- Meningioma and schwannoma management
- Head and Neck Surgical Oncology
- Cerebrospinal fluid and hydrocephalus
- Glioma Diagnosis and Treatment
- Advanced Neuroimaging Techniques and Applications
- Vascular Malformations Diagnosis and Treatment
- Intracranial Aneurysms: Treatment and Complications
- Pituitary Gland Disorders and Treatments
- Fetal and Pediatric Neurological Disorders
- Spinal Fractures and Fixation Techniques
- Bone Tumor Diagnosis and Treatments
- Ophthalmology and Eye Disorders
- Craniofacial Disorders and Treatments
- Trigeminal Neuralgia and Treatments
- Sinusitis and nasal conditions
- Surgical Simulation and Training
- Spinal Dysraphism and Malformations
- Neurosurgical Procedures and Complications
- Cerebral Venous Sinus Thrombosis
- Intracerebral and Subarachnoid Hemorrhage Research
- Brain Metastases and Treatment
- Anatomy and Medical Technology
- Traumatic Brain Injury and Neurovascular Disturbances
- Moyamoya disease diagnosis and treatment
- Prostate Cancer Treatment and Research
Aurora Health Care
2017-2021
Aurora St. Luke's Medical Center
2016-2021
Corewell Health Blodgett Hospital
2020
Spectrum Health
2020
Oxford University Press (United Kingdom)
2020
Milwaukee Health Department
2018-2019
University of Pittsburgh Medical Center
2019
Roswell Park Comprehensive Cancer Center
2011-2013
OBJECTIVE The move toward better, more effective optical visualization in the field of neurosurgery has been a focus technological innovation. In this study, authors' objectives are to describe feasibility and safety new robotic platform, namely, robotically operated video telescopic-microscope (ROVOT-m), cranial microsurgical applications. METHODS A prospective database comprising patients who underwent procedure between April 2015 September 2016 was queried, first 200 met inclusion...
OBJECTIVE The middle clinoid process (MCP) is a bony projection that extends from the sphenoid bone near lateral margin of sella turcica. varied prevalence and morphological features MCP in populations stratified by age, race, sex are unknown; however, knowledge its anatomy preoperative recognition on CT scans can aid greatly complication avoidance management. aim this study was to further illustrate surgical parasellar region quantify incidence caroticoclinoid rings (CCRs) dried preserved...
Abstract BACKGROUND A number of vertical prolongations the superior longitudinal fasciculus, which we refer to as rami (Vr), arise at level supramarginal gyrus, directed vertically toward parietal lobe. OBJECTIVE To provide first published complete description white matter tracts (WMT) Vr, their relationship intraparietal and parieto-occipital sulci (IPS-POS complex), importance in neurosurgical approaches METHODS Subcortical dissections Vr WMT IPS were performed. Findings correlated with a...
Abstract BACKGROUND The imperative role of white matter preservation in improving surgical functional outcomes is now recognized. Understanding the fundamental framework essential for translating anatomic and literature into practical strategies planning neuronavigation. OBJECTIVE To present a 3-dimensional (3-D) atlas structural scaffolding human matter—ie, “Surgical White Matter Chassis (SWMC)”—that can be used as an organizational tool designing precise individualized trajectory-based...
Abstract BACKGROUND Endoscopic and microneurosurgical approaches to third ventricular lesions are commonly performed under general anesthesia. OBJECTIVE To report our initial experience with awake transsulcal parafascicular corridor surgery (TPCS) of the ventricle its safety, feasibility, limitations. METHODS A total 12 cases reviewed: 6 colloid cysts, 2 central neurocytomas, 1 papillary craniopharyngioma, basal ganglia glioblastoma, thalamic ependymal cyst. Lesions were approached using...
Surgical approaches to the temporal region for resection of tumors is challenging due anatomic complexity and, in particular, understanding critical subcortical white matter. Knowledge location matter fiber tracts and delicate vessels essential preventing complications. As a result, accurate navigation, planning trajectory are necessary designing safe corridor resection. We describe here 49-year-old male with history right mesial lobe mass since 2012, concomitant intractable seizures. MRI...
Abstract BACKGROUND Prostate specific antigen (PSA) is a well known biomarker for early diagnosis and management of prostate cancer. Furthermore, PSA has been documented to have anti‐angiogenic anti‐tumorigenic activities in both vitro vivo studies. However, little about the molecular mechanism(s) involved regulation these processes, particular role serine‐protease enzymatic activity PSA. METHODS Enzymatic isolated directly from seminal plasma was inhibited specifically (>95%) by...
Abstract BACKGROUND Frontal subcortical and intraventricular pathologies are traditionally accessed via transcortical or interhemispheric-transcallosal corridors. OBJECTIVE To describe the microsurgical anatomy of superior frontal sulcus (SFS) corridor. METHODS Cadaveric dissections were undertaken correlated with magnetic resonance imaging/diffusion-tensor imaging-Tractography. Surgical cases demonstrated clinical applicability. RESULTS SFS was divided into following divisions: proximal,...
Surgical management of cerebral arteriovenous malformations (AVMs) remains challenging carrying significant postoperative neurological morbidities. Advancements in visualization together with minimally invasive techniques have the promise reducing this morbidity. In video, grounded on a series purpose-built cadaveric dissections, integration preoperative 3-dimensional diffusion tensor imaging rendering/planning, and port-based transsulcal/para-fascicular approach coupled robotically operated...
INTRODUCTION: The conventional stereoscopic microscope (CS-m) made safe surgery for intracranial vascular pathology. Recently, an integrated image-guided robotic optical positioning system (ROVOT-m) has been released clinical use. We undertook a benchside, cadaveric and study to determine its applicability aneurysm surgery. METHODS: Benchside measurements of field view (FOV) depth (DOF) were obtained CS-m ROVOT-m. Two cadavers operated on simulate using both Clinical feasibility ROVOT-m was...
Objective The aim of this study is to determine feasibility incorporating three-dimensional (3D) tractography into routine skull base surgery planning and analyze our early clinical experience in a subset anterior cranial meningiomas (ACM). Methods Ninety-nine endonasal transcranial procedures were planned 94 patients retrospectively reviewed with further analysis the ACM subset. Main Outcome Measures (1) Automated generation 3D tractography; (2) co-registration computed tomography (CT), CT...