All specialtiesNeurosurgery
Neurosurgery Evidence Evolution
5 evidence evolution narratives tracing how landmark trials and guideline updates reshaped neurosurgery practice.
25.12007-2024
Decompressive Craniectomy in Stroke
A dramatic intervention with evidence
No surgical option → DECIMAL/DESTINY/HAMLET (2007) → age <60 → DESTINY-II elderly → timing
DECIMALDESTINYHAMLETDESTINY-II
Read evolution
25.22002-2024
Endovascular vs Clipping for Cerebral Aneurysms
The coiling revolution
Clipping → ISAT (2002) → BRAT → long-term retreatment → patient selection
ISATBRAT
Read evolution
25.32005-2024
Spinal Fusion for Degenerative Disease
Less fusion, more conservative
Liberal fusion → SPORT → Cochrane → conservative non-inferior → refined indications
SPORTCochrane reviews
Read evolution
25.42000-2024
Awake Craniotomy for Brain Tumors
Preserving function through consciousness
GA default → awake mapping → extent of resection → functional preservation → supratotal
De Witt Hamer meta-analysisDuffau studies
Read evolution
25.51987-2024
Deep Brain Stimulation Indications
Expanding the neural targets
Parkinson's (1987) → tremor → dystonia → OCD → depression → neuropsychiatric
DBS-STN studiesSANTEFDA approvals
Read evolution