The HCRN made a big splash at the recent national meeting for Pediatric Neurosurgery in Cleveland, Ohio, November 30-December 3, 2010. This meeting is the annual highlight for pediatric neurosurgery. Surgeons and researchers from across the country, as well as from Canada, submit abstracts for presentation and only the best are accepted. The first session of the meeting was on hydrocephalus and there were eight talks, three of them from the HCRN. Dr. Wellons presented a paper entitled “Assessing premature infants for findings of increased intracranial pressure: an HCRN inter-rater reliability study”. Dr. Whitehead presented the results of his ultrasound-guided shunt insertion study. Dr. Riva-Cambrin presented his paper entitled “Variations in the neurosurgical care of premature infants with intraventricular hemorrhage: A multicenter study”. In addition, although not an HCRN study, HCRN investigators Kulkarni, Riva-Cambrin and Browd collaborated on a paper presented by Dr. Kulkarni on endoscopic third ventriculostomy. There was plenty of discussion at coffee breaks about the large representation of HCRN in the national meeting.