Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Psychosurgery01:30

Psychosurgery

2.5K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
2.5K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Arterial Bypass in the Treatment of Complex Middle Cerebral Artery Aneurysms: Lessons Learned from Forty Patients.

World neurosurgery·2023
Same author

Proximal Internal Carotid Artery Occlusion and Extracranial-Intracranial Bypass for Treatment of Fusiform and Giant Internal Carotid Artery Aneurysms.

World neurosurgery·2023
Same author

Patient Perception of Education, Care Coordination, and Psychological Distress After Developing Facial Paralysis: A Qualitative Study.

JAMA otolaryngology-- head & neck surgery·2023
Same author

Handgrip Strength Is Related to Hippocampal and Lobar Brain Volumes in a Cohort of Cognitively Impaired Older Adults with Confirmed Amyloid Burden.

Journal of Alzheimer's disease : JAD·2022
Same author

Cephalic arch restenosis rates in hemodialysis patients with brachiocephalic fistulae: a retrospective multicenter analysis of 3301 patients.

BMC nephrology·2022
Same author

Encephaloduroarteriosynangiosis Operative Technique and Intraoperative Anesthesia Management: Treatment From Both Sides of the Curtain.

Operative neurosurgery (Hagerstown, Md.)·2022
Same journal

Extent of resection as an independent predictor of survival for patients with glioblastoma as defined by the new WHO 2021 classification.

Journal of neurosurgery·2026
Same journal

Surgical treatment of schwannomas around the tarsal tunnel: a case series of 40 patients and systematic review of the literature.

Journal of neurosurgery·2026
Same journal

Direct targeting for focused ultrasound thalamotomy in the treatment of movement disorders.

Journal of neurosurgery·2026
Same journal

Development and internal validation of the Meningioma Functional Outcome Risk and Counseling Estimator 6 score, a point-based prognostic tool for predicting 6-week functional independence after intracranial meningioma resection.

Journal of neurosurgery·2026
Same journal

Connectional anatomy of the cerebellum: dentate nucleus and cerebellar peduncles from a surgical perspective.

Journal of neurosurgery·2026
Same journal

Press releases in neurosurgery: is scientific accuracy compromised in public reporting of neurosurgery research?

Journal of neurosurgery·2026
See all related articles

Related Experiment Video

Updated: May 5, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

47.3K

Value-based neurosurgery: the example of microvascular decompression surgery.

Nancy McLaughlin1, Farzad Buxey, Karen Chaw

  • 1Department of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, California.

Journal of Neurosurgery
|November 30, 2013
PubMed
Summary
This summary is machine-generated.

Implementing coordinated care processes significantly improved the value of neurosurgical care for microvascular decompression (MVD) patients. This approach reduced operating room time, hospital stay, and complications, enhancing overall patient outcomes.

More Related Videos

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

9.0K
Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line
04:06

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

4.0K

Related Experiment Videos

Last Updated: May 5, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

47.3K
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

9.0K
Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line
04:06

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

4.0K

Area of Science:

  • Neurosurgery
  • Health Services Research
  • Value-Based Care

Background:

  • Value of care emphasizes comprehensive outcomes across the entire patient episode.
  • Restructuring healthcare delivery requires reporting multiple outcome measures.
  • Microvascular decompression (MVD) serves as a model for assessing surgical care value.

Purpose of the Study:

  • To evaluate the impact of coordinated process implementation on the value of neurosurgical care.
  • To assess changes in outcomes for microvascular decompression (MVD) surgery.
  • To analyze the effect of process improvements on patient care episodes.

Main Methods:

  • Retrospective review of consecutive microvascular decompression (MVD) cases.
  • Patients divided into two groups based on surgery dates (2008-2009 vs. 2011-2012).
  • Outcome data collected across the entire surgical episode using the Outcome Measures Hierarchy.

Main Results:

  • Zero mortality and high symptom resolution in both groups.
  • Group 2 (later period) showed reduced operating room time, shorter hospital stays, and fewer complications/readmissions.
  • Forty-nine patients included: 31 for trigeminal neuralgia, 18 for hemifacial spasm.

Conclusions:

  • Coordinated process improvements across the care continuum enhance global outcomes and care value.
  • Enhanced-recovery perioperative protocols and clinical pathways optimize surgical care episodes.
  • Implementing comprehensive improvement processes leads to greater value in delivered neurosurgical care.