- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Fractures and Fixation Techniques
- Management of metastatic bone disease
- Glioma Diagnosis and Treatment
- Meningioma and schwannoma management
- Bariatric Surgery and Outcomes
- Cervical and Thoracic Myelopathy
- Intracerebral and Subarachnoid Hemorrhage Research
- Spine and Intervertebral Disc Pathology
- Cerebrospinal fluid and hydrocephalus
- Intracranial Aneurysms: Treatment and Complications
- Medical and Biological Sciences
- Vascular Malformations Diagnosis and Treatment
- History of Medicine Studies
- Lymphoma Diagnosis and Treatment
- Elbow and Forearm Trauma Treatment
- Neurological disorders and treatments
- CNS Lymphoma Diagnosis and Treatment
- Traumatic Brain Injury Research
- Rabies epidemiology and control
- Bartonella species infections research
- Nerve Injury and Rehabilitation
- Actinomycetales infections and treatment
- Body Contouring and Surgery
- History of Medical Practice
Neurological Surgery
2018-2025
George Washington University
2019-2025
Jordan University of Science and Technology
2025
George Washington University Hospital
2018-2024
Texas Tech University Health Sciences Center
2017-2018
Texas Tech University
2016-2018
Stanford Health Care
2018
University of Utah
2018
Methodist Hospital
2017
Subarachnoid hemorrhage (SAH) in 95% of cases results long-term disabilities due to brain damage, pathogenesis which remains uncertain. Hindrance cerebrospinal fluid (CSF) circulation along glymphatic pathways is a possible mechanism interrupting drainage damaging substances from subarachnoid space and parenchyma. We explored changes CSF at different time following SAH role tissue factor (TF). Fluorescent solute fluorescent microspheres injected into cisterna magna were used track flow mice....
Peripheral nerve injuries (PNIs) of the lower extremities have been assessed in small cohort studies; however, actual incidence, national trends, comorbidities, and cost care extremity PNI are not defined. Lack sufficient data limits discussion on policies, payors, other aspects fundamental to delivery US.To establish estimates PNIs associated diagnoses, US using a comprehensive database with minimum decade data.The National Inpatient Sample was utilized evaluate International Classification...
Background/Objectives: Spinal metastases are a common and severe complication of lung cancer, particularly in small cell cancer (SCLC), associated with poor survival. Despite advancements treatment, optimal management strategies remain unclear, significant differences between non-small (NSCLC) SCLC. This study evaluates treatment patterns, survival outcomes, prognostic factors patients spinal metastases, integrating deep learning prediction models. Methods: retrospective cohort analyzed the...
Background: Streptobacillus moniliformis is the primary causative agent of rat bite fever, an infectious disease transmitted through contact with rats bites, scratches, or exposure to excrement. Before this report, only two instances spinal epidural abscess (SEA) due S. infection have been documented. We present case a 76-year-old male who developed cervical SEA secondary infection, requiring neurosurgical decompression cord. Case Description: A presented emergency department bilateral...
BACKGROUND AND IMPORTANCE: Augmented reality (AR) is a novel technology with broadening applications to neurosurgery. In deformity spine surgery, it has been primarily directed the more precise placement of pedicle screws. However, AR may also be used generate high fidelity three-dimensional (3D) models for cases advanced existing instrumentation. We present case in which an AR-generated 3D model was facilitate and expedite removal embedded instrumentation guide reduction overriding...
Prior to the 1937 invention of Raney clip, surgeons relied on hemostatic sutures, pneumatic tourniquets, sequentially applied forceps, and administration local vasoconstrictive agents achieve scalp hemostasis. The clip is now quintessential tool for achieving hemostasis in cranial neurosurgery; with nearly 13.8 million neurosurgical cases per year globally, clips are high demand their use ubiquitous. What less known, however, story related stories those who bear name. This paper fills these...
The thoracic corpectomy is a well-described technique for the surgical treatment of vertebral column fractures with spinal canal compromise. Traditionally, posterolateral approach to this procedure required removal side rib in order introduce cage. This removal, however, has been identified as major contributor post-operative morbidity. Rib-sparing techniques have shown be beneficial minimizing morbidity non-spinal surgeries. Herein, we present previously undescribed rib-sparing that avoids...
Nocardia cyriacigeorgica represents a rare cause of cerebral abscesses. Rarer still are brainstem abscesses caused by this bacterial species in immunocompetent hosts. In fact, only one such abscess case has been described the neurosurgical literature to our knowledge date. Herein, pons is reported, as well description its surgical evacuation via transpetrosal fissure, middle cerebellar peduncle approach. The authors review utility well-described approach treating lesions safely and...
INTRODUCTION: Cranioplasty is a common neurosurgical procedure to correct congenital or acquired skull defects. Three-dimensionally (3D) printed polyether-ether-ketone (PEEK) implants are relatively novel option for cranioplasty that has gained popularity in recent years. However, there ongoing debate with respect this material’s efficacy and safety compared autologous bone grafts. The purpose of study was offer our institution’s experience add the growing body literature on topic. METHODS:...
INTRODUCTION: Posterior thoracic corpectomies typically require removal of the costotransverse articulation and some amount adjoining rib, an accompaniment that has been shown to result in significant post-operative morbidity. There are several well-described approaches pathology spine, each with advantages, disadvantages, inherent limitations. METHODS: The technique is demonstrated step-by-step a videographic pictorial description procedure performed on both molded plastic spine model...
The ability of coronavirus disease 2019 (COVID-19) to cause neurological insults in afflicted adults is becoming increasingly understood by way an ever-growing amount international data. By contrast, the pandemic illness's effects pediatric population are both poorly and sparsely reported.In this case, authors reported their experience with a preschool-age child hydrocephalus who suffered multiterritory strokes presumed secondary immune-mediated cerebral vasculopathy as result asymptomatic...
Rupture of cerebral aneurysm leads to blood accumulation within the subarachnoid space, known as a hemorrhage. Fatality resulting from acute hemorrhage (SAH) reaches 50%. Volume entering space (SS) following aneurism rupture is one leading factors determining outcome. Retardation cerebrospinal fluid (CSF) flow emerges key mechanisms limiting spread in SS. It has been established that SAH CSF significantly reduced. We hypothesize tissue factor (TF), extrinsic pathway coagulation cascade...
Background Hypoxic‐ischemic (HI) brain injury is a leading cause of neonatal mortality and, in survivors, severe neurological disability and it major source developmental cognitive impairments children adults. In HI, pathways include excitotoxicity, inflammation, oxidative stress. The carotenoid lutein (and its isomer zeaxanthin) are selectively taken up accumulated the brain. Based on effects improving later life cognition, we postulated may have neuroprotective HI. Methods We used...