A5041682895- Epilepsy research and treatment
- Neurological disorders and treatments
- Vagus Nerve Stimulation Research
- Spinal Fractures and Fixation Techniques
- Neuroscience and Neuropharmacology Research
- EEG and Brain-Computer Interfaces
- Spine and Intervertebral Disc Pathology
- Cerebrospinal fluid and hydrocephalus
- Pharmacological Effects and Toxicity Studies
- Head and Neck Surgical Oncology
- Meningioma and schwannoma management
- Traumatic Brain Injury and Neurovascular Disturbances
- Functional Brain Connectivity Studies
- Pituitary Gland Disorders and Treatments
- Cervical and Thoracic Myelopathy
- Advanced MRI Techniques and Applications
- Neonatal and fetal brain pathology
- Neuroscience and Neural Engineering
- Neurosurgical Procedures and Complications
- Vascular Malformations Diagnosis and Treatment
- Spinal Dysraphism and Malformations
- Neurofibromatosis and Schwannoma Cases
- Neurobiology of Language and Bilingualism
- Advanced Neuroimaging Techniques and Applications
- Intracerebral and Subarachnoid Hemorrhage Research
Augusta University
2019-2025
Columbia University Irving Medical Center
2024
Universidade de São Paulo
2024
University of Chicago Medical Center
2024
Neurological Surgery
1999-2023
Neurology, Inc
2021
Oxford University Press (United Kingdom)
2020
University of South Florida
2010-2019
Florida College
1999-2018
Mayo Clinic in Florida
2014-2017
✓ The optimal management of acute spinal cord injuries remains to be defined. authors prospectively applied resuscitation principles volume expansion and blood pressure maintenance 77 patients who presented with neurological deficits as a result occurring from C-1 through T-12 in an effort maintain flow prevent secondary injury. According the Intensive Care Unit protocol, all were managed by using Swan—Ganz arterial catheters treated immobilization fracture reduction indicated. Intravenous...
Object The lateral retroperitoneal transpsoas approach is being increasingly employed to treat various spinal disorders. minimally invasive blunt and dissection poses a risk of injury major nervous structures. addition electrophysiological monitoring potentially decreases the lumbar plexus. With respect use direct approach, however, there sparse knowledge regarding relationship between retroperitoneum/psoas muscle plexus at each segment. authors undertook this anatomical cadaveric study...
Laser interstitial thermal therapy (LITT) for mesial temporal lobe epilepsy (mTLE) has reported seizure freedom rates between 36% and 78% with at least 1 year of follow-up. Unfortunately, the lack robust methods capable incorporating inherent variability patient anatomy, ablated volumes, clinical outcomes have limited three-dimensional quantitative analysis surgical targeting its impact on outcomes. We therefore aimed to leverage a novel image-based methodology normalizing therapies across...
The incidence of chronic hydrocephalus requiring shunting after aneurysmal subarachnoid hemorrhage (SAH) is not precisely known. authors investigated whether the need for ventriculoperitoneal (VP) can be predicted by initial Hunt and Hess grade or Fisher computerized tomography score. One hundred eight patients who presented with SAH underwent 116 surgical procedures aneurysm clipping were evaluated retrospectively to determine hydrocephalus. Chronic was defined as clinically...
Magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) is a minimally invasive alternative to surgical resection for drug-resistant mesial temporal lobe epilepsy (mTLE). Reported rates of seizure freedom are variable and long-term durability largely unproven. Anterior lobectomy (ATL) remains an option patients with MRgLITT treatment failure. However, the safety efficacy this staged strategy unknown.
The minimally invasive lateral retroperitoneal transpsoas approach is increasingly used to treat various spinal disorders. Accessing the space and traversing abdominal wall poses a risk of injury major nervous structures adds significant morbidity procedure. Most current literature focuses on anatomy lumbar plexus within substance psoas muscle. However, there sparse knowledge regarding trajectory nerves that travel along retroperitoneum muscles in relation spine. objective this study define...
BACKGROUND: Traditional anterior and posterior approaches to the thoracolumbar spine are associated with significant morbidity. In an effort eliminate these drawbacks, minimally invasive retropleural have been developed. OBJECTIVE: To demonstrate feasibility clinical experience of a lateral approach spine. METHODS: Seven cadaveric dissections were performed in 7 fresh specimens determine technique. each specimen, aspect vertebral body was accessed retropleurally, corpectomy performed....
Abstract Background Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that causes persistent synovitis, bone damage, and progressive joint destruction. Neuroimmune modulation through electrical stimulation of the vagus nerve activates reflex has been shown to inhibit production release cytokines decrease clinical signs symptoms in RA. The RESET-RA study was designed determine safety efficacy an active implantable device for treating Methods randomized, double-blind,...
The diagnosis of psychogenic nonepileptic seizures (PNES) can only be made with EEG-video monitoring. authors describe a provocative technique without placebo. Patients clinical suspicion for PNES underwent an activation procedure using suggestion, hyperventilation, and photic stimulation. Of 19 inductions performed, 16 (84%) were successful in inducing the habitual episode. authors' had sensitivity comparable to those placebo (e.g., saline injection), but does not have disadvantages.
Object. Despite 50 years of neurosurgical experience, occipitocervical fusion continues to present a technical challenge the surgeon. Traditional nonrigid techniques applied in occiput and cervical spine often fail secondary postsurgical cranial settling or rotational deformity. Unlike widely used semirigid techniques, rigid fixation craniocervical junction should allow correction deformity any plane, provide immediate stability without need for external orthosis, prevent settling. Methods....
Object The objective of this work was to search a national health care database patients diagnosed with cervical spine fractures in the US analyze discharge, demographic, and hospital charge trends over 10-year period. Methods Clinical data were derived from Nationwide Inpatient Sample (NIS) for years 1997 through 2006. NIS is maintained by Agency Healthcare Research Quality represents 20% random stratified sample all discharges nonfederal hospitals within US. Patients without spinal cord...
Object Delayed esophageal perforation is an uncommon but well-known complication after anterior cervical spine surgery. To the authors' knowledge there no consensus to optimal management of these patients in literature. Methods The authors performed a retrospective review 5 cases involving who were referred their institution for delayed perforations undergoing surgery variety reasons. Results primary presenting symptom all was dysphagia. All initially underwent closure with...
Vagus nerve stimulation (VNS) is a key tool in the treatment of patients with medically refractory epilepsy. Although mechanism action VNS remains poorly understood, this modality now most widely used nonpharmacological for drug-resistant The goal work to review history and provide information on recent advances applications technology.