A5102003494- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Intracerebral and Subarachnoid Hemorrhage Research
- Neurosurgical Procedures and Complications
- Cerebrospinal fluid and hydrocephalus
- Meningioma and schwannoma management
- Moyamoya disease diagnosis and treatment
- Pituitary Gland Disorders and Treatments
- Acute Ischemic Stroke Management
- Head and Neck Surgical Oncology
- Spinal Dysraphism and Malformations
- Glioma Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
- Cerebral Venous Sinus Thrombosis
- Infective Endocarditis Diagnosis and Management
- History of Medical Practice
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Anatomy and Medical Technology
- Cervical and Thoracic Myelopathy
- Aortic Disease and Treatment Approaches
- Bacterial Infections and Vaccines
- Trigeminal Neuralgia and Treatments
Emory University
2016-2025
Cornell University
2025
Neurological Surgery
2006-2024
Science Oxford
2024
University of Oxford
2024
Indiana University – Purdue University Indianapolis
2024
Memorial Hospital
2024
Tokyo University of Science
2024
University of Michigan
2024
University of Pittsburgh
2024
✓ An anatomical-angiographic classification for carotid-cavernous sinus fistulas is introduced and a series of 14 patients with spontaneous reviewed to illustrate the usefulness such patient evaluation treatment. Fistulas are divided into four types: Type A direct high-flow shunts between internal carotid artery cavernous sinus; B dural meningeal branches C external D both arteries sinus. The anatomy, clinical manifestations, angiographic evaluation, indications therapy, therapeutic options...
We endeavored to develop an unruptured intracranial aneurysm (UIA) treatment score (UIATS) model that includes and quantifies key factors involved in clinical decision-making the management of UIAs assess agreement for this among specialists UIA research.
BackgroundTrials of surgical evacuation supratentorial intracerebral hemorrhages have generally shown no functional benefit. Whether early minimally invasive removal would result in better outcomes than medical management is not known.MethodsIn this multicenter, randomized trial involving patients with an acute hemorrhage, we assessed the hematoma as compared management. Patients who had a lobar or anterior basal ganglia hemorrhage volume 30 to 80 ml were assigned, 1:1 ratio, within 24 hours...
Intracerebral hemorrhage (ICH) is a potentially devastating condition with elevated early mortality rates, poor functional outcomes, and high costs of care. Standard care involves intensive supportive therapy to prevent secondary injury. To date, there no randomized control study demonstrating benefit evacuation supratentorial ICH.The Early Minimally Invasive Removal Hemorrhage (ENRICH) Trial was designed evaluate the minimally invasive trans-sulcal parafascicular surgery (MIPS) approach,...
Indications for intraoperative angiography during aneurysm surgery remain unclear. To define its use, the authors report results of a prospective study in which this modality was used all patients undergoing intracranial aneurysms.Intraoperative performed prospectively surgical treatment 517 consecutive aneurysms regardless lesion's location, size, or complexity. In 64 (12.4%) findings prompted change treatment. Residual (47%) most frequent finding leading to clip revision. 44% cases,...
Object The introduction of the Neuroform microstent has facilitated embolization complex cerebral aneurysms, which were previously not amenable to endovascular therapy. Typically, use this stent necessitates administration dual antiplatelet therapy minimize thromboembolic complications. Such may increase risk hemorrhage in patients who require concurrent external ventricular drainage and/or subsequent permanent cerebrospinal fluid diversion. Methods authors' neurosurgical database was...
BACKGROUND: In July 2009, the Accreditation Council for Graduate Medical Education (ACGME) incorporated postgraduate year 1 (PGY1 intern) level training into all U.S. neurosurgery residency programs. OBJECTIVE: To provide a fundamentals curriculum incoming PGY1 residents in ACGME-accredited programs, including skills, knowledge, and attitudes that promote quality, patient safety, professionalism. METHODS: The Society of Neurological Surgeons organized 6 regional "boot camp" courses 2010...
HomeStrokeVol. 33, No. 10Recommendations for the Endovascular Treatment of Intracranial Aneurysms
✓ Intradural perimedullary arteriovenous fistulas (Type IV spinal cord malformations (AVM's)) are rarely reported in the literature and occasionally classified together with Type II AVM's as intradural AVM's. The authors report eight cases of managed over a 2-year period. Seven these were surgically obliterated, intraoperative angiography being used an adjunct; one other patient was using endovascular therapy. One lesions definitely another possibly result trauma; malformation newborn infant...
OBJECTIVE Tentorial dural arteriovenous malformations (DAVMs) are uncommon lesions associated with an aggressive natural history. Controversy exists regarding their optimal treatment. We present a single-institution series of tentorial DAVMs treated during 12-year period, address the current controversies, and rationale for our therapeutic strategy. METHODS Twenty-two patients were between 1988 2000. Treatment consisted transarterial or transvenous embolization, surgical resection,...
The blood supply of the lower spinal cord is heavily dependent on artery Adamkiewicz, which characteristically originates from one thoracolumbar segmental arteries. aforementioned enormous clinical, surgical, and radiological importance, goal this study was to elucidate course branches that gives rise important vessel.In cadaveric, microsurgical anatomical study, authors investigate describe Adamkiewicz branch it ultimately originates. A review literature provided.By documenting anatomy...
A series of 12 patients with infectious intracranial aneurysms is presented, and a number unusual features the disorder are emphasized. comparison characteristics clinical course made between without infective endocarditis. Most aneurysms, including rare locations, causative organisms, predisposing medical conditions, occurred in group The relationship atypical to etiology aneurysm formation discussed, an approach treatment presented.
✓ Bromocriptine inhibits prolactin secretion and causes size reduction of prolactin-secreting adenomas. The effect the drug upon pituitary tumors other than prolactinomas is uncertain. authors report a prospective series 12 patients with macroadenomas in whom bromocriptine was administered for 6 weeks prior to transsphenoidal surgery. Five had computerized tomographic documentation significant reductions tumor (Group A) six no change B) during 3 administration. One patient who demonstrated...
Background and Purpose— To address the increasing need to counsel patients about treatment indications for unruptured intracranial aneurysms (UIA), we endeavored develop a consensus on assessment of UIAs among group specialists from diverse fields involved in research UIAs. Methods— After composition group, Delphi was initiated identify rate all features, which may be relevant assess their by using ranking scales analysis inter-rater agreement (IRA) each factor. IRA categorized as very high,...
OBJECTIVE Application for a residency position in neurosurgery is highly competitive process. Visiting subinternships and interviews are integral parts of the application process that provide applicants programs with important information, often influencing rank list decisions. However, an expensive one places significant financial burden on applicants. In this study, authors aimed to quantify expenses incurred by 1st-year residents who matched into program 2014 uncover potential trends...
Surgery is indicated for cerebral cavernous malformations (CCM) that cause medically refractory epilepsy. Real-time magnetic resonance thermography (MRT)-guided stereotactic laser ablation (SLA) a minimally invasive approach to treating focal brain lesions. SLA of CCM has not previously been described.To describe MRT-guided SLA, novel CCM-related epilepsy, with respect feasibility, safety, imaging, and seizure control in 5 consecutive patients.Five patients epilepsy undergoing standard...
A protocol for the treatment of selected intracavernous and proximal internal carotid artery aneurysms is described. Intraoperative angiography used together with intraoperative balloon occlusion electroencephalography to optimize timing an extracranial-intracranial bypass before provide documentation graft patency. This has been successfully in seven patients complex that were unsuitable other endovascular methods or a direct microsurgical approach. Six located cavernous sinus, one was on...