Welcome to the Neurosurgery Watering Hole!


Every quarter you will be presented with a topic that is pertinent and related to conditions we encounter at PMH. Supporting documents will be provided to help answer a 10 -20 question quiz that is accessible via medHub. A second part to this quarterly communication will be dedicated to general Neuropathology. A quarterly winner will be announced. Good luck.

Any suggestions or remarks including the choice of future topics will be greatly appreciated.

jw and nk

Learning is fun!  Dr. Nick Kandalaft and Dr. Jon White

Topic : Development of the Intracranial Vascular System

Reading Materials:

I - Normal and Abnormal Embryology and Development of the Intracranial Vascular System
II - Angiogenesis in neurological disorders: a review
III - Cerebrovascular Embryology - Brett Whittemore, MD


Lasjaunias, P, Berenstein, A, Ter Brugge, KG. Surgical Neuroangiography, Vol 1, 2nd Ed. Berlin: Springer-Verlag, 2001.

Osborn, AG. Diagnostic Cerebral Angiography, 2nd Ed. Philadelphia: Lippincott Williams & Wilkins, 1999.

Sadler, TW. Langman’s Medical Embryology, 9th Ed. United States: Lippincott Williams & Wilkins, 2003.

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Topic : External Carotid Artery System: Dangerous or Beneficial Liaisons

funk and kandalaft2
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Dr. Robert Funk accepts a gift from Dr. Nick Kandalaft after having the top score on his External Carotid Artery System quiz. Can anybody stop this man?

Reading Materials:

I - Dangerous Extracranial-Intracranial Anastomoses and Supply to the Cranial Nerves: Vessels the Neurointerventionalist Needs to Know
II - Functional Angiography of the Head and Neck
III - A microsurgical study of the anatomy and course of the ophthalmic artery and its possibly dangerous anastomoses
IV - Cerebral revascularization for ischemic disease in the 21st century
V- External Carotid Artery Embolization
VI - (PowerPoint) External Carotid Artery: Highway to the Danger Zones

Topic : Neurosurgical Post-Operative Infection and Its Management


Dr. James Botros accepts a dinner certificate for 2 from Dr. Jon White after having the best score on his Neurosurgical Post-Op Infection quiz.

nick with book
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Dr. Kandalaft is holding, “Neurosurgical Infectious Disease” written by Walter A Hall and Peter D. Kim.


Dr. Robert Funk accepts a book from Dr. Jon White after having the second-best score on his Neurosurgical Post-Op Infection quiz.


Dr. Awais Vance proudly accepts a handshake from Dr. Jon White. Two promised bottles of wine from Dr. Kandalaft are forthcoming!

Reading Materials:

I - Cranioplasty after decompressive craniectomy
II - Risk Factors for Adult Nosocomial Meningitis
III - Autologous and Acrylic Cranioplasty A Review of 10 years and 258 cases
IV - Mgt of Infection After Instrumented Posterior Spine Fusion
V - Clinical Outcome of Deep Wound Infection
VI - Postop Deep Wound Infection in Adults
VII - The dx and mgt of infection foll instrumented spinal fusion
VIII - Postoperative wound infections of the spine
IX - Surgical site infection rates after minimally invasive spinal surgery
X - Operative intracranial infection following craniotomy
XI - Risk Factors for Intracranial Infection Secondary to Penetrating Craniocerebral GW
XII - Postoperative intracranial neurosurgery infection rates in NA vs Europe
XX - Postoperative Intracranial Infections book chapter fr Neurosurgical Infectious Diseases Hall et al
XX - Implanted Devices and CNS Infection book chapter Neurosurgical Infectious Disease Hall et al
Table 2-6 Predisposing conditions and common organisms of brain abscess
Table 3-1 Antibiotics commonly used in CNS infections

Topic 1a: Fatigue Recognition Training

jw and vance
jw and davies

Another Tie! Congrats to Matthew Davies and Awais Vance for winning a Texas de Brazil Certificate for dinner for the most correct answers on the Fatigue Recognition Training, 2014-Q1 Quiz.

Reading Materials:

1. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models on Sleep Duration,Trainee Education, and Continuity of Patient Care Among Internal Medicine House Staff, A Randomized Trial
Sanjay V. Desai, MD et al.

2. Sleep and Fatigue Countermeasures for the Neurology Resident and Physician, Alon Y. Avidan, MD, MPH, FAASM

3. Special Article: The effects of fatigue on physician performance- an underestimated cause of physician impairment and increased patient risk, John B. R. Parker, MB BS CRCPC

4. What Are the Effects of Sleep Deprivation and Fatigue in Surgical Practice? Colin Sugden, MBChB, MRCS

5. Surgeon Fatigue A Prospective Analysis of the Incidence, Risk, and Intervals of Predicted Fatigue-Related Impairment in Residents, Frank McCormick, MD et al.

6. Sleep Deprivation and Vigilant Attention, Julian Lim and David F. Dinges.

7.  Follow-Up on a National Survey: American Neurosurgery Resident Opinions on the 2011 Accreditation Council for Graduate Medical Education-Implemented Duty Hours, Kyle M. Fargen et al.

8. Sleep function and synaptic homeostasis, Giulio Tononi and Chiara Cirelli

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Additional Interesting Articles:

1. SLEEP, MEMORY, AND PLASTICITY, Matthew P.Walker and Robert Stickgold

2. A deficit in the ability to form new human memories without sleep, Seung-Schik Yoo et al.

3. The effects of 40 hours of total sleep deprivation on inflammatory markers in healthy young adults, Danielle J. Frey et al.

