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Cross Post: CNS Publishes New Guidelines on Care for Adults with Functioning Pituitary Adenomas

By Brain Tumor, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. We wanted to bring attention to a recent online-only supplement in Neurosurgery, “Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Functioning Pituitary Adenomas.” Neurosurgery is the official journal of the Congress of Neurological Surgeons, which provides multimedia, prompt publication of scientific articles on clinical or experimental surgery topics important for the brain, spine, and peripheral nerves, reviews, and other information of interest to readers across the world.

Published August 15, 2025, the supplement provides comprehensive, evidence-based guidelines on the care of adults with functioning pituitary adenomas (FPA). Tailored for neurosurgeons, endocrinologists, and other specialists, the guidelines mark a pivotal step in standardizing care, optimizing patient outcomes, and promoting multidisciplinary coordination.

The CNS and the American Association of Neurological Surgeons (AANS) have endorsed the guidelines. The initiative was led by Isabelle M. Germano, MD, MBA, Professor of Neurosurgery at the Icahn School of Medicine at Mount Sinai and Chair of the AANS/CNS Section on Tumors (2022–2024), along with D. Ryan Ormond, MD, PhD, Associate Professor of Neurosurgery at the University of Colorado School of Medicine. Together, they assembled and worked with a multidisciplinary team of 18 experts in neurosurgery, endocrinology, neuroradiology, and radiation oncology from across the country to develop these guidelines.

To access the full supplement, click here.

 

Artwork by Maria Margalit Bederson, MD, MS ©2025. Used with permission. All rights reserved.

August 26, 2025
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Memorial Day Cross Post: Honoring Those Who Serve

By Cross Post, Global Neurosurgery, Humanitarian, Military Faces of NeurosurgeryNo Comments

This Memorial Day, we honor those who gave their lives in service to our country and those who carry the spirit of service forward in extraordinary ways by volunteering to provide medical care to those injured in current global conflicts. In this spirit, we share with our readers the remarkable stories of several neurosurgeons in Ukraine.

The first article, “An Island of Mercy: An American Veteran’s View from Ukraine,” published in the Journal of Trauma and Acute Care Surgery, is authored by Rocco A. Armonda, MD (the 2025 recipient of the American Association of Neurological Surgeons Humanitarian Award), Andrii Sirko, MD and Alex B. Valadka, MD. The second is “The Road Back to Dnipro: Third Time’s a Charm!” published in the World Federation of Neurosurgical Societies’ May 16 newsletter by Drs. Armonda, Sirko, Valadka and Bohdan Sirko, MD.

Read More

May 26, 2025
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Cross-Post: The birth of modern military neurosurgery through the eyes of Harvey Cushing’s war memoir

By AANS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. April 8 marks World Neurosurgeons Day, celebrated annually on the birthday of Dr. Harvey Cushing. Dr. Cushing is regarded as the father of modern neurosurgery. Read More

April 9, 2025
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Cross-Post: High-Accuracy Augmented Reality Guidance for Intracranial Drain Placement Using a Standalone Head-Worn Navigation System: First-in-Human Results

By CNS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. We wanted to bring attention to a recent publication in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which provides multimedia, prompt publication of scientific articles on clinical or experimental surgery topics important for the brain, spine, and peripheral nerves, reviews, and other information of interest to readers across the world. The article, “High-Accuracy Augmented Reality Guidance for Intracranial Drain Placement Using a Standalone Head-Worn Navigation System: First-in-Human Results” is published as part of Neurosurgery’s High-Impact Manuscript Service (HIMS). Read More

March 26, 2025
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Cross-Post: Vestibular Schwannoma Koos Grade I International Study of Active Surveillance Versus Stereotactic Radiosurgery: The VISAS-K1 Study

By CNS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. We wanted to bring attention to a recent publication in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which provides multimedia, prompt publication of scientific articles on clinical or experimental surgery topics important for the brain, spine, and peripheral nerves, reviews, and other information of interest to readers across the world. The article, Vestibular Schwannoma Koos Grade I International Study of Active Surveillance Versus Stereotactic Radiosurgery: The VISAS-K1 Study, is published as part of Neurosurgery’s High-Impact Manuscript Service (HIMS). Read More

December 17, 2024
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Cross-Post: Neurosurgeon Advocates for Spina Bifida Prevention in Alabama’s Hispanic Community

By Cross PostNo Comments

On the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they may interest our readers. We wanted to bring to your attention a recent article featuring Michael J. Feldman, MD, a pediatric neurosurgery fellow at the University of Alabama at Birmingham and a former American Association of Neurological Surgeons/Congress of Neurological Surgeons Washington Committee alternate resident fellow. Dr. Feldman is leading efforts to reduce spina bifida rates in Alabama’s Hispanic community through folic acid fortification of corn masa flour. Read More

August 15, 2024
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Cross-Post: Neurosurgery’s glass ceiling: Addressing the gender imbalance in the field

By Career, Cross Post, Women in NeurosurgeryNo Comments

Our current series on Making and Maintaining a Neurosurgeon discusses how one transitions from student to resident to practicing neurosurgeon. In particular, we highlight what our field is doing to improve diversity and the importance of mentorship to those considering neurosurgery. How impactful can mentorship be? Incredibly.

