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Neurosurgeons can and should debate political issues in our meetings and publications.

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In the Loupe

This edition of “In the Loupe” finds Humphrey Okechi, MBChB, performing a closure of a myelomeningocele with distal cordectomy in Kijabe, Kenya. Drs. Okechi and Leland Albright have described a technique to simplify myelomeningocele closure by performing cordectomy just distal to the last nerve root exiting the non-dysraphic spine (JNS:Peds 13(2) 192-5, Feb. 2014).


Departments

Neurosurgeons Without Borders

In this issue’s “Editorial License,” AANS Neurosurgeon Editor Michael Schulder, MD, FAANS, reflects on what it means for organized neurosurgery to engage on a global level. Also, the column features a guest editorial by Dr. Robert Harbaugh on mixing politics with the profession.
Wherever and whomever you are, as a neurosurgeon, you deal with problems that are the same all over the world. For the advancement of our science, for the treatment of people with cerebral aneurysms, herniated discs, brain tumors, epilepsy, hydrocephalus, brain and spine trauma — the list goes on, of course — neurosurgeons should be, and to a large extent are, a global band of siblings. See in this issue of AANS Neurosurgeon how much we can learn from one another, including Roberto Spiegelmann’s bringing stereotactic technique to Niger, Takaomi Taira’s describing the obstacles to psychiatric surgery in Japan, and (close to home) Eve Tsai’s describing the wise Canadian approach to medical malpractice.
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Inside Neurosurgeon

International Neurosurgery

AANS President Robert Harbaugh, MD, FAANS, discusses the association’s approach to international outreach.
Collaboration between the American Association of Neurological Surgeons (AANS) and other neurosurgical organizations around the world is a high priority for my year as AANS President. I also want to make sure that this is an ongoing focus for the AANS in the coming years. To accomplish this, we have put in place infrastructure devoted solely to fostering and expanding the international programs of the AANS. I have asked Christopher Loftus, MD, FAANS, to direct this international effort, as Dr. Loftus has devoted a good deal of his career to international neurosurgical endeavors. I am happy to report that we are off to a good start. We are honored to have the Asian Australasian Society of Neurological Surgeons (AASNS) as our official partner for the 2015 AANS Annual Scientific Meeting in Washington, D.C. In addition, in 2014-2015
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Peer-Reviewed Research

Deep Brain Stimulation for Treatment-resistant Depression

Nir Lipsman, MD; and Andres M. Lozano, MD, PhD, FAANS— There have been more than 80,000 patients worldwide who have received deep brain stimulation (DBS) to treat Parkinson’s disease, dystonia and tremor. The realization of the striking efficacy of this therapy and its long record of safety, together with the increased understanding of the neurobiological basis and circuitry of psychiatric disorders, has led to DBS now being examined as a potential therapy in depression.There is a great need to develop novel therapies for depression as the condition remains one of the leading causes of morbidity and mortality in the western world affecting more than 100 million people globally.
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