4.  The interaction between sleep quality and academic performance, K. Ahrberg et al.

JW_Klinger_FEB 2014
JW_Patel_FEB 2014
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It’s a Tie! Congrats to Daniel Klinger and Ankur Patel for winning a Texas de Brazil Certificate for dinner for the most correct answers on the History of Epilepsy Surgery, 2013-Q4 Quiz.

Topic 1a: History of Epilepsy Surgery

Reading Material(s):

1. Chapter XII, “Surgery of Epilepsy and Motor Disorders” A. Earl Walker, MD, editor. A History of Neurological Surgery. Baltimore: The Williams and Wilkins Company, 1951:285-305.

2. “One Hundred Years of Epilepsy Surgery: Sir Victor Horsley’s Contribution,” by David C. Taylor, Jerome Engel, Jr., editor.  Surgical Treatment of Epilepsies. New York: Raven Press, 1987:7-11.

3.“Toward a Surgical Cure for Epilepsy, The Work of Wilder Penfield and His School at the Montreal Neurological Institute,” by Willam Feindel, Jerome Engel, Jr., editor.  Surgical Treatment of Epilepsies, Second Edition. New York: Raven Press, 1993:1-9.

4. “Part 1: History of Epilepsy Surgery: Introduction,” by Peter Wolf in Luders and Comair (2001).
“Part 2: Contributions of Fedor Krause and Otfrid Foerster to Epilepsy Surgery,” by Jurgen C. Luders and Hans O. Luders in Luders and Comair (2001).
“Part 3: Contributions of Jean Talairach and Jean Bancaud to Epilepsy Sugery,” by Patrick Chauvel in Luders and Comair (2001).
“Part 4: Contributions of Hugo Krayenbuhl and M. Gazi Yasargil to Epilepsy Surgery,” by Javier Fandino and Heina-Gregor Wieser in Luders and Comair (2001)

5. Epilepsy Surgery: Historical Highlights 1909-2009, Feindel et al., Epilepsia, 50, 131-151, 2009

6. Did all those famous people really have epilepsy? John R. Hughes, Epilepsy and Behavior 6 (2005), 115 -139

7. Osler and “medico-chirurgical neurologists”: Horsley, Cushing, and Penfield, William Feindel, MD, J Neurosurg 99: 188-199, 2003

8. Sir Victor Horsley (1857-1916): Pioneer of Neurological Surgery, Tan TC, Black PM, Neurosurgery 2002, Mar 50(3):607-11; discussion 611-612

9. David Ferrier, Portraits of European Neuroscientists by Nicholas Wade, Marco Piccolino, & Adrian Simmons

10. The first human stereotaxic apparatus. The contribution of Aubrey Mussen to the field of stereotaxis. Picard, Olivier, and Bertrand, J Neurosurg 59:673-676, 1983.

Topic 1b: Book Reviews and Books to Review


1. Harvey Cushing: A Life in Surgery review. Rolando Del Maestro reviewer.

2. A History of Neurosurgery review. BA Simpson reviewer.

3. The Life of Sir William Osler review. Archibald Malloch reviewer.

4. Hans O. Luders and Youssef G. Comair. Epilepsy Surgery, 2nd ed. New York: Lippincott Williams and Wilkins, 2001:19-53.

5. Jerome Engel, Jr., editor. Surgical Treatment of Epilepsies, Second Edition. NY: Raven Press, 1993:1-9.


jw and ben
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Congrats to Ben Boudreaux for winning a Texas de Brazil Certificate for dinner for the most correct answers on the Neurocysticercosis, 2013-Q3 Quiz.

Topic 1a: Neurocysticercosis (NCC)

Reading Material(s):

1. Neurocysticercosis in Houston,Texas An Update by Serpa et al. Medicine, Vol. 90, Number 1, Jan 2011.

2. Case 26: Neurocysticercosis by Psarros, White, and Morgan. Clinical Neurosurgical Vignettes for the Oral Board and Recertification Examination: A Self Assesment Guide, Annotatos Publishing, Jan 2008, pp 187-191.

3. Dr. Jack Raisanen’s one page patholgy of NCC.

4. Intracranial Cysts: Radiologic-Pathologic Correlation and Imaging Approach1

5. Figure 280, from the Principles and Practice of Pediatric Infectious Diseases (online). Eight diverse presentations of neurocysticercosis (imaging only).


1. Zymberg, Samuel T: Neurocysticercosis. World of Neurosurgery 79{2S}: S24.E5-S24.E8, February 2013.
2. Web article on albendazole: www.stanford.edu/class/humbio103/ParaSites2005/Albendazole/index.htm
3. Coyle and Tanowitz: Diagnosis and Treatment of Neurocysticercosis. Interdisciplinary Perspectives on Infectious Disears, Vol. 2009, Article ID 180742, 9 pages
4. Wallin and Kurtzke: Neurocysticercosis in the United States, Review of an important emerging infection. Neurology, Nov 9, 2004, vol. 63, no. 9, p 1559_1564
5. Nash and Garcia: Diagnosis and Treatment of Neurocysticercosis. Nat Rev Neurology; 7(10): 584-594
6. Del Brutto, Oscar H.: Neurocysticercosis. Continuum Lifelong Learning Neurolol 2012;18(6):1392-1416.

Topic 1b: Neuropathology

From The Internet Pathology Laboratory for Medical Education Hosted By The University of Utah Eccles Health Sciences Library. A general neuropathology quiz with ten multiple choice questions.
If you get an incorrect answer, you will be notified on screen and have another chance to get the correct answer. You will see these questions again.

Test Answers in PDF: Neurocysticercosis (NCC)

updated 10/26/15