A5063224588- Anesthesia and Pain Management
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Spine and Intervertebral Disc Pathology
- Opioid Use Disorder Treatment
- Scoliosis diagnosis and treatment
- Enhanced Recovery After Surgery
- Neurosurgical Procedures and Complications
- Trigeminal Neuralgia and Treatments
- Pain Management and Opioid Use
- Patient Satisfaction in Healthcare
- Head and Neck Surgical Oncology
- Cerebrospinal fluid and hydrocephalus
- Congenital Anomalies and Fetal Surgery
- Health disparities and outcomes
- Cerebrovascular and Carotid Artery Diseases
- Medical Malpractice and Liability Issues
- Hip and Femur Fractures
- Adrenal and Paraganglionic Tumors
- Spinal Dysraphism and Malformations
- Pituitary Gland Disorders and Treatments
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebral Venous Sinus Thrombosis
- Cancer Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
Baylor College of Medicine
2022-2025
The University of Texas Southwestern Medical Center
2019-2022
Neurological Surgery
2019-2022
Southwestern Medical Center
2020
Oxford University Press (United Kingdom)
2020
Study Design Cross-Sectional Objectives Socioeconomic status (SES) is a fundamental root of health disparities, however, its effect on surgical outcomes often difficult to capture in clinical research, especially spine surgery. Here, we present large single-center study assessing whether SES associated with cause-specific outcomes. Methods Patients undergoing surgery between 2015 and 2019 were assigned income accordance the national distribution divided into quartiles based ZIP code-level...
Background: The standard surgical option for symptomatic Rathke's cleft cysts involves an endoscopic endonasal approach cyst fenestration and drainage. In the absence of intraoperative CSF leak, dural defect is often not repaired. reported rates postoperative leaks range from 0 to 21%, majority patients who developed these presented within 3 months surgery. There has been only one case a delayed leak in literature; however, there have no cases with associated encephalocele through after fenestration.
Abstract BACKGROUND The role of enhanced recovery after surgery (ERAS) pathways implementation has not been previously explored in adult deformity patients. OBJECTIVE To determine the impact ERAS patients undergoing open thoraco-lumbar-pelvic fusion for degenerative scoliosis on postoperative outcome, opioid consumption, and unplanned readmission rates. METHODS In this retrospective single-center study, we included 124 consecutive who underwent from October 2016 to February 2019 scoliosis....
Retrospective case control.The purpose of the current study is to determine risk factors associated with chronic opioid use after spine surgery.In our single institution retrospective study, 1,299 patients undergoing elective surgery at a tertiary academic medical center between January 2010 and August 2017 were enrolled into prospectively collected registry. Patients dichotomized based on renewal of, or active prescription 3-mo 12-mo postoperatively. The primary outcome measures for...
Objective We aimed to assess the impact of surgical intervention on outcome in patients diagnosed with demyelinating disorders and cervical degenerative disease warranting intervention. Methods The records a diagnosis disorder central nervous system who underwent spine surgery at single institution from 2016 2020 were reviewed. Demyelinating included multiple sclerosis (MS), neuromyelitis optica, transverse myelitis (TM). dates initial symptom onset, recognition spinal pathology by primary...
Abstract BACKGROUND The classic percutaneous technique used to cannulate the foramen ovale for treatment of trigeminal neuralgia can place important anatomic structures, such as distal cervical internal carotid artery, at risk. OBJECTIVE To use fixed landmarks safely and reliably locate on anteroposterior (AP) fluoroscopy. METHODS Locating was initially tested using AP fluoroscopy cadaveric skulls in neurosurgical simulation lab. Fluoroscopic were identified utilized assist successfully...
The majority of prolactin-secreting pituitary macroadenomas are effectively managed with dopamine-agonist therapy alone. Although surgical resection and radiotherapy second- third-line treatment options, there remains a paucity therapies for when these options fail. We report woman resistant macroprolactinoma. She initially presented at 49-years old irregular menses, prolactin 63.1 ng/mL, hypoenhancing, 11.5 mm by 15.6 7.0 mass in the left sella. tumor failed to shrink bromocriptine....
Objective We aimed to study the relationship between psychiatric Disorders (PD), preoperative pain, and opioid medication intake, as well quality of life patient-reported outcome measures using Patient-Reported Outcomes Measurement Information System 29 (PROMIS-29) questionnaire, during 30-day interval preceding surgery, in a consecutive series patients who were scheduled undergo surgical spine procedures. hypothesized that PD could affect narcotic use pain interference fashion was not...
Study Design Retrospective Cohort. Objective The aim of this study was to develop a clinical tool pre-operatively risk-stratify patients undergoing spine surgery based on their likelihood have high postoperative analgesic requirements. Methods A total 1199 consecutive elective over 2-year period at single center were included. Patients not requiring inpatient admission, those who received epidural analgesia, had two surgeries separate sites under one anesthesia event, and with length stay...
Patients with symptomatic high-grade stenosis of the internal carotid artery (ICA) associated a free-floating thrombus (FFT) present significant clinical challenge. In general, for patients moderate to severe ICA stenosis, revascularization is recommended within 2 weeks symptom onset; however, some physicians suggest that should be delayed in cases FFT because data early surgery endarterectomy or stent poses higher risk stroke. Likewise, anticoagulation may increase recurrent Few reports on...
Christian, Zachary; Afuwape, Olusoji A MD, PhD; Aoun, Salah G MD; Hall, Kristen BS; Bagley, Carlos MD Author Information
Adeyemo, Emmanuel A BA; Aoun, Salah G MD; Barrie, Umaru BS; Nguyen, Madelina L Badejo, Olatunde Pernik, Mark N Christian, Zachary Dosselman, Luke J El Ahmadieh, Tarek Y Hall, Kristen Reyes, Valery Peinado PA; McDonagh, David Bagley, Carlos MD, MBA
INTRODUCTION: The classic partially blinded percutaneous technique using external landmarks to cannulate the foramen ovale for treatment of trigeminal neuralgia can place important anatomical structures, such as distal cervical internal carotid artery, at risk. We have developed a new in which we use anteroposterior fluoroscopy reliably locate and thus make it safer easier cannulate. METHODS: Locating was initially tested on cadaveric skulls neurosurgical simulation lab. Fluoroscopic were...
Christian, Zachary; Afuwape, Olusoji A MD, PhD; Aoun, Salah G MD; Bagley, Carlos Hall, Kristen BS Author Information
Christian, Zachary; Youssef, Carl A MD; Aoun, Salah G Afuwape, Olusoji MD, PhD; Hall, Kristen BS; Adeyemo, Emmanuel; Barrie, Umaru; Dosselman, Luke; Pernik, Mark N; Reyes, Valery P PA; Morrill, Kevin C Bagley, Carlos MD Author Information
Christian, Zachary; Aoun, Salah G MD; Afuwape, Olusoji A MD, PhD; Barrie, Umaru; Adeyemo, Emmanuel; Badejo, Olatunde; Dosselman, Luke; Pernik, Mark N; Hall, Kristen BS; Reyes, Valery Peinado; Bagley, Carlos MD Author Information