A5005098874- Meningioma and schwannoma management
- Pituitary Gland Disorders and Treatments
- Vascular Malformations Diagnosis and Treatment
- Glioma Diagnosis and Treatment
- Intracranial Aneurysms: Treatment and Complications
- Adrenal and Paraganglionic Tumors
- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Blood transfusion and management
- Spine and Intervertebral Disc Pathology
- Cerebrospinal fluid and hydrocephalus
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Dysraphism and Malformations
- Head and Neck Surgical Oncology
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cerebral Venous Sinus Thrombosis
- Acute Ischemic Stroke Management
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Neurosurgical Procedures and Complications
- Growth Hormone and Insulin-like Growth Factors
- Platelet Disorders and Treatments
- Ocular Oncology and Treatments
- Opioid Use Disorder Treatment
Naval Medical Center Portsmouth
2022
University of Virginia
2017-2021
University of Virginia Health System
2016-2020
Neurological Surgery
2016-2020
Université de Sherbrooke
2019
Beaumont Health
2019
University of Louisville
2019
The University of Texas MD Anderson Cancer Center
2019
Na Homolce Hospital
2019
University of Pittsburgh
2019
Systematic literature review.The aims of this study were to (1) describe the clinical features, disabilities, and incidence neurologic deficits pyogenic spondylodiscitis prior treatment (2) compare functional outcomes between patients who underwent medical alone or in combination with surgery for spondylodiscitis.A systematic review was performed using PubMed according PRISMA guidelines. No year restriction put place. Statistical analysis pooled data, when documented original report (ie,...
Stenosis of the transverse sinus (TS) and sigmoid (SS), with a trans-stenosis pressure gradient, has been implicated in pathophysiology idiopathic intracranial hypertension (IIH). MRI shown improvement TS SS stenosis after high-volume lumbar puncture (HVLP) subset patients IIH. The authors present first report an IIH patient immediate post-HVLP gradient reduction attendant increase cross-sectional area confirmed using intravascular ultrasonography (IVUS). Recurrence patient’s TS-SS coincided...
Recent literature describing complications associated with spinopelvic fixation iliac screws in adult patients has been limited but suggested high complication rates. The authors' objective was to report their experience screw a large series of 2-year minimum follow-up.
OBJECTIVE Extracapsular resection of pituitary microadenomas improves remission rates, but the application pseudocapsular techniques for macroadenomas has not been well described. In larger tumors, extremely thin, compressed normal gland or its complete absence along tumor's anterior surface limits traditional technique that can be used microadenomas. However, in authors' experience, interface between pseudocapsule at posterior margin adenoma and behind it is universally present, providing a...
Abstract BACKGROUND The BRAF mutation has been identified as a potent target for the treatment of metastatic melanoma and inhibitors (BRAFi) have demonstrated promising results against brain metastases (BM). OBJECTIVE To further investigate effectiveness this combined regimen. METHODS In multicenter retrospective cohort study, 198 patients with known status treated stereotactic radiosurgery (SRS) between 2011 2015 were identified. Kaplan–Meier methodology multivariate regression analysis was...
OBJECTIVEFixed sagittal spinal malalignment is a common problem in adult deformity (ASD). Various three-column osteotomy techniques, including the extended pedicle subtraction (ePSO), may correct global and regional this patient population. In contrast to number of reports on traditional PSO (Schwab grade 3 osteotomy), there limited literature outcomes ePSO 4 osteotomy) ASD surgery. The objective retrospective study was provide focused investigation radiographic complications single-level...
Although endovascular therapy has been widely adopted for the treatment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage (aSAH), its effect on clinical outcomes remains incompletely understood. The aims this retrospective cohort study are to evaluate intervention post-aSAH and identify predictors functional independence at discharge repeat treatment.We assessed baseline data patients with aSAH who underwent our institution, including intra-arterial (IA) vasodilator infusion...
OBJECTIVE A subset of patients with Chiari I malformation demonstrate patent subarachnoid spaces around the cerebellum, indicating that reduced posterior fossa volume alone does not account for tonsillar descent. The authors distinguish two subsets based on degree “posterior crowdedness” MRI. METHODS Two coauthors independently reviewed preoperative MR images 49 and categorized as “spacious” or “crowded.” Volumetric analysis structures was then performed using open-source DICOM software....
Gamma Knife radiosurgery (GKRS) provides a safe and effective management option for patients with all types of pituitary adenomas. The long-term adverse effects targeted radiation to the hypothalamic-pituitary axis in relationship dose remain unclear. In this retrospective review, authors investigated role differential doses predicting clinical outcomes function after GKRS
Traumatic brain injury (TBI) is associated with increased risk for psychological and substance use disorders. The study aim to determine incidence factors persistent opioid prescription after hospitalization TBI. Electronic medical records of patients age ≥ 18 admitted a neuroscience intensive care unit between January 2013 February 2017 an intracranial were retrospectively reviewed. Primary outcome was through 12 months post-hospital discharge. A total 298 complete data included in the...
Syringogenesis in Chiari malformation type I (CM-I) is thought to occur secondary impaction of the cerebellar tonsils within foramen magnum (FM). However, correlation between CSF area and syringogenesis has yet be elucidated. The authors sought determine whether diminution subarachnoid space associated with syringogenesis. Further, if syrinx resolution was degree expansion spaces after surgery.
Abstract Proximal junctional kyphosis (PJK) is a common problem after multilevel spine instrumentation for adult spinal deformity. Various anti-PJK techniques such as tethers ligamentous augmentation have been proposed. We present an operative video demonstrating technical nuances of tether “weave” application. A 70-yr-old male with prior L2-S1 instrumented fusion presented worsening back pain and posture. Imaging demonstrated pathological loss lumbar lordosis (flat deformity), proximal...