A5017687335- Intracranial Aneurysms: Treatment and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular Malformations Diagnosis and Treatment
- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Spinal Fractures and Fixation Techniques
- Intracerebral and Subarachnoid Hemorrhage Research
- Acute Ischemic Stroke Management
- Neurosurgical Procedures and Complications
- Cerebrospinal fluid and hydrocephalus
- Hip and Femur Fractures
- Cerebrovascular and Carotid Artery Diseases
- Meningioma and schwannoma management
- Glioma Diagnosis and Treatment
- Management of metastatic bone disease
- Spine and Intervertebral Disc Pathology
- Pelvic and Acetabular Injuries
- Pituitary Gland Disorders and Treatments
- Medical Imaging and Analysis
- Venous Thromboembolism Diagnosis and Management
- Epilepsy research and treatment
- Moyamoya disease diagnosis and treatment
- Spinal Dysraphism and Malformations
- Pharmacological Effects and Toxicity Studies
- Stroke Rehabilitation and Recovery
St. Joseph's Hospital and Medical Center
2021-2024
Barrow Neurological Institute
2021-2024
University of New Mexico Hospital
2022-2023
Northwestern University
2023
University of New Mexico
2022-2023
St. Louis Children's Hospital
2020-2023
Georgetown University
2023
National and Kapodistrian University of Athens
2023
University of Missouri–Kansas City
2015-2021
Barber-Nichols (United States)
2021
Objectives/Hypothesis In the United States, falls are leading cause of accidental deaths in adults aged over 65 years. Epidemiologic studies indicate that there is a correlation between hearing loss and risk falling among older people. The vestibular, proprioceptive, visual systems known to contribute postural stability, but contribution audition maintaining balance has not yet been determined. Study Design Cross-sectional study measure stability bilateral hearing-aid users years aided...
OBJECTIVE The objective of this study was to determine if the recent changes in technology, surgical techniques, and literature have influenced practice trends spinal fusion surgery for pediatric neuromuscular scoliosis (NMS). In authors analyzed management NMS investigated effect various patient factors on in-hospital complications, outcomes, costs, using Nationwide Inpatient Sample (NIS) database. METHODS NIS queried from 2002 2011 International Classification Diseases, Ninth Edition,...
OBJECTIVE Anterior skull base meningiomas are benign lesions that cause neurological symptoms through mass effect on adjacent neurovascular structures. While traditional transcranial approaches have proven to be effective at removing these tumors, minimally invasive involve using an endoscope offer the possibility of reducing brain and nerve retraction, minimizing incision size, speeding patient recovery; however, appropriate case selection results in large series lacking. METHODS The...
Healthcare readmissions are important causes of increased cost and have profound clinical impact. Thirty-day in spine surgery been well documented. However, rates, causes, outcomes not understood outside 30 d.To analyze 30- 90-d for a retrospective cohort anterior cervical discectomy fusions (ACDF) total disc replacement (TDR) degenerative conditions.The Nationwide Readmissions Database approximates 50% all US hospitalizations with patient identifiers to track patients longitudinally....
Background and Purpose- The treatment of patients with acute ischemic stroke has been revolutionized by endovascular mechanical thrombectomy (MT), leading to dramatically improved outcomes. Here, we analyzed the impact recent changes in management on nationwide trends patient characteristics, modalities, Methods- National Inpatient Sample was using International Classification Diseases, Ninth Tenth Editions, Clinical Modification codes identify adult anterior-circulation, large-vessel...
Nonfunctioning pituitary adenomas are benign, slow-growing tumors. After gross-total resection (GTR) or subtotal (STR), tumors can recur progress and may ultimately require additional intervention. A greater understanding of long-term recurrence progression rates following complete partial the need for further intervention will help clinicians provide meaningful counsel their patients assist data-driven decision-making.
Middle meningeal artery (MMA) embolization results in fewer treatment failures than surgical evacuation for chronic subdural hematomas (cSDHs). We compared the total 1-year hospital cost MMA versus patients with cSDH.Data who presented cSDHs from January 1, 2018, through May 31, 2020, were retrospectively reviewed. Patients grouped by initial (surgery vs embolization), and was obtained. A propensity-adjusted analysis performed. The primary outcome difference mean between treatments.Of 170...
Few reports discuss variables associated with improved outcomes after middle meningeal artery (MMA) embolization for chronic subdural hematomas (cSDHs). We analyzed radiographic evidence of cSDH clearance MMA to elucidate optimal techniques, hematoma rates, and suitable length follow-up.Patients who underwent from January 1, 2018 through December 31, 2020 were analyzed. Patient characteristics, demographics, technical procedural details examined. Outcomes cSDHs included complete or...
Hospital readmissions have profound financial and clinical impacts. Analyses of 30-day following spine surgery been previously reported utilizing administrative databases. However, time periods outside the initial 30 days not well studied. Furthermore, these databases limitations regarding coding institutional crossover.The authors sought to analyze 90-day readmission rates risk factors using Nationwide Readmissions Database (NRD) in a retrospective cohort receiving elective, posterior...
Risk stratification of epilepsy surgery patients remains difficult. The Analysis Index (RAI) is a frailty measurement that augments preoperative risk stratification.To evaluate RAI's discriminative threshold for nonhome discharge disposition (NHD) and mortality (or to hospice within 30 days operation) in patients.Patients were queried from the American College Surgeons-National Surgical Quality Improvement Program database (2012-2020) using diagnosis/procedure codes. Linear-by-linear trend...
The endoscopic spine surgery (ESS) approach is associated with high levels of patient satisfaction, shorter recovery time, and reduced complications. present study reports multicenter, international data, comparing ESS non-ESS approaches for singlelevel lumbar decompression, proposes a frailty-driven predictive model nonhome discharge (NHD) disposition.Cases decompression were queried from the American College Surgeons National Surgical Quality Improvement Program database (2017-2020)....
Surgeons are frequently faced with challenging clinical dilemmas evaluating whether the benefits of surgery outweigh substantial risks routinely encountered spinal tumor surgery. The Clinical Risk Analysis Index (RAI-C) is a robust frailty tool administered via patient-friendly questionnaire that strives to augment preoperative risk stratification. objective study was prospectively measure RAI-C and track postoperative outcomes after surgery.Patients surgically treated for tumors were...
Resection of supratentorial meningiomas is generally considered a low-risk procedure, but tumors involving the rolandic cortex present unique challenge. The rate motor function deterioration associated with resecting such not well described in literature. Thus, authors sought to report rates and predictors postoperative deficit following resection assist patient counseling surgical decision-making.
This study aimed to assess the safety and efficacy of MR-guided stereotactic laser ablation (SLA) therapy in treatment pediatric brain tumors.
OBJECTIVE Surgery plays a key role in the management of brain metastases. Stratifying surgical risk and individualizing treatment will help optimize outcomes because there is clinical equipoise between radiation resection as options for many patients. Here, authors used multicenter database to assess prognostic utility baseline frailty, calculated with Risk Analysis Index (RAI), prediction mortality within 30 days after surgery metastasis. METHODS The pooled patients who had been surgically...