A5025341960- Bone Tumor Diagnosis and Treatments
- Oral and Maxillofacial Pathology
- Epilepsy research and treatment
- Vagus Nerve Stimulation Research
- Spine and Intervertebral Disc Pathology
- Sarcoma Diagnosis and Treatment
- Medical Imaging and Analysis
- EEG and Brain-Computer Interfaces
- Head and Neck Surgical Oncology
- Spinal Fractures and Fixation Techniques
- Child Development and Digital Technology
- Diversity and Career in Medicine
- Intergenerational Family Dynamics and Caregiving
- Spinal Dysraphism and Malformations
- Trigeminal Neuralgia and Treatments
- Inflammatory Biomarkers in Disease Prognosis
- Facial Nerve Paralysis Treatment and Research
- Psychosomatic Disorders and Their Treatments
- Obesity, Physical Activity, Diet
- Hemoglobinopathies and Related Disorders
- Cerebrospinal fluid and hydrocephalus
- History of Medical Practice
- Orthopaedic implants and arthroplasty
- Intracranial Aneurysms: Treatment and Complications
- Pharmacological Effects and Toxicity Studies
Neurological Surgery
2021-2025
University of Pittsburgh
2020-2024
Washington University in St. Louis
2024
University of Pittsburgh Medical Center
2021-2023
Children's Hospital of Pittsburgh
2022-2023
Cohen Children's Medical Center
2018-2020
Schneider Children's Hospital
2018-2020
Northwell Health
2018-2019
OBJECTIVE Lumbar interbody cage subsidence has a multifactorial etiology. Cage material, although well studied after transforaminal lumbar fusion, not been investigated as contributing factor to lateral fusion (LLIF). In this study the authors compared rates of and reoperation LLIF between polyetheretherketone (PEEK) 3D-printed porous titanium (pTi) in an institutional propensity score–matched cost analysis. METHODS This is retrospective observational cohort analysis adult patients who...
OBJECTIVE: To assess the association between mode of delivery and 2-year motor function in children with prenatal diagnosis myelomeningocele. METHODS: A multisite retrospective cohort study myelomeningocele across 14 NAFTNet (North American Fetal Therapy Network) centers born 2007 2020 who had a physical examination available at 2 years life. Exclusion criteria were utero repair, postnatal diagnosis, missing data on fetal presentation delivery, contraindications to labor. The primary outcome...
Skull base chordomas (SBCs) often present with cranial nerve (CN) VI deficits. Studies have not assessed the prognosis and predictive factors for CN recovery among patients presenting The medical records of who underwent resection primary chordoma from 2001 to 2020 were reviewed. Those palsy identified. extent deficit was determined be partial or complete based on Scott-Kraft score. change in baseline recorded within 3 days surgery at 6-month follow-up. postoperative course followed until...
BACKGROUND AND OBJECTIVES: Little is known about the 2% of US children being raised by their grandparents. We sought to characterize and compare grandparent- parent-headed households with respect adverse childhood experiences (ACEs), child temperament, attention-deficit/hyperactivity disorder (ADHD), caregiver aggravation coping. METHODS: Using a combined data set ages 3 17 from 2016, 2017, 2018 National Survey Children’s Health, we applied survey regression procedures, adjusted for...
Hemifacial spasm is typically caused by vascular compression of the proximal intracranial facial nerve. Although prevalence neurovascular has been investigated in a cohort patients with classical trigeminal neuralgia, and severity not well characterized hemifacial spasm. We aimed to investigate whether presence are correlated symptomatic side All our study were evaluated physician who specializes management cranial nerve disorders. Once was diagnosed on physical exam, patient underwent...
Cage subsidence is a well-known phenomenon after lateral lumbar interbody fusion (LLIF), occurring in 10%-20% of cases. A 3D-printed porous titanium (pTi) cage has stiffness that mimics the modulus elasticity native vertebrae, which reduces stress at bone-hardware interface, lowering risk subsidence. In this study, authors evaluated their institutional rate and resultant reoperation patients who underwent LLIF using pTi cage.
