J Neurosurg 122:1–3, 2015

J Neurosurg  Volume 122 • January 2015

EditorialA new look for JNSPG publications: the anatomy of redesignJames t. rutka, Md, Phd, FrCSC

Editor-in-Chief, Journal of Neurosurgery Publishing Group, Charlottesville, Virginia; Division of Neurosurgery, The Hospital for Sick Children; and Department of Surgery, The University of Toronto, Ontario, Canada

iNCludE whEN CitiNg Published online October 24, 2014; DOI: 10.3171/2014.9.JNS142259. diSCloSurE The author reports no conflict of interest. 

The Journal of Neurosurgery Pub­lishing Group (JNSPG) is proud to present the redesign of our pub­

lications to American Association of Neu­ro logical Surgeons (AANS) members and readers worldwide. Recognizing our vi­sion to publish articles of the highest sci­entific caliber, our mission to bolster our status as the journal of record in neuro­surgery, and our commitment to uphold our core values, such as integrity and in­novation, the JNSPG sought to give the journals a sophisticated look that befits their prestige. This redesign is directly in line with the JNSPG’s 2015–2018 strate­gic plan: “Tradition—Transition—Trans­formation.” With this new look, JNSPG publications more clearly communicate the best neurosurgical science in an acces­sible manner that benefits both our authors and readers.

Even though the JNSPG has continued to innovate in the field of scientific publication, the style and format of the Journal of Neurosurgery have in essence been unal­tered for the past 20 years. The process of strategic plan­ning throughout 2014 provided an opportunity to revamp certain aspects of the journals to keep in step with pro­gressive changes, while retaining many of the traditional features that have characterized our success.

The in-house Redesign Committee, comprising 7 staff members from multiple departments, collaborated on the redesign for more than 6 months. Charged with refresh­ing the appearance of the journals, while maintaining fa­miliarity for the readers, the committee tackled issues as broad as incorporating new elements on the cover and as specific as determining punctuation between key words.

The cover has changed modestly, with a cleaner design that still features art from the current issue (Fig. 1). We’ve incorporated our logo, further tying together our print pub­

lications and our website (thejns.org) and making the JNSPG identity more consis­tent across all formats. The article title page maintains the familiar layout that brands it as a JNS publication, but it has been enlivened with our logo, the tasteful use of color, and the introduction of icons that indicate accompanying editorials, vid­eos, podcasts, or companion papers and serve as links in the online version of the article (Fig. 2).

The article title is now the dominant element on the page, and the abstract has been styled in a different font to set it apart from the rest of the paper. The article type is now located in the upper­right corner for rapid identification of subject matter. A familiar look and layout for the body text have been maintained. Headings have

been restyled in a different font to enhance clarity, and they have been left aligned so the reader can easily skim the pages to find the desired information. Pertinent items, such as abbreviations and disclosures, appear at the bot­tom of the title page—accessible without being obtrusive. Tables have been updated to make data easier to follow, with lines distinguishing each entry and guiding the read­er’s eye across columns (Fig. 3). The look of table titles, figure legends, and video call-outs has been standardized, both linking them together more firmly as visual repre­sentations of the author’s message and streamlining the visual experience for the reader. End matter has been or­ganized more clearly for optimal readability (Fig. 4).

We hope our audience will enjoy and benefit from the redesign. What we believe we’ve achieved is a polished look that will offer a comfortable transition for our readers—it suggests continuity for the JNSPG as we move into the fu­ture. We are still the “white journal,” but for a new era.http://thejns.org/doi/abs/10.3171/2014.9.JNS142259

JOURNAL OF NEUROSURGERYOFFICIAL JOURNALS

OF THE AANS SINCE 1944

JNS

January 2015 Volume 122Number 1www.thejns.org

Fig. 1. A mock-up of the new look for JNS covers (using an image from the April 2014 issue of the Journal).

1©AANS, 2015

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Editorial

J Neurosurg  Volume 122 • January 2015J Neurosurg  Volume 122 • January 2015

PEDIATRICS clinical articleJ neurosurg Pediatr 15:903–911, 2015

J neurosurg Pediatr  Volume 15 • January 2015J neurosurg Pediatr  Volume 15 • January 2015

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MethodsHistory and review

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Effectiveness of an internal committee in redesigning the official journals of an independent associationlaura O. Sutherland, Ba, Jo ann M. eliason, Ma, elS(D), Paul Pugh, Ba, aS, Kate Mason, Ba, elS, elizabeth a. arnold, aB, elS, Karen e. thompson, BS, and Jennifer K. John, BS

The Journal of Neurosurgery Publishing Group, Charlottesville, Virginia

OBJect Valde justo loquor ludus utinam verto ornare virtus taciti orem. Habitasse indoles orci bene blandit caecus dignissim nonummy molestie volutpat defui. Premo natu tristique ludus ante sino genitus vestibulum. Sagaciter gemino cui porta egestas nunc fringilla dapibus faucibus saluto. MetHODS Opes risus dolor ratis lucidus uxor melior genitus. Aliquam quisque refero validus elementum quis quis quis ventosus. Verto leo interdico ante eget tincidunt taciti typicus. Vel dapibus eros neque sodales humo iaculis pneum iaceo. Purus iustum abigo tempus similis exerci huic abigo pecus.reSultS Quam praesent in dui ideo iriure semper aliquip phasellus validus. Proprius interdico molestie interdico volutpat imputo laoreet damnum similis magnis. Epulae magnis quadrum appellatio elementum brevitas pertineo justo. Vindico nascetur haero tego immitto taciti scisco gravida. Vestibulum donec mos qui importunus sagaciter gemino venenatis euismod parturient. Faucibus ulciscor uxor et secundum vel cui litora eros. Sapien quam molestie convallis consectetuer refero taciti imputo. Nostrud massa valde capto foras torquent natu abico.cOncluSiOnS  Justo curabitur utrum sed damnum morbi lacus camur sudo quae foras. Rutrum conventio mos gravida interdum nulla mauris iusto melior. Meus damnum ut dis genitus illum praesent esca. http://thejns.org/doi/abs/10.3171/2014.7.PEDS132814Key WOrDS Journal of Neurosurgery Publishing Group; redesign; committee; new era

aBBreviatiOnS CLN = causa lobortis nobis; CUO = class utinam olim; FLLP = faucibus luctus lectus paulatim; IMI = ideo molior indoles; MVF = melior vindico fusce; NAL = nullam appellatio ludus; QPD = quibus pneum diam; TRQ = tum refoveo quia.accOMPanying eDitOrial DOI: 10.3171/2014.9.JNS142259.SuBMitteD December 30, 2013.  accePteD July 1, 2014.incluDe WHen citing Published online October 24, 2014; DOI: 10.3171/2014.7.PEDS132814.DiSclOSure The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

903©AANS, 2014

Fig. 2. A sample (using filler text) of the redesigned title page for articles.

the JNSPg logo appears on every title

page, strengthening the reader’s association

with our identity

icons indicate a related editorial, video, podcast,

or companion article

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readily available but not obtrusive, with

titles streamlined for efficiency

the abstract is set in a sans serif font with left alignment to distinguish it from the body of the article

left-aligned headings make for easy skimming

the aaNS copyright ties the article to our parent organization

the article type is easily accessible

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Editorial

J Neurosurg  Volume 122 • January 2015J Neurosurg  Volume 122 • January 2015

Fig. 3. A depiction of the updated look for tables and figure legends.

Fig. 4. A representation of the new reference and end-matter styles.

I. H. Al-Ahmed et al.

J Neurosurg Spine Month Day, 2015

evaluated. Postoperative neuroradiological studies were performed in all patients.

ResultsEleven cases of NCs were recorded between 1977 and

2007. The patients included 6 girls and 5 boys with an av-erage age of 4.6 years (range 0–14 years). The presenting symptoms and signs are summarized in Table 1.

Four patients had complete excision initially with no recurrence on long-term follow-up. One patient under-went complete cyst excision with subsequent recurrence. An Ommaya reservoir was placed, but cystic resecretion with accumulation of fluid occurred twice, and another complete surgical excision was required. In 1 patient a cystosubarachnoid T-tube shunt was inserted initially, but the tube became obstructed, and a complete excision was required. One patient was kept under observation clini-cally and radiologically, which showed a stable condition. One infant was born with a large cervicothoracic cyst and died of multiple cardiac problems without any interven-tion. One patient developed hydrocephalus after aseptic meningitis and underwent shunt placement. No operative mortality was seen.

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Aptent qui urna lenis secundum velit fringilla exerci. Porttitor tation quidne enim gemino sino reprobo con-sectetuer ultricies melior. Tation ac ad rhoncus dictumst persto proin aliquam vehicula natu. Ante tempus haero comis ibidem maecenas tincidunt obruo cras abluo nos-trud. Vulpes facilisi praesent turpis mauris sit premo cui. Damnum diam minim libero vestibulum distineo com-moveo molior ibidem esse hendrerit. Populus ymo sollici-tudin caecus porttitor mollis tortor uxor lobortis lacinia. Validus mara decet orem te tamen ac suscipere. Duis ul-lamcorper natoque eros venenatis pagus secundum qui-dem voco humo odio. Nonummy nostrud validus eleifend te exputo paulatim singularis. Plaga importunus nisi huic accumsan torquent secundum dictumst qui pellentesque demoveo. Suscipere platea etiam capto taciti habitasse hendrerit massa caecus ullamcorper causa.

FIG. 2. Intraoperative photograph obtained during surgical excision of the cyst. Figure is available in color online only.

TABLE 1. Baseline characteristics in patients with hydrocephalus who underwent either ETV + CPC or shunt placement*

Characteristic ETV + CPC Cohort Shunt Cohort

Total no. of patients 36 758Etiology IVH of prematurity 9 (25) 223 (29) Aqueductal stenosis 8 (22) 76 (10) Myelomeningocele 4 (11) 163 (22) Congenital communicating hydrocephalus

2 (6) 65 (9)

Head injury 2 (6) 17 (2) Postinfectious 2 (6) 29 (4) Other† 9 (25) 185 (24)Age at ETV + CPC surgery <2 mos 9 (25) 316 (42) 2 to <6 mos 11 (31) 261 (34) 6 to <12 mos 10 (28) 110 (15) 12 mos to 2 yrs 6 (17) 71 (9)Previous CSF shunt 13 (36) 0Median preop FOR (range) 0.59 (0.35–0.87) NAMedian preop TVMI (range) 0.43 (0.09–3.14) NAMedian ETVSS (range) 50 (10–80) 46 (10–80)Median CCHU ETVSS (range) 4 (2–8) 1 (0–5)

FOR = frontal-occipital horn ratio; NA = not available; TVMI = third ventricle morphology index.* Unless otherwise indicated, values in tables are expressed as the number (%). † Category includes craniosynostosis, Dandy-Walker, tectal glioma, arachnoid cyst, intraparenchymal brain hemorrhage, and other etiologies.

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lines between entries make data easy to follow across the table, while discretionary use of subtle shading helps organize data

the use of initial capital

letters makes each new

entry distinct

table abbreviations are standardized as the first footnote

legend indicates if the figure is available in color online

Neurosurgical management of neurenteric cysts in children

J Neurosurg Spine Month Day, 2015

be followed up for a long period to reveal any eventual resecretion and accumulation of cyst contents. The overall prognosis depends on the other associated anomalies and should be compatible with long-term survival.

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9. de Oliveira RS, Cinalli G, Roujeau T, Sainte-Rose C, Pierre-Kahn A, Zerah M: Neurenteric cysts, in children: 16 consecu-tive cases and review of the literature. J Neurosurg 103 (6 Suppl):512–523, 2005

10. De Oliveira RS, Cinalli G, Sainte-Rose C, Machado HR, Ze rah M: Neurenteric cysts, in Özek MM, Cinalli G, Maixner WG (eds): Spina Bifida: Management and Out­come. Milan: Springer, 2008, pp 475–486

11. Demirbilek S, Kanmaz T, Bitiren M, Yucesan S: Mediastinal neurenteric cyst in a child. J Inonu University Medical Faculty 12:41–43, 2005

12. Eynon-Lewis NJ, Kitchen N, Scaravilli F, Brookes GB: Neurenteric cyst of the cerebellopontine angle: case report. Neurosurgery 42:655–658, 1998

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15. Fortuna A, Mercuri S: Intradural spinal cysts. Acta Neurochir (Wien) 68:289–314, 1983

16. Fuse T, Yamada K, Kamiya K, Inagaki H: Neurenteric cyst at the craniovertebral junction: report of two cases. Surg Neurol 50:431–436, 1998

17. Gao P, Osborn AG, Smirniotopoulis JG , Palmer CA, Boyer RS: Neurenteric cysts. Pathology, imaging spectrum, and differ ential diagnosis. Int J Neuroradiol 1:17–27, 1995

18. Harris CP, Dias MS, Brockmeyer DL, Townsend JJ, Willis BK, Apfelbaum RI: Neurenteric cysts of the posterior fossa: recognition, management, and embryogenesis. Neurosurgery 29:893–898, 1991

19. Holmes GL, Trader S, Ignatiadis P: Intraspinal enterogenous cysts. A case report and review of pediatric cases in the lit-erature. Am J Dis Child 132:906–908, 1978

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21. Inoue T, Matsushima T, Fukui M, Iwaki T, Takeshita I, Kuro-matsu C: Immunohistochemical study of intracranial cysts. Neurosurgery 23:576–581, 1988

22. Kachur E, Ang LC, Megyesi JF: Intraparenchymal supraten-torial neurenteric cyst. Can J Neurol Sci 31:412–416, 2004

23. Kimura H, Nagatomi A, Ochi M, Kurisu K: Intracranial neurenteric cyst with recurrence and extensive craniospinal dissemination. Acta Neurochir (Wien) 148:347–352, 2006

25. Lazareff JA, Hoil Parra JA: Intradural neurenteric cyst at the craniovertebral junction. Childs Nerv Syst 11:536–538, 1995

26. Leventer DB, Merriam JC, Defendini R, Behrens MM, Housepian EM, LeQuerica S, et al: Enterogenous cyst of the orbital apex and superior orbital fissure. Ophthalmology

27. Lonjon M, Paquis P, Michiels JF, Griffet J, Grellier P: En do-dermal cyst of the foramen magnum: case report and

28. Malcolm GP, Symon L, Kendall B, Pires M: Intracranial neurenteric cysts. Report of two cases. J Neurosurg 75:115–120, 1991

29. Menezes AH, Ryken TC: Craniocervical intradural neuren-teric cysts. Pediatr Neurosurg 22:88–95, 1995

Author ContributionsConception and design: Sutherland, John, Mason. Acquisition of data: Eliason, Thompson. Analysis and interpretation of data: Pugh, Arnold. Drafting the article: all authors. Critically revising the article: all authors. Reviewed submitted version of manu-script: all authors. Approved the final version of the manuscript on behalf of all authors: Sutherland. Study supervision: John.

Supplemental InformationPrevious PresentationPortions of this work were presented in abstract/poster form at the 47th Annual Meeting of the Society for Smart and Useful Design to Benefit Readers held in Baltimore, Maryland, on December 4–7, 2013.

VideosVideo 1, Media Player. http://mfile.akamai.com/21490/wmv/

digitalwbc.download.akamai.com/21492/wm.digitalsource-na-regional/spine13-684_video_1.wmv.

Video 1, Quicktime. http://mfile.akamai.com/21490/wmv/digitalwbc.download.akamai.com/21492/wm.digitalsource-na-regional/spine13-684_video_1.mov.

Current AffiliationMs. Eliason: Everette University, London, England.

Correspondence Jennifer K. John, Journal of Neurosurgery Publishing Group, One Morton Drive, Ste. 200, Charlottesville, VA 22903. email: jkjohn@thejns.org.

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