Paul Klimo Jr., MD, FAANS— Gross total resection has been shown to have the greatest impact on long-term survival for a number of adult and pediatric brain tumors, such as glioblastoma multiforme, low-grade gliomas, medulloblastoma and ependymoma. Over the last 10 years, the proliferation of intraoperative MRI (iMRI) suites is a testament to this important therapeutic challenge. Before the advent of the iMRI, surgeons were faced with the unpleasant task of having to take the patient back to the OR for more resection after the postoperative MRI demonstrated residual tumor. This is no longer necessary with the iMRI. The surgeon can determine the extent of resection, particularly in cases where it is difficult to distinguish normal brain from tumor, correct for any brain shift and decide whether further surgery is safe and feasible.
Archived Survey Results
What do you consider the biggest neurosurgical invention in the last 100 years?
- operating microscope (50%, 115 Votes)
- bipolar (35%, 81 Votes)
- frameless stereotaxy (7%, 16 Votes)
- Bovie (5%, 12 Votes)
- stereotactic frame (3%, 8 Votes)
Total Voters: 232
What role should pediatric neurosurgeons play in care for patients past the age of 18?
- Collaborative care with the adult-care neurosurgeon until the patient reaches 25. (66%, 57 Votes)
- Consultation with other physicians, but no care. (17%, 15 Votes)
- Transfer of all care to an adult-care neurosurgeon at the patient age of 18. (17%, 15 Votes)
Total Voters: 87
Who is the best fictional neurosurgeon on television?
- Dr. Derek Shepherd (“Grey's Anatomy”) (47%, 100 Votes)
- Dr. Ben Casey (“Ben Casey”) (34%, 73 Votes)
- Dr. Aaron Shutt (“Chicago Hope”) (9%, 19 Votes)
- Dr. Ann Possible (“Kim Possible”) (8%, 18 Votes)
- Dr. Douglas Hanson (“3 lbs.”) (2%, 4 Votes)
Total Voters: 214
- Preoperative checklists are a useful way to prevent surgical errors. (88%, 79 Votes)
- Preoperative checklists are needless intrusions that do not improve patient safety. (12%, 11 Votes)
Total Voters: 90
An attending neurosurgeon should perform unfamiliar surgical procedures to gain experience:
- Yes (52%, 85 Votes)
- No (48%, 77 Votes)
Total Voters: 162