To the Editor: In 2020, 51% of active physicians in dermatology United States were women, making one most equally-represented fields medicine.1Association AM Active Physicians by Sex and Specialty, 2019. Association American Medical Colleges, 2019Google Scholar Over last quarter-century, women have comprised majority residents. Looking at gender leadership 2016, only 24% academic chairs women.2Nambudiri V.E. Shi C.R. Vleugels R.A. Olbricht S.M. Academic -- addressing gap.Int J Womens...
OBJECTIVE The traditional treatment of sellar Rathke cleft cysts (RCCs) generally involves transsellar drainage; however, suprasellar RCCs present unique challenges to appropriate management and technical complexity. Reports on overall outcomes for the endoscopic endonasal approach (EEA) this pathology are limited. EEA allows three surgical techniques: marsupialization, fenestration, fenestration with cyst wall resection. METHODS authors performed a retrospective review consecutive patients...
Patient feedback surveys provide important insight into patient outcomes, satisfaction, and perioperative needs. Recent critiques have questioned provider-initiated their capacity to accurately gauge perspectives due intrinsic biases created by question framing. In this study, the authors sought evaluate provider-independent, patient-controlled social media Instagram posts in order better understand experience following scoliosis correction surgery.Twitter were queried for with two tagged...
Epilepsy affects 1% of the US population. Healthcare disparities are well-studied among adults with epilepsy but less so children. We examined whether children (1) have lower income than or (2) utilize emergency department (ED) differently from without epilepsy, and (3) if moderates ED utilization. Data 2016-2019 National Survey Children's Health were used to identify active "epilepsy seizure disorder". Children versus compared. Income visits modeled logistic Poisson regressions. This...
OBJECTIVE Numerous studies have investigated the impact of inflammatory factors in cancer, yet few attempts been made to investigate these markers skull base chordoma (SBC). Inflammatory values including neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte (PLR), lymphocyte-monocyte (LMR), systemic immune inflammation index (SII), and response (SIRI) can serve as prognostic various cancers. This study aimed determine whether influence overall survival (OS) or progression-free (PFS)...
Objective Previous work categorized skull base chordoma (SBC) into three genetic risk groups based on 1p36 and homozygous 9p21(p16) deletions, accounting for a wide variability in prognosis (A = low-risk, B intermediate-risk, C high-risk). However, it remains unclear how these could guide management. Study Design By integrating surgical outcome adjuvant radiation (AdjXRT) information with data 152 tumors, we sought to develop an evidence-based management algorithm SBC. Results Gross total...
International medical graduates play a significant role in meeting U.S. health care needs, and contribute to more diverse provider workforce. This study aimed determine the prevalence, characteristics, academic productivity of plastic surgery international graduate faculty.A cross-sectional was conducted compare characteristics against domestic including demographics, trainings, ranks, leadership positions, number publications citations, Hirsch index.International represent 10.3 percent all...
We received so many biographies of women neurosurgery leaders for this issue that only a selection could be condensed here. In all them, the essence leader shines through. Many are included as “first” their country or color other achievement. All them outstanding—in clinical, academic, and organized neurosurgery. Two defining features tenacity service. When faced with shocking discrimination, numbing indifference, they ignored it fought valiantly. choosing life’s work, chose service, often...
Abstract Introduction Epilepsy impacts 470,000 children in the United States, and with epilepsy are estimated to expend 6 times more on healthcare than those without epilepsy. For patients antiseizure medication (ASM)-resistant unresectable seizure foci, vagus nerve stimulation (VNS) is a treatment option. Predicting response VNS has been historically challenging. We aimed create clinical prediction score which could be utilized routine outpatient setting. Methods performed an 11-year,...
Drug-resistant epilepsy occurs in up to 40% of patients with who may be considered for surgery. For drug-resistant focal epilepsy, 50% require invasive monitoring prior Of the most common strategies (subdural electrodes [SDEs] and stereo-electroencephalography [sEEG]), cost-effective strategy is unknown despite substantial differences morbidity profiles.Using data collected from an internationally representative sample published available systematic reviews meta-analyses, this economic...