Recent changes in practice patterns and outcomes in patients with severe traumatic brain injury.

Background: Despite recent advances in the management of severe traumatic brain injury, the role of decompressive craniectomy remains unclear. The purpose of this study was to compare practice patterns and patient outcomes between 2 study periods over the past decade.

Methods: This is a retrospective cohort study using the American College of Surgeons Trauma Quality Improvement Project database.

Blunt vertebral artery injury in occipital condyle fractures.

OBJECTIVEA shifting emphasis on efficient utilization of hospital resources has been seen in recent years. However, reduced screening for blunt vertebral artery injury (BVAI) may result in missed diagnoses if risk factors are not fully understood. The authors examined the records of blunt trauma patients with fractures near the craniocervical junction who underwent CTA at a single institution to better understand the risk of BVAI imposed by occipital condyle fractures (OCFs).

Frontal Keyhole Craniotomy for Resection of Low- and High-Grade Gliomas.

Background: Minimally invasive techniques are increasingly being used to access intra-axial brain lesions.

Objective: To describe a method of resecting frontal gliomas through a keyhole craniotomy and share the results with these techniques.

Methods: We performed a retrospective review of data obtained on all patients undergoing resection of frontal gliomas by the senior author between 2012 and 2015.