A5056274512- Nerve Injury and Rehabilitation
- Peripheral Nerve Disorders
- Spinal Cord Injury Research
- Orthopedic Surgery and Rehabilitation
- Nerve injury and regeneration
- Muscle activation and electromyography studies
- Botulinum Toxin and Related Neurological Disorders
- Reconstructive Surgery and Microvascular Techniques
- Aortic Disease and Treatment Approaches
- Amyotrophic Lateral Sclerosis Research
- Intracranial Aneurysms: Treatment and Complications
- Moyamoya disease diagnosis and treatment
- Delphi Technique in Research
- Pain Management and Treatment
- Connective tissue disorders research
- Neurogenetic and Muscular Disorders Research
- Peripheral Artery Disease Management
- Innovations in Medical Education
- Voice and Speech Disorders
- Transcranial Magnetic Stimulation Studies
- Anesthesia and Pain Management
- Neuroscience and Neural Engineering
- Vascular Procedures and Complications
- Intraoperative Neuromonitoring and Anesthetic Effects
- Facial Nerve Paralysis Treatment and Research
Harvard University
2021-2025
Beth Israel Deaconess Medical Center
2021-2025
Mansfield University
2024
Massachusetts General Hospital
2024
University of California, San Diego
2016-2021
Wake Forest University
2019
Neurological Surgery
2017
University of California San Diego Medical Center
2017
Aim: Donor nerve health likely underlies much variability in transfer outcomes. Standard electromyography and clinical examination suffer from subjectivity a lack of standardization when assessing health. Quantitative promises to assess more accurately. The objective this retrospective pilot study was evaluate rapid feasible quantitative methods determining donor for planning surgery its correlation with functional Methods: For study, the branch radial supplying supinator muscle chosen as...
Background: Near fiber EMG (NFEMG) focuses on activity of muscle fibers close to the electrode offers ability semi-automatically assess neuromuscular junction instability in a manner conceptually similar single (SFEMG). The objective this retrospective study was compare accuracy NFEMG with SFEMG diagnosing myasthenia gravis (MG). Methods: blindly applied recordings from 50 patients SFEMG-tested at BIDMC prior 18 months, 12 whom were diagnosed as having MG. Excluding myopathic and neurogenic...
More than 90% of amyotrophic lateral sclerosis (ALS) patients have muscle cramps, but evidence-based treatments not been available.
Abstract Neuromuscular ultrasound has become an essential tool in the diagnostic evaluation of various neuromuscular disorders, and, as such, there is growing interest training. Effective training critical mastering this modality. Our aim was to develop consensus‐based guidelines for courses. A total 18 experts participated. Expert opinion sought through Delphi method using 4 consecutive electronic surveys. high degree consensus achieved with regard general structure training; categorization...
To evaluate the cost-effectiveness of neuromuscular ultrasound (NMUS) for evaluation focal neuropathies.A prior prospective, randomized, double-blind controlled trial demonstrated that NMUS, when added to electrodiagnostic testing, resulted in improved clinical outcomes after 6 months follow-up. From this study, we abstracted quality-adjusted life-years (QALYs) from 36-item Short Form Health Survey and entered health-utility estimate into a mixed model-based analysis societal perspective....
Neuromuscular ultrasound has become an integral part of the diagnostic workup neuromuscular disorders at many centers. Despite its growing utility, uniform standard scanning techniques do not currently exist. Scanning approaches for similar diseases vary in literature creating heterogeneity studies as reported several meta-analysis. Moreover, experts including group this study have different views with regards to technical aspects, protocols, and parameters that should be assessed....
BACKGROUND AND OBJECTIVES: Cervical spinal cord injury results in devastating loss of function. Nerve transfers can restore functional use the hand, highest priority function this population to gain independence. Transfer radial nerve branches innervating supinator posterior interosseous (SUP-PIN) has become a primary intervention for recovery hand opening, but few outcome reports exist date. We report single-surgeon outcomes procedure. METHODS: The SUP-PIN transfer was performed on adults...
Abstract Neuromuscular ultrasound is a rapidly evolving specialty with direct application for patient care. Competency assessment an essential standard needed to ensure quality practitioners, particularly those newly acquiring skills the technique. Our aim was survey experts' opinions regarding physician competency of neuromuscular and identify minimal knowledge skills. The 18 experts were obtained through Delphi method using two consecutive electronic surveys. A high degree consensus...
OBJECTIVE Pan–brachial plexus injury (PBPI), involving C5–T1, disproportionately affects young males, causing lifelong disability and decreased quality of life. The restoration elbow flexion remains a surgical priority for these patients. Within the first 6 months injury, transfer spinal accessory nerve (SAN) fascicles via sural graft or intercostal (ICN) to musculocutaneous can restore flexion. Beyond 1 year, free-functioning muscle transplantation (FFMT) gracilis be used authors present...
OBJECTIVE Peripheral nerve transfers to regain elbow flexion via the ulnar (Oberlin transfer) and median nerves are surgical options that benefit patients. Prior studies have assessed comparative effectiveness of for upper trunk brachial plexus injury, yet no study has examined cost-effectiveness this surgery improve quality-adjusted life years (QALYs). The authors present a model Oberlin transfer restore in adult population with injury. METHODS Using Markov model, simulated conservative...
Neurosurgery is experiencing the emergence of a new subspecialty focused on function restoration. New, evolving, and reappraised surgical procedures have provided an opportunity to restore many patients with previously undertreated disorders. Candidates for reconstruction were limited those peripheral nerve brachial plexus injuries, but this has been expanded include stroke, spinal cord injury, host other paralyzing disorders affecting both upper lower motor neurons. Similar recent evolution...
It is well established that a mixed-agent general anesthetic regimen of volatile gas and intravenous or total (TIVA) required to obtain adequate transcranial motor-evoked potentials (TcMEPs) detect hopefully prevent injury during brain, spinal cord, peripheral nerve surgery. But even under ideal conditions, TcMEPs are not always detectable in every muscle monitored, prone fade, especially when neuropathic injured tissue monitored. TcMEP sensitivity anesthesia can be problematic surgery where...
BACKGROUND AND OBJECTIVES: Spastic equinovarus foot (SEF) is a common complication of stroke and other upper motor neuron injuries. It characterized by plantigrade inverted foot, often with toe curling, causing significant disability from pain, gait, balance difficulties. Management includes physical therapy, antispasticity drugs, orthoses, chemical neurolysis, or botulinum toxin, all which may be insufficient, sedating, transient. Selective tibial neurotomy (STN) provides surgical option...