- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Moyamoya disease diagnosis and treatment
- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Pituitary Gland Disorders and Treatments
- Cerebrovascular and Carotid Artery Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Head and Neck Surgical Oncology
- MRI in cancer diagnosis
- Meningioma and schwannoma management
- Spinal Fractures and Fixation Techniques
- Vascular Malformations and Hemangiomas
- Vagus Nerve Stimulation Research
- Glioma Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Cerebrospinal fluid and hydrocephalus
- Radiomics and Machine Learning in Medical Imaging
- Spinal Dysraphism and Malformations
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Platelet Disorders and Treatments
- Fetal and Pediatric Neurological Disorders
- Trauma Management and Diagnosis
Mayo Clinic Hospital
2019-2025
Neurological Surgery
2015-2025
Mayo Clinic in Florida
2020-2023
Mayo Clinic in Arizona
2021-2023
WinnMed
2020-2023
Medical Education Institute
2022-2023
Accreditation Council for Graduate Medical Education
2022-2023
Behörde für Gesundheit und Verbraucherschutz
2022
Northwestern University
2022
The University of Texas Southwestern Medical Center
2022
OBJECTIVE The objective of this study was to assess the incidence, diagnosis, and treatment pediatric blunt cerebrovascular injury (BCVI) at a busy Level 1 trauma center develop tool for accurately predicting BCVI need diagnostic testing. METHODS This is retrospective cohort prospectively collected database patients who had sustained (patient age range 0-15 years) were treated between 2005 2015. Digital subtraction angiography, MR or CT angiography used confirm BCVI. Recently, Utah score has...
Assess quality-of-life after vagal nerve stimulation and determine patient characteristics associated with improvement in quality-of-life.Sixteen patients (11 children, 5 adults) who had at our center were studied. Quality-of-life was assessed pre- post-vagal using the Quality-of-Life Childhood Epilepsy questionnaire for children Surgery Inventory-55 adults.Sixteen did not qualify resective surgery included; seven (43.75%) males 9 (56.25%) females. Mean age onset of seizures 3.96 +/- 4.00...
To provide a better understanding of methods that can be used to improve patient outcomes by reducing the door-to-groin puncture (DTP) time and present results stroke quality improvement project (QIP) conducted Mayo Clinic Arizona's center.We systematic literature search Ovid MEDLINE(R), EMBASE, Scopus, Web Science for studies evaluated DTP reduction strategies. Those determined eligible purpose this analysis were assessed quality. The strategies categorized on basis modified Target: Stroke...
OBJECT Vasopressor-induced hypertension (VIH) is an established treatment for patients with aneurysmal subarachnoid hemorrhage (SAH) who develop vasospasm and delayed cerebral ischemia (DCI). However, the safety of VIH in coincident, unruptured, unprotected intracranial aneurysms uncertain. METHODS This retrospective multiinstitutional study identified 1) SAH 1 or more required therapy (VIH group), 2) did not require (non-VIH group). All had previously undergone surgical endovascular...
Intra-arterial embolization of juvenile nasopharyngeal angiofibroma (JNA) prior to surgical resection is the preferred approach minimize blood loss during tumor. However, presence external carotid artery-internal artery (ECA-ICA) anastomoses may hinder complete tumor due associated risk for embolic complications. Here, we evaluate use a balloon-assisted (BAE) technique in treatment JNA. We conducted retrospective review JNA patients who underwent with injection Onyx single session between...
Carpal tunnel syndrome (CTS) is an entrapment neuropathy affecting the median nerve. Prevalence estimated at 4% to 5% of population. A solid understanding anatomy, presentation, and diagnostics key efficient diagnosis appropriate referral. Both surgical nonsurgical interventions have led improved clinical outcomes. Clinicians who in-depth knowledge CTS symptoms treatment options can prepare patients streamline referrals for patient
Brain cancers pose a novel set of difficulties due to the limited accessibility human brain tumor tissue. For this reason, clinical decision-making relies heavily on MR imaging interpretation, yet mapping between MRI features and underlying biology remains ambiguous. Standard (clinical) tissue sampling fails capture full heterogeneity disease. Biopsies are required obtain pathological diagnosis predominantly taken from core, which often has different traits surrounding invasive that...
Patra, Devi P. MD; Turcotte, Evelyn L. BS; Turkmani, Ali H. Krishna, Chandan Bendok, Bernard R. MD, MSCI Author Information
Abstract Brain cancers pose a novel set of difficulties due to the limited accessibility human brain tumor tissue. For this reason, clinical decision-making relies heavily on MR imaging interpretation, yet mapping between MRI features and underlying biology remains ambiguous. Standard (clinical) tissue sampling fails capture full heterogeneity disease. Biopsies are required obtain pathological diagnosis predominantly taken from core, which often has different traits surrounding invasive that...
Background: Patients undergoing endoscopic transsphenoidal pituitary adenoma resection require postoperative admission. The average stay is reportedly two or more days, though there a lack of general consensus for an appropriate length and discharge on the first day has been reported. Postoperative endocrine dysfunction may be contributing factor to continued hospital
Abstract Objective The study objective was to compare the length of stay (LOS) and proportion one-night admissions before after implementation an endocrine monitoring protocol following endoscopic transsphenoidal surgery (ETSS) for pituitary adenoma. Methods Patients who underwent adenoma resection between July 1, 2018, September 9, 2022, were identified, divided into two cohorts protocol. overall LOS number nights admission recorded. Readmission within 30 days also outpatient laboratory...
A common surgical complication of clipping aneurysms with a calcified neck is the atheroma compromising parent arteries after neck. Clips can slip downward at or cause encroaching arteries. This video demonstrates reconstructive clip technique to avoid these issues. fenes-trated placed first reconstruct distal artery-aneurysm fenestrated ring over thickest calcification. Then, straight reconstructs proximal junction, leaving point walls pinching together by themselves achieve aneurysm...
<h3>Objective:</h3> NA <h3>Background:</h3> While preventive medical management of cerebrovascular disease, stroke and TIA, secondary to a symptomatic intracranial arterial stenosis (sICAS) is well known includes dual antiplatelet therapy high-dose statin, its initial recognition can be challenging when the patient presents with an acute syndrome. BP-dependent fluctuating deficit that resolves supine positioning fluid administration reliable clinical indicator underlying sICAS. However, BP...