A5016928209- Traumatic Brain Injury and Neurovascular Disturbances
- Spine and Intervertebral Disc Pathology
- Neurofibromