title: The challenges of the winds of change.
authors.affiliation: Edwin M. Todd/Trent H. Wells, Jr. Professor of Neurological Surgery, Radiation Oncology, Biology, and Physics Keck School of Medicine, Los Angeles, CA Editor-in-Chief, World Neurosurgery E-mail:  apuzzo@usc.edu.
authors.forename: Michael L J
authors.initials: ML
authors.lastname: Apuzzo