Decision-making in neurosurgery

• Brain abscess mimicking a brain tumor only realized during surgery: A case report in a resource strained environment
• Clinical Value of ChatGPT for Epilepsy Presurgical Decision-Making: Systematic Evaluation of Seizure Semiology Interpretation
• Are we all seeing the same thing? Discrepancies between parent-reported and physician-reported positional plagiocephaly severity scores
• Anomia prehabilitation in temporal lobe epilepsy surgery: A pilot study
• Pediatric traumatic brain injury: precision risk assessment models and an online calculator for enhanced patient care
• Development and Validation of Machine Learning Algorithms for Predicting Prolonged Postoperative Opioid Use in Spinal Metastatic Disease
• Predicting the efficacy of bevacizumab on peritumoral edema based on imaging features and machine learning
• Acute lorazepam administration does not significantly affect moral attitudes or judgments

In psychology, decision-making (also spelled decision making and decisionmaking) is regarded as the cognitive process resulting in the selection of a belief or a course of action among several alternative possibilities. Every decision-making process produces a final choice, which may or may not prompt action.

Decision-making is the process of identifying and choosing alternatives based on the values, preferences and beliefs of the decision-maker.

see Clinical Decision-Making.

see Effective Decision-Making.

see Intraoperative decision-making.

see Shared decision-making.

Wang et al. recorded from deep brain stimulation subthalamic electrodes time-locked with acute stimulation using a Go/Nogo task to assess voluntary action and inaction. Beta oscillations during voluntary decision-making were temporally dissociated from motor function. Parkinson's patients showed an inaction bias with high beta and intermediate physiological states. Stimulation reversed the inaction bias highlighting its causal nature, and shifting physiology closer to reactive choices. Depression was associated with higher alpha during Voluntary-Nogo characterized by inaction or inertial status quo maintenance whereas apathy had higher beta-gamma during voluntary action or impaired effortful initiation of action. The findings suggest the human subthalamic nucleus causally contributes to voluntary decision-making, possibly through threshold gating or toggling mechanisms, with stimulation shifting towards voluntary action, and suggest biomarkers as potential clinical predictors ¹⁾