A5083288582- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Intracranial Aneurysms: Treatment and Complications
- Neurosurgical Procedures and Complications
- Renal and Vascular Pathologies
- Stroke Rehabilitation and Recovery
- Vascular Malformations Diagnosis and Treatment
- Peripheral Artery Disease Management
- Cerebrospinal fluid and hydrocephalus
- Venous Thromboembolism Diagnosis and Management
- Cerebral Venous Sinus Thrombosis
- Traumatic Brain Injury and Neurovascular Disturbances
- Meningioma and schwannoma management
- Moyamoya disease diagnosis and treatment
- Extracellular vesicles in disease
- Head and Neck Surgical Oncology
- Intracerebral and Subarachnoid Hemorrhage Research
- Spinal Fractures and Fixation Techniques
- Peripheral Neuropathies and Disorders
- Connective tissue disorders research
- Protein Tyrosine Phosphatases
- Alcoholism and Thiamine Deficiency
- Glioma Diagnosis and Treatment
- Vascular Procedures and Complications
- Infectious Encephalopathies and Encephalitis
Henry Ford Health System
2012-2025
Michigan United
2023-2025
Ford Motor Company (United States)
2024
Henry Ford Hospital
2014-2023
Wayne State University
2009-2021
Hospital de Cruces
2016
Providence College
2015
Universidad Nacional de La Plata
2015
University of Pennsylvania
2009
University Radiology
2009
The authors describe a dedicated therapeutic vertebroplasty technique that uses newly designed instruments, acrylic cement, and dual guidance with ultrasonography computed tomography for pain control in patients bone failure, report their experience. Between 1990 2002, they performed 868 percutaneous cementoplasty procedures severe osteoporosis, vertebral tumors, symptomatic hemangiomas. In satisfactory results were obtained 78% of cases; 83% hemangiomas, 73% cases. the global series...
<h3>SUMMARY:</h3> Coronavirus disease 2019 (COVID-19) is associated with a severe inflammatory response. Inflammation affects atherosclerotic plaque vulnerability and promotes thrombogenic environment. We report series of 6 patients COVID-19 acute ischemic stroke due to intraluminal carotid artery thrombus presenting during an 8-day period. Six were included (5 men) mean age 65.8 years (range, 55–78 years). was diagnosed by detection Severe Acute Respiratory Syndrome coronavirus 2 in 5...
Background and Purpose- We sought to evaluate the impact of a Computed Tomographic Angiography (CTA) for All emergency stroke imaging protocol on outcome after large vessel occlusion (LVO). Methods- On July 1, 2017, Henry Ford Health System implemented policy performing CTA noncontrast computed tomography together as an initial study all patients with acute ischemic (AIS) presenting within 24 hours last known well, regardless baseline National Institutes Stroke Scale score. Previously, was...
Introduction: Mechanical thrombectomy (MT) devices were fundamentally designed for the treatment of cardioembolic (CE) strokes despite that 10-20% large vessel occlusions (LVO) are caused by artery atherosclerosis (LAA), which may not respond comparably. Therefore, differentiation between LAA and non-LAA LVO be critical selecting ideal MT technique. Here, we construct an algorithm use in emergent setting pre-operatively to differentiate using clinical radiographic features. Methods: Using...
Background Differentiating between intra-cerebral atherosclerotic disease (ICAD) and non-ICAD large vessel occlusion (LVO) is crucial for selecting the appropriate mechanical thrombectomy (MT) technique device. We developed an algorithm to predict LVO etiology using clinical radiographic features in emergent setting. Methods conducted a retrospective chart review of middle cerebral artery (MCA) occlusions treated with MT confirmed as ICAD or non-ICAD. recorded common risk factors from CT...
Treatment of patients with cerebral large vessel occlusion thrombectomy and tissue plasminogen activator (tPA) leads to incomplete reperfusion. Using rat models embolic transient middle artery (eMCAO tMCAO), we investigated the effect on stroke outcomes small extracellular vesicles (sEVs) derived from endothelial cells (CEC-sEVs) in combination tPA (CEC-sEVs/tPA) as a treatment eMCAO tMCAO rat. The sEVs clots acquired who had undergone mechanical healthy human CEC permeability was also...
To evaluate the effects of preoperative embolization on overall surgical outcomes after meningioma resection and determine whether pre- postembolization tumor enhancement patterns magnetic resonance imaging (MRI) scans can be used to assess efficacy embolization. We developed a prospective database all patients who underwent with or without for extra-axial intracranial meningiomas from 2004 2010. Using specialized computer software, total volume was calculated in MRI quantify percentage...
Background and Purpose: Mechanical thrombectomy (MT) is now the standard of care for large vessel occlusion (LVO) stroke. However, little known about frequency outcomes repeat MT (rMT) patients with recurrent LVO. Methods: This a retrospective multicenter cohort who underwent rMT at 6 tertiary institutions in United States between March 2016 2020. Procedural, imaging, outcome data were evaluated. Outcome discharge was evaluated using modified Rankin Scale. Results: Of 3059 treated during...
<h3>SUMMARY:</h3> Medullary edema with enhancement is rarely reported at initial MR imaging in intracranial dural arteriovenous fistulas. We report a series of 5 patients fistulas, all whom demonstrated characteristic pattern central medullary and imaging. Cognard type V fistula, defined by drainage into the perimedullary veins surrounding brain stem, rare yet well-described pathologic entity. Even more reported, however, its clinical presentation predominantly bulbar symptoms findings...
Idiopathic intracranial hypertension is a complex neurologic disorder resulting from increased pressure. Our aim was to determine whether correlation exists between the CSF pressure-volume relationship, specifically craniospinal elastance and index, in patients with idiopathic opening pressure affects this relationship.Lumbar punctures performed for suspected 2006 2017 were identified. Opening closing pressures, volume removed, clinical diagnosis of obtained medical records. The (pressure...
We report five patients in whom spinal MRI revealed extra-arachnoid fluid collections. These collections most likely resulted from accumulation of cerebrospinal (CSF) a dural leak. The presented with either compressive myelopathy due to the cyst or superficial siderosis (SS). All these were long segment, and demonstrated but not exact site Dynamic CT myelogram leak helped management complicated cases. Moreover, we also found that epicenter collection on was different location dynamic...
There is a paucity of data on the association glioblastoma multiforme (GBM) with intracranial aneurysms. It an important clinical entity for physicians to be aware and its presence illustrates several critical features pathophysiology malignant glioma. In this article we present case middle cerebral artery (MCA) pseudoaneurysm that occurred in patient recurrent GBM as well discuss current literature relating unique combination pathologies.The authors MCA developed literature. The identified...