2018 AANS Annual Scientific Meeting-607. Peroneal Nerve Decompression: Institutional Review and Meta-analysis to Identify Predictors of Surgical Outcomes

607. Peroneal Nerve Decompression: Institutional Review and Meta-analysis to Identify Predictors of Surgical Outcomes

Video Transcription

Video Summary

In this video, Christopher Wilson, a neurosurgery resident at Indiana University, presents his research on perineal nerve decompression. He discusses the outcomes of this procedure, which is commonly used to treat perineal mononeuropathy. The literature reports favorable outcomes in 50 to 80 percent of cases, but Wilson's goal was to combine his own results with existing data to aid in patient selection and preoperative counseling. He found that most patients experienced a favorable outcome, regardless of their initial symptoms. However, patients with diabetes had a higher likelihood of negative outcomes, and smokers also had a trend towards unfavorable outcomes. Preoperative symptom duration was found to be an important factor, with earlier surgeries showing potential for better outcomes. Age and gender did not significantly affect outcomes. The study had limitations due to the limited number of patients analyzed, but it provided valuable insights for future research and preoperative counseling. No credits are mentioned in the transcript.

Asset Caption

Christopher D. Wilson, MD

Keywords

neurosurgery

perineal nerve decompression

perineal mononeuropathy

patient selection

preoperative counseling