๐ *Neurosurgical Clinics of North America*
ISSN: 1042-3680 Publisher: Elsevier Frequency: Quarterly Scope: Thematic reviews in neurosurgery Impact Factor: Moderate (typically between 2โ3) Audience: Neurosurgeons, neurologists, intensivists, trainees, and allied neurosciences professionals
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๐ฏ Mission and Strengths
*Neurosurgical Clinics of North America* is a long-established, peer-reviewed journal focused exclusively on comprehensive, theme-based review articles in neurosurgery. Each issue is curated around a specific clinical or subspecialty area (e.g., neurotrauma, spine, vascular, pediatric, functional, neurocritical care), often edited by a guest expert.
Key strengths:
* Thematic cohesion: Each issue offers a deep dive into one topic, ideal for rapid immersion or teaching. * High editorial standards: Contributions are usually from respected clinicians and researchers. * Clinical orientation: Content is practical, often summarizing guidelines, surgical strategies, and current controversies. * Citable resource: Frequently used as a secondary source in educational materials and residency curricula.
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โ ๏ธ Weaknesses and Limitations
Despite its usefulness, the journal has structural and academic limitations:
* ๐งช Not original research: It does not publish original studies, trials, or novel data โ limiting its influence on cutting-edge discoveries. * ๐ Low citation velocity: Articles are cited less frequently compared to research journals, affecting impact factor. * ๐ค Conservative tone: Reviews are often descriptive and lack disruptive thinking or hypothesis-challenging positions. * ๐ญ Editorial echo chamber: The selection of authors often reinforces mainstream academic narratives, sidelining outsider or early-career voices. * ๐ผ Commercial publisher bias: As an Elsevier product, open access is limited, and institutional paywalls restrict dissemination.
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๐ง Takeaway for the Critical Neurosurgeon
*Neurosurgical Clinics of North America* is a solid, reputable, and clinically valuable source for structured updates โ but it is not a journal of innovation. For those seeking controversial, disruptive, or high-impact evidence, it plays a supporting role, not a leading one.
It teaches well. It rarely surprises.
It clarifies what is known. It rarely challenges what is believed.
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๐ Recommendation
Use it to:
* Update clinical knowledge * Structure teaching modules * Anchor introductory literature reviews
Do not rely on it for:
* Cutting-edge research * Bold redefinitions of practice * Diverse or dissenting academic voices