with subjective left hemiparesis, headache, and vomiting. Physical exam revealed a left facial droop, but neurological exam was otherwise normal, including full motor strength. Neuroimaging showed a large partially thrombosed aneurysm recurrence, measuring 5.2 cm, with obstructive hydrocephalus. Cerebral angiogram showed filling within a small portion of the aneurysm and marked stenosis of the MCA beyond the neck. A ventriculostomy was placed, and he underwent a pterional craniotomy for high-flow radial artery bypass from the common carotid artery to an M2 branch of the MCA and clip placement. This case demonstrates the creation of a blind sac by placing a clip on the MCA distal to the aneurysm and proximal to the lenticulostriate arteries for the treatment of a giant proximal M1 segment aneurysm. Postoperative digital subtraction angiography shows the MCA distribution, including the lenticulostriate arteries, filling through the radial artery bypass, and anterograde flow through the ICA, which perfuses up to and including the anterior choroidal artery. There is no residual filling of the aneurysm. The patient remained at his neurological baseline postoperatively and required ventriculoperitoneal shunt placement for hydrocephalus. At outpatient follow-up, computed tomography imaging showed decreased size of the thrombosed aneurysm, measuring 4.5 cm, and he had no neurological deficits. The patient gave informed consent for surgery and deidentified video recording of this case.
    Language English
    Publishing date 2021-06-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1093/ons/opab150
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Letter: Research Productivity of Physicians in the Pandemic and Post-pandemic Era: A "Productive Outbreak'".

    Alawieh, Ali M / Saad, Hassan / Dimisko, Laurie / Barrow, Daniel L / Chern, Joshua J

    Neurosurgery

    2023  Volume 92, Issue 3, Page(s) e77–e79

    MeSH term(s) Humans ; Pandemics ; Disease Outbreaks/prevention & control ; Physicians ; Efficiency
    Language English
    Publishing date 2023-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/neu.0000000000002343
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: In Reply: Management of a Previously Coiled Anterior Cerebral Artery Aneurysm in a Child: 3-Dimensional Operative Video.

    Agarwal, Vijay / Barrow, Daniel L

    Operative neurosurgery (Hagerstown, Md.)

    2019  Volume 17, Issue 2, Page(s) E95

    Language English
    Publishing date 2019-06-27
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1093/ons/opz147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Introduction: What is Neurosurgery?

    Barrow, Daniel L / Bendok, Bernard R

    Operative neurosurgery (Hagerstown, Md.)

    2019  Volume 17, Issue Suppl 2, Page(s) S1–S2

    MeSH term(s) Humans ; Neurosurgeons ; Neurosurgery/education ; Neurosurgical Procedures/education
    Language English
    Publishing date 2019-05-17
    Publishing country United States
    Document type Introductory Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1093/ons/opz071
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  8. Article ; Online: Ventriculoperitoneal Shunts in Dermatologic Surgery.

    Rapsas, Benjamin / Barrow, Daniel L / Blalock, Travis W

    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.

    2021  Volume 47, Issue 8, Page(s) 1180–1182

    MeSH term(s) Adult ; Carcinoma, Basal Cell/surgery ; Head and Neck Neoplasms/surgery ; Humans ; Male ; Mohs Surgery/methods ; Scalp/surgery ; Skin Neoplasms/surgery ; Ventriculoperitoneal Shunt/adverse effects ; Ventriculoperitoneal Shunt/instrumentation
    Language English
    Publishing date 2021-02-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1227586-4
    ISSN 1524-4725 ; 1076-0512
    ISSN (online) 1524-4725
    ISSN 1076-0512
    DOI 10.1097/DSS.0000000000002956
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  9. Article ; Online: Trends in Academic Misrepresentation in Neurological Surgery Residency Applicants: A 2-Year Analysis.

    Letchuman, Vijay / Barrow, Daniel L / Adamson, David Cory

    World neurosurgery

    2021  Volume 151, Page(s) e988–e994

    Abstract: Objective: Academic misrepresentation is not an unknown phenomenon, with recent reports in neurosurgery detecting a 45% misrepresentation rate in prospective neurosurgical residents. The purpose of this study was to determine current rates of academic ... ...

