A5088199519- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Meningioma and schwannoma management
- Cerebrovascular and Carotid Artery Diseases
- Long-Term Effects of COVID-19
- COVID-19 and healthcare impacts
- Spinal Fractures and Fixation Techniques
- Retinal and Optic Conditions
- Aortic Disease and Treatment Approaches
- Cerebral Venous Sinus Thrombosis
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Moyamoya disease diagnosis and treatment
- Surgical Simulation and Training
- Aortic aneurysm repair treatments
- Anatomy and Medical Technology
- Augmented Reality Applications
- Fetal and Pediatric Neurological Disorders
- Vascular anomalies and interventions
- Spinal Cord Injury Research
- Spinal Dysraphism and Malformations
- Vestibular and auditory disorders
- Neurosurgical Procedures and Complications
- Sepsis Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
Neurological Surgery
2022-2025
Jacksonville College
2023-2025
Mayo Clinic in Florida
2023-2025
WinnMed
2023-2025
University of Miami
2024
University of California, San Francisco
2022-2024
Instituto Nacional de Neurología y Neurocirugía
2021-2024
University of Padua
2024
University of Ferrara
2024
University of Colorado Anschutz Medical Campus
2022
INTRODUCTION: Spinal astrocytomas typically have indistinguishable margins placing the role of surgery in question sometimes favour radiation and chemotherapy. METHODS: We queried National Cancer Database from 2004 to 2016 for patients diagnosed with spinal gliomas. Five-year survival each treatment was compared using Kaplan-Meier (KM) curves comparisons based on log-rank test. Multivariate analysis performed determine determinants. Supervised machine learning (ML) models were trained...
INTRODUCTION: Awake surgery, under spinal anesthesia (SA), is an alternative to surgery general (GA), in neurological and spine surgery. In the literature, there seem be some evidence supporting benefits associated with use of this anesthetic modality, as compared GA. Currently, a notable lack updated comprehensive review addressing complications both awake SA GA METHODS: A systematic search was conducted identify studies that assessed from database inception April 14, 2023, PubMed, Medline,...
INTRODUCTION: Moyamoya disease (MMD) is a rare cerebrovascular characterized by progressive intracranial vessel narrowing and the development of collaterals, leading to stroke. While revascularization surgery preserves perfusion prevents strokes, impact preoperative aspirin use on outcomes remains unexplored. METHODS: Using National Inpatient Sample (NIS), we identified MMD patients who underwent from 2002 2020. The interest included postoperative ischemic hemorrhagic other neurological...
INTRODUCTION: Female sex is a known risk factor for intracranial aneurysms and increased rupture risk. Smoking history also increases the of aneurysm rupture. While association between smoking in female smokers recognized, remains unclear. METHODS: We queried National Inpatient Sample patients diagnosed with from 2003 to 2020. non-smokers were compared after KNN matching (1:1) by race age. Multivariate logistic regression random forest classifiers used identify preoperative characteristics,...
Rising US healthcare costs and the COVID-19 pandemic put increased pressure on hospitals to reduce patient length of stay (LOS) while maintaining high-quality care. We aimed determine if implementing a pathway for same-day discharge after elective neuroendovascular procedures monitored hotel setting is safe, feasible, cost-effective. evaluated outcomes an on-campus Care Hotel. The study enrolled patients aged ≥18 years from October 1, 2020, February 28, 2023. Exclusion criteria comprised...
To characterize the prescribing patterns for hydrocortisone patients with septic shock and perform an exploratory analysis in order to identify variables associated better outcomes.This prospective cohort study included 59 who received stress-dose hydrocortisone. It was performed at 2 critical care units academic hospitals from June 1st, 2015, July 31st, 2016. Demographic data, comorbidities, medical management details, adverse effects related corticosteroids, outcomes were collected after...
The far-lateral (FL) approach is a classic neurosurgical technique that enables access to the craniocervical junction, which includes lower clivus, anterior foramen magnum, and first two cervical vertebrae. FL also provides inferior cranial nerves (i.e., CN IX, X, XI, XII), distal portions of vertebral artery (VA), basilar trunk. Recent advances in three-dimensional (3D) technology as well dissections allow for better understanding spatial relationships between anatomical landmarks...
Dural arteriovenous fistulas (dAVFs) are anomalous connections between arteries and veins within the dura mater, involving dural sinuses, bridging veins, or emissary veins. If untreated, these lesions can result in intracranial hemorrhage. The management of posterior fossa dAVFs is challenging due to intricate venous anatomy near brainstem cranial nerves. This study leverages three-dimensional (3D) technology combined with dissections understand microsurgical techniques for treating...
Limited data on the treatment and outcomes of patients with intracranial aneurysms (ICAs) in (coronavirus disease 2019) COVID-19 era is available. Our objective was hence to investigate impact pandemic overall complication rate postprocedural ischemic strokes specifically, treated for ICAs. The National Inpatient sample database used. main were occurrence strokes, as well death, non-routine discharge, total charges (US dollars), length stay (days). Propensity score matching applied compare...
Introduction: Dural arteriovenous fistulas (dAVFs) are anomalous connections between arteries and veins within the dura mater, involving dural sinuses, bridging veins, or emissary veins. If untreated, these lesions can result in intracranial hemorrhage. While usually treated endovascularly, management of posterior fossa dAVFs is particularly challenging due to intricate venous anatomy this region their proximity brainstem cranial nerves. The involvement multiple supplying systems along with...
Objectives To investigate the impact of COVID-19 pandemic as well concomitant itself on stroke care, focusing middle cerebral artery (MCA) territory infarctions. Design Registry-based study. Setting We used National Inpatient Sample (NIS) database, which covers a wide range hospitals within USA. Participants The NIS was queried for patients with MCA strokes between 2016 and 2020. In total, 35 231 were included. Outcome measures postprocedural complications, length stays (LOSs), in-hospital...
Microsurgical laboratory training remains the mainstay to acquire, improve, and perfect surgical abilities. Microvascular anastomotic techniques are of key importance for revascularization procedures, such as in giant cerebral aneurysms, skull base complex tumours, symptomatic ischemic cerebrovascular diseases. We show techniques, materials, experience performed a microsurgical neurosurgical referral center Mexico City. describe non-specimen suture practices, specimen manipulation, finally...
Basilar artery fenestration aneurysms (BAFAs) present significant clinical challenges because of their high rupture risk and complex anatomy. Comprehensive management strategies are required, including thorough vascular assessment post-treatment surveillance. Integration complementary analyses such as computational fluid dynamics (CFD) holds promise in facilitating preoperative planning for these intricate lesions. A 60-year-old female was diagnosed with a BAFA during evaluation headaches....