- Spine and Intervertebral Disc Pathology
- Glioma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Meningioma and schwannoma management
- Management of metastatic bone disease
- Sarcoma Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
- Intracranial Aneurysms: Treatment and Complications
- Anesthesia and Pain Management
- Oral and Maxillofacial Pathology
- Head and Neck Surgical Oncology
- Vascular Malformations Diagnosis and Treatment
- Medical Imaging and Analysis
- Pituitary Gland Disorders and Treatments
- Brain Metastases and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Hematomas and Complications
- Cerebrospinal fluid and hydrocephalus
- Musculoskeletal pain and rehabilitation
- Neurofibromatosis and Schwannoma Cases
- Cardiac, Anesthesia and Surgical Outcomes
- Spinal Dysraphism and Malformations
- Adrenal and Paraganglionic Tumors
- Peripheral Nerve Disorders
- Cervical and Thoracic Myelopathy
Mayo Clinic in Florida
2016-2025
WinnMed
2017-2025
Jacksonville College
2017-2024
Neurological Surgery
2016-2024
Brown University
2021-2024
Mayo Clinic
2017-2023
Stanford University
2020
University of Cincinnati
2020
Phoenix Children's Hospital
2020
Massachusetts General Hospital
2020
OBJECTIVE The authors’ goal was to use a multicenter, observational cohort study determine whether supramarginal resection (SMR) of FLAIR-hyperintense tumor beyond the contrast-enhanced (CE) area influences overall survival (OS) patients with isocitrate dehydrogenase–wild-type (IDH-wt) glioblastoma after gross-total (GTR). METHODS medical records 888 aged ≥ 18 years who underwent GBM between January 2011 and December 2017 were reviewed. Volumetric measurements CE surrounding performed,...
Recent studies have proposed resection of the T2 FLAIR hyperintensity beyond T1 contrast enhancement (supramarginal [SMR]) for IDH-wild-type glioblastoma (GBM) to further improve patients' overall survival (OS). GBMs significant variability in tumor cell density, distribution, and infiltration. Advanced mathematical models based on patient-specific radiographic features provided new insights into GBM growth kinetics two important parameters aggressiveness: proliferation rate (ρ) diffusion...
BACKGROUND: Management of degenerative disease the spine has evolved to favor minimally invasive techniques, including nonrobotic-assisted and robotic-assisted transforaminal lumbar interbody fusion (MIS-TLIF). Value-based spending is being increasingly implemented control rising costs in US healthcare system. With an aging population, it fundamental understand which procedure(s) may be most cost-effective. OBJECTIVE: To compare robotic nonrobotic MIS-TLIF through a cost-utility analysis....
INTRODUCTION: Chordomas are rare tumors of the neural axis arising from embryonic notochord that often recur following resection and adjuvant radiotherapy. Proton therapy has been introduced as a tissue-sparing option because higher level precision proton-beam techniques offer compared with traditional photon METHODS: The clinical records all patients treated followed by proton or radiotherapy for chordoma at our institution were reviewed. Patient demographics, type surgery radiotherapy,...
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: Neurosurgical training disparities and limited medical access create an enormous gap between low- middle-income countries (LMICs) high-income ones. Annually, ∼5.2 million individuals with treatable neurosurgical conditions remain untreated, highlighting a calculated shortfall of 23,000 neurosurgeons globally. Mission:BRAIN Foundation, non-profit organization, seeks to diminish these barriers by fostering neuroscientific knowledge empowering healthcare providers worldwide this...
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: Chordomas of the skull base are exceedingly rare tumors associated with insidious onset symptoms and a high rate local recurrence. While management is commonly centered around surgical resection adjuvant radiotherapy, factors influencing postoperative prognosis remain unclear. METHODS: The NCDB was searched to identify all cases chordoma treated surgery radiotherapy between 2004–2017. Patient data including race, insurance status, education, income, comorbidity details were...
OBJECTIVE Malignant melanotic nerve sheath tumors are rare characterized by neoplastic melanin-producing Schwann cells. In this study, the authors report their institution’s experience in treating spinal and peripheral malignant compare results with literature. METHODS Data were collected from 8 patients who underwent surgical treatment for between 1996 2023 at Mayo Clinic 63 Time-to-event analyses performed combined group of 71 cases to evaluate risk recurrence, metastasis, death based on...