    Abstract Objective: Academic misrepresentation is not an unknown phenomenon, with recent reports in neurosurgery detecting a 45% misrepresentation rate in prospective neurosurgical residents. The purpose of this study was to determine current rates of academic misrepresentation by prospective neurosurgical residents at a single institution across 2 distinct application cycles.
    Methods: We retrospectively reviewed all Electronic Residency Application Service applications to 1 institution's neurosurgical residency program in the 2015 (n = 320) and 2020 (n = 355) application cycles. Reported academic works were verified through an extensive Web search of PubMed, Google Scholar, and the individual journal Web sites. Misrepresentation was defined in our study as listing work that does not exist, self-promotion to primary authorship, self-promotion (excluding primary authorship), incorrectly listing online-only publications, and listing non-peer-reviewed work as peer-reviewed.
    Results: In 2015, 253 (79.1%) applicants reported a total of 2097 citations and 305 (85.9%) applicants reported a total of 3018 citations in 2020 (P < 0.05). Median peer-reviewed articles per applicant rose significantly in 2020 (3.0 vs. 4.0, P < 0.001). Misrepresentation rates decreased dramatically in 2020 to 18.4% from a previously reported misrepresentation rate of 45% in 2012 (P < 0.0001). Increased United States Medical Licensing Exam Step 2 scores were associated with a decreased likelihood of misrepresentation (odds ratio = 0.97, P < 0.001).
    Conclusions: Misrepresentation rates within neurosurgical residency candidates have significantly decreased despite an increase in reported citations. A variety of steps including education, modifying reporting methods, and increased screening may help even further decrease misrepresentation.
    MeSH term(s) Humans ; Internship and Residency ; Neurosurgery ; Retrospective Studies ; Scientific Misconduct/trends
    Language English
    Publishing date 2021-05-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2021.05.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Microsurgical Technique for Treatment of Perimedullary Spinal Arteriovenous Fistulae: 2-Dimensional Operative Video.

    Howard, Brian M / Barrow, Daniel L

    Operative neurosurgery (Hagerstown, Md.)

    2019  Volume 19, Issue 1, Page(s) E65

    Abstract: The case is of a 49-yr-old female admitted after acute onset lower cervical/upper thoracic region pain with left hemi-body hypoesthesia below the C7 level. Magnetic resonance imaging showed a spinal cord intraparenchymal hemorrhage at the C6/7 levels. ... ...

    Abstract The case is of a 49-yr-old female admitted after acute onset lower cervical/upper thoracic region pain with left hemi-body hypoesthesia below the C7 level. Magnetic resonance imaging showed a spinal cord intraparenchymal hemorrhage at the C6/7 levels. Physical exam revealed hypoesthesia on the left from C7 and below with associated 3/5 wrist and finger extensor and 4/5 triceps strength on the left. The remainder of the neurological exam was normal including lower extremity strength and bowel/bladder function. A craniocervical angiogram showed a perimedullary arteriovenous fistula on the left, ventrolateral aspect of the spinal cord with a single feeding artery that originated from the thyrocervical trunk and entered through the left C6 nerve root sleeve. Venous drainage was cephalad to cortical cerebellar veins and to the suboccipital plexus. A branch of the thyrocervical trunk supplying the ventral spinal cord originated close to the fistula, which precluded endovascular embolization. The patient underwent C6-T1 laminectomies for microsurgical treatment of the fistula. This case demonstrates multiple key concepts in the surgical management of these rare lesions as follows: the ventral aspect of the cervical spinal cord can be safely approached from posterior. The venous anatomy is often confusing and intraoperative angiography utilizing both indocyanine green and conventional digital subtraction techniques are of paramount importance. Unlike arteriovenous malformations, the venous drainage can be pruned to gain visualization and trace the venous anatomy retrograde to the point of the fistula. The patient awoke from surgery at her neurological baseline. The patient consented to de-identified publication of this case.
    MeSH term(s) Angiography ; Arteriovenous Fistula/diagnostic imaging ; Arteriovenous Fistula/surgery ; Female ; Humans ; Laminectomy ; Middle Aged ; Spinal Cord Vascular Diseases
    Language English
    Publishing date 2019-09-23
    Publishing country United States
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1093/ons/opz277
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