A5062186667- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebrospinal fluid and hydrocephalus
- Intracerebral and Subarachnoid Hemorrhage Research
- Head and Neck Surgical Oncology
- Neurosurgical Procedures and Complications
- Intracranial Aneurysms: Treatment and Complications
- Neuroscience and Neuropharmacology Research
- Ion channel regulation and function
- Venous Thromboembolism Diagnosis and Management
- Spine and Intervertebral Disc Pathology
- Meningioma and schwannoma management
- Fetal and Pediatric Neurological Disorders
- Reconstructive Facial Surgery Techniques
- Neurological Complications and Syndromes
- RNA Interference and Gene Delivery
- Atrial Fibrillation Management and Outcomes
- Facial Trauma and Fracture Management
- Scoliosis diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Spinal Fractures and Fixation Techniques
- Stroke Rehabilitation and Recovery
- Neurological Disorders and Treatments
- Musculoskeletal pain and rehabilitation
Kaiser Permanente Sacramento Medical Center
2010-2024
Kaiser Permanente
2007-2021
University of California Davis Medical Center
2019
Kaiser Permanente South Sacramento Medical Center
2011-2018
Colorado Permanente Medical Group
2011-2018
University of California, San Francisco
2009-2013
Neurological Surgery
1996-2011
University of California, Davis
2011
University of California System
2010
University of Duisburg-Essen
2007
Background and Purpose —We sought to determine predictors of acute hospital costs in patients presenting with ischemic stroke an academic center using a management team coordinate care. Methods —Demographic clinical data were prospectively collected on 191 consecutively admitted stroke. Patients classified by insurance status, premorbid modified Rankin scale, location, severity (National Institutes Health Stroke Scale score), presence comorbidities. Detailed charge converted cost application...
A retrospective review of instrumented spine registry from an integrated US healthcare system.Investigate the 30-day readmission rate and risk factors after surgery.Published rates range 2% to over 20%. We were interested in learning which patients at greatest risk, when did readmissions occur, why.30-day determined for 14,939 index procedure between 1/2009 3/2013. Data analyzed with descriptive statistics, univariate, multivariate logistic regression analysis.The average age cohort was 59...
<h3>BACKGROUND AND PURPOSE:</h3> Treatment of patients with ischemic stroke after endovascular treatment requires in-depth knowledge complications. The goal this study was to make for acute safer through an review the major periprocedural complications observed in Solitaire FR With Intention Thrombectomy (SWIFT) trial. <h3>MATERIALS METHODS:</h3> SWIFT data base searched peri-procedural defined as symptomatic intracranial hemorrhage within 36 hours, SAH, air emboli, vessel dissection, groin...
Background and Purpose —Knowledge of the natural history stenoses due to intracranial atherosclerosis may be useful for evaluating possible treatments such as angioplasty. Methods —We retrospectively reviewed records over a 7-year period identify patients with atherosclerotic serial angiograms. Quantitative measurements were made in blinded manner, clinical outcomes reviewed. Results identified 21 45 who underwent repeat angiography at an average interval 26.7 months. The stenosis all...
Background Thrombus within the carotid artery usually occurs in vessels with severe atherosclerotic disease and may embolize to cause transient ischemic attacks cerebral infarctions. The risk factors for thrombus formation absence of atherosclerosis are not well characterized. A case series is presented that suggests an association iron-deficiency anemia thrombocytosis. Case Descriptions We describe three women thrombocytosis secondary menorrhagia who developed thrombi. Thrombi were detected...
Patients with nonvalvular atrial fibrillation and prior stroke or transient ischemic attack (TIA) are at high risk for recurrent stroke. We investigated whether ximelagatran was noninferior to warfarin in patients TIA.We analyzed pooled data from the SPORTIF III V trials stroke/TIA. The primary outcome composite annual rate of both hemorrhagic strokes systemic embolic events. Secondary analyses considered separately, bleeding, nonrandomized, concomitant therapy aspirin < =100 mg/d.Patients...
During cerebral ischaemia, glutamate is released in supraphysiological amounts and toxic to brain tissue. This excitotoxicity mediated by several receptor subtypes, including the ionotropic N-methyl-D-aspartate (NMDA) alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA) receptors. Clinical trials of drugs that block NMDA acute ischaemic stroke have been disappointing. No improvement clinical outcome has seen with competitive antagonists (selfotel) non-competitive (dextrorphan,...
To review the clinical outcomes of stroke patients treated with IV tissue plasminogen activator (tPA; alteplase) in a community setting and to compare when treatment was initiated by neurologist or an emergency department (ED) physician telephone consultation radiologist.Clinical information prospectively collected for 43 tPA (alteplase) within five-hospital network affiliated hospitals. Blinded 3-month were obtained interview patient visit.Excellent functional recovery measured Modified...
Community stroke screening is a commonly used prevention strategy to identify and educate those at risk. Although the goal of this approach reduce overall occurrence stroke, its long-term benefit remains unknown. The purpose study was determine whether attendance changes knowledge or practices in persons risk for 3 months later.A event held following National Stroke Association guidelines, with health screening, counseling, education. Knowledge about measured by questionnaire before after...
IntroductionPresenting symptoms of atrial myxoma are classically viewed as a triad cardiac, embolic, and constitutional symptoms. Dermatologic manifestations have not received much attention.MethodsIllustrative case presentation literature review.ResultsI admitted 28 y woman transferred to the comprehensive stroke center with an ischemic treated intravenous thrombolysis. She had two year history skin lesions in hands/fingers feet/toes/sole. Skin biopsies showed perivascular neutrophilic...