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IML: Clinical Science
Each session involves a pre-meeting survey to asses baseline knowledge, individual practice patterns and treatment biases, as well as a series of pre-meeting literature and articles for review. To begin the survey, please click on the link in the desired session. At the completion of the survey, you may return to this screen to review the pre-meeting literature and articles.

Learning Objective
Participants in IML: Clinical Science will review the most relevant scientific literature, answer pre- and post-meeting surveys, and use digital interactivity to help define the content and direction of faculty presentations in the IML: Clinical Science Sections. Participants will define knowledge gaps, shape the content of expert presentations, and identify important topics for future scientific sessions.

CME Certification and Accreditation Statement
This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME) through the Congress of Neurological Surgeons. The CNS is accredited by the ACCME to provide continuing medical education for physicians. The CNS designates this educational activity up to a maximum of 2 AMA PRA Category 1 Creditsper IML thread (pre-meeting survey, pre-meeting reading, discussion, onsite section session and post-meeting survey). Each full track of IML: Clinical Science counts for up to 2 hours of CME. Physicians should only claim credit commensurate with the extent of their participation in the activity.

In order to obtain CME for an IML: Clinical Session, you must participate in all four parts of the track:
  1. Answer the online survey. It will take you only approximately 10 minutes. The confidential survey will measure your existing knowledge, attitudes and practice, and correlate these with your training, specialty and other demographics.
  2. Read the key articles summarizing the evidence in the literature. The articles will provide a background for the afternoon IML meeting sessions in Orlando.
  3. Attend the session at the Annual Meeting in Orlando. At the session, interactive handheld technology will be in use, allowing you to answer and view the results of instant polls; query the expert discussants; and see in real time what your colleagues from around the country think about the most challenging current topics.
  4. Answer a quick post-meeting poll, measuring how the different educational activities did, or did not, influence your thinking. There will also be a small number of questions on the evidence paper readings, confirming your CME credits (Maximum of 2 for each IML session). CME information and accreditation information.
Section on Stereotactic and Functional Neurosurgery
Survey: www.surveymonkey.com/s.aspx?sm=a0h0U6vU9xQo1i9_2brt8woQ_3d_3d
Pre-meeting Literature and Articles Source
Deep brain stimulation in Parkinson Disease: a metaanalysis of patient outcomes Journal of Neurosurgery
Pallidal vs Subthalamic Nucleus Deep Brain Stimulation in Parkinson Disease Archives of Neurology
Bilateral deep brain stimulation in Parkinson’s disease: a multicentre study with 4 years follow-up Oxford University Press on behalf of Guarantors of Brain
Neuropsychological performance following staged bilateral pallidal or subthalamic nucleus deep brain stimulation for Parkinson's disease Journal of the International Neuropsychological Society

Section on Disorders of the Spine and Peripheral Nerves
Survey: www.surveymonkey.com/s.aspx?sm=0bcyWpz9T20XUIpOx9Qh_2fg_3d_3d
Pre-meeting Literature and Articles Source
Direct decompressive surgical resection in the treatment of spinal cord compression caused by metastatic cancer: a randomised trial The Lancet
Vertebroplasty and kyphoplasty: a comprehensive review Neurosurgical Focus
Single-stage posterolateral transpedicular approach for resection of epidural metastatic spine tumors involving the vertebral body with circumferential reconstruction: results in 140 patients Journal of Neurosurgery: Spine

Section on Cerebrovascular Surgery
Survey: www.surveymonkey.com/s.aspx?sm=dkmy8L_2fMA6n9JTjfh_2borrQ_3d_3d
Pre-meeting Literature and Articles Source
Predictors of Fatal Brain Edema in Massive Hemispheric Ischemic Stroke Stroke Journal of the American Heart Association
Hemicraniectomy for Massive Middle Cerebral Artery Territory Infarction: A Systematic Review Stroke Journal of the American Heart Association
Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomised controlled trials Lancet Neurol 2007; 6: 215-22
Hemicraniectomy: A Second Chance on Life for Patients with Space-Occupying MCA Infarction Stroke Journal of the American Heart Association

Section on Pain
Survey: www.surveymonkey.com/s.aspx?sm=uaZqlvu7xteBVP20QH6WBg_3d_3d
Pre-meeting Literature and Articles Source
Spinal Cord Stimulation versus Repeated Lumbosacral Spine Surgery for Chronic Pain: A Randomized, Controlled Trial Neurosurgery
Spinal cord stimulation versus conventional medical management for neuropathic pain: A multicentre randomised controlled trial in patients with failed back surgery syndrome Pain
Prospective Multicenter Study of Spinal Cord Stimulation for Relief of Chronic Back and Extremity Pain Spine
A Prospective Study of Long-term Intrathecal Morphine in the Management of Chronic Nonmalignant Pain Neurosurgery

Section on Neurotrauma and Critical Care
Survey: www.surveymonkey.com/s.aspx?sm=mA2YNS_2broP2kCjTb015hvA_3d_3d
Pre-meeting Literature and Articles Source
Isovolume hypertonic solutes (sodium chloride or mannitol) in the treatment of refractory posttraumatic intracranial hypertension: 2 mL/kg 7.5% saline is more effective than 2 mL/kg 20% mannitol Critical Care Medicine
Use of Hypertonic Saline/Acetate Infusion in Treatment of Cerebral Edema in Patients with Head Trauma: Experience at a Single Center The Journal of Trauma
Hypertonic Saline Resuscitation of Patients with Head Injury: A Prospective, Randomized Clinical Trial The Journal of Trauma
Hyperosmolar Therapy Journal of Neurotrauma

Section on Tumors
Survey: www.surveymonkey.com/s.aspx?sm=Kp9YNkMnEBPArcnjUUg0Ug_3d_3d
Pre-meeting Literature and Articles Source
Long-term efficacy of early versus delayed radiotherapy for low-grade astrocytoma and oligodendroglioma in adults - the EORTC 22845 randomised trial The Lancet
Surgery Insight: the role of surgery in the management of low-grade gliomas Nature Clinical Practice Neurology
Prognostic Factors for Survival in Adult Patients With Cerebral Low-Grade Glioma Journal of Clinical Oncology
Temozolomide for low-grad gliomas Neurology

Section on Pediatric Neurological Surgery
Survey: www.surveymonkey.com/s.aspx?sm=ug0l5fYRlGdve7Z_2fxOVbTA_3d_3d
Pre-meeting Literature and Articles Source
An Approach to the Management of Arrested and Compensated Hydrocephalus Pediatric Neurosurgery
Cognitive changes after cerebrospinal fluid shunting in young adults with spina bifida and assumed arrested hydrocephalus Journal of Neurology, Neurosurgery, and Psychiatry
Shunt Revision for Asymptomatic Failure: Surgical and Clinical Results Neurosurgery

It is with sincere appreciation that the CNS acknowledges the Integra Foundation as a CNS Neurosurgical Partner.

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