This cross-post highlights the recent article in The Varsity, the University of Toronto’s Student Newspaper by Parsa Babaei Zadeh, Veronica Papaioannou, Zahn Bariring and Lauren Shaw titled, “Neurosurgery’s glass ceiling: Addressing the gender imbalance in the field.” The authors discuss how mentorship is crucial for guiding prospective applicants to competitive specialties and fostering an inclusive space where applicants do not feel alienated.

The authors interview neurosurgeon Gelareh M. Zadeh, MD, PhD, FAANS, FRCS, an advocate for change, actively engaged in mentoring young women. “A lack of mentors, role models, and the sense of having allyship and having people that are similar to you in the field… is one of the biggest factors [preventing women from pursuing neurosurgery], so increasing [the] number of people from diverse backgrounds whether it’s females or others is really important,” Dr. Zadeh states.

Click here to read the full article published by The Varsity.

Editor’s Note: We hope you will share what you learn from our posts in the Making and Maintaining a Neurosurgeon series. We invite you to join the conversation on Twitter by following @Neurosurgery and using the hashtag #Neurosurgery.

February 14, 2024
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Cross-Post: Medicare cuts ensure disaster to doctor-patient relationship

By Congress, Cross PostNo Comments

On the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they may interest our readers. In case you missed it, we wanted to bring attention to a recent op-ed by Reps. Greg Murphy, MD, (R-N.C.), Brad Wenstrup, DPM, (R-Ohio) and Michael Burgess, MD, (R-Texas) in Washington Times titled, “Medicare cuts ensure disaster to doctor-patient relationship.” On Jan. 1, 2024, the Centers for Medicare & Medicaid Services cut payments to physicians by nearly 3.4% for services rendered to Medicare patients, which will cripple independent physicians and rural health care providers across the country.

Reps. Murphy, Wenstrup and Burgess, members of the GOP Doctors Caucus, are greatly troubled by another round of payment cuts to the Medicare Physician Fee Schedule, “It is our goal to navigate the ever-increasing challenges facing those who try to provide care for Medicare recipients.” In anticipation of this rule, the GOP Doctors Caucus introduced legislation seeking to reform the physician fee schedule, prevent extreme fluctuations in future reimbursement and update how costs are determined.

Efforts continue to press Congress to halt these cuts as soon as possible.

Click here to read the article.

We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery and using the hashtag #FixMedicareNow.

January 12, 2024
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Cross-Post: Gender Differences in Medicare Practice and Payments to Neurosurgeons

By Cross Post, Medicare, Women in NeurosurgeryNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they may interest our readers. Today, we wanted to bring attention to a recent publication in JAMA Surgery.​ The article — “Gender Differences in Medicare Practice and Payments to Neurosurgeons” by Temitope O. Oshinowo, AB, et al. compares practice metrics and earning potential between female and male neurosurgeons and examines gender disparity in Medicare reimbursement.

The authors state that despite efforts to promote diversity within the neurosurgical workforce, individuals from underrepresented groups face significant challenges. Females account for approximately 50% of medical school graduates but comprise just 18.2% of neurosurgery residents and only 6% of board-certified neurosurgeons. Female physicians in the U.S. are estimated to be compensated 25% less, or the equivalent of $2 million, in career-long earnings.

Using Medicare data across practice settings, the authors examine patterns of significant disparity in procedural volume and payments and found significant gender-based variation in practice patterns and reimbursement among neurosurgeons serving the Medicare fee-for-service population. Female surgeons were reimbursed less than male surgeons for performing the same primary procedure. “While there has been a trend of increased female representation in neurosurgery, women continue to face challenges in establishing, maintaining, and progressing within their neurosurgical careers,” according to Oshinowo et al.

Click here to read the full article.

We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery and @WINSNeurosurge1 and using the hashtag #WomenInNeurosurgery.

December 1, 2023
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Cross-post: Fix the broken Medicare physician payment system that threatens patient access  

By Access to Care, Cross Post, MedicareNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting to items published elsewhere that we believe will interest our readers. Today’s post originally appeared in The Hill on Oct. 17. In the op-ed, Reps. Larry Bucshon, MD, (R-Ind.), Ami Bera, MD, (D-Calif.), Raul Ruiz, MD, (D-Calif.), and Mariannette Miller-Meeks, MD, (R-Iowa) state that the Medicare payment system fails to reimburse physicians adequately for the critical services they provide. Unlike other providers, the Medicare Physician Fee Schedule (MPFS) does not have an automatic inflationary update and physician payments declined by 26 percent from 2001 to 2023 when adjusted for inflation.

To address this flaw, Reps. Bucshon, Bera, Ruiz and Miller-Meeks introduced the Strengthening Medicare for Patients and Providers Act (H.R. 2474) to modernize the Medicare physician payment system while protecting patients’ timely access to care. This bill would apply a permanent, inflation-based update to the MPFS.

Click here to read the full op-ed and here to contact Congress and urge your representatives to co-sponsor H.R. 2474. Additional information and resources are available at the American Medical Association’s (AMA) Fix Medicare Now website.

The American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS) endorse H.R. 2474. The AANS and the CNS also joined several coalition letters endorsing the bill, including the AMA, Alliance of Specialty Medicine and a coalition of more than one million physician and allied health professional groups.

We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery.

October 25, 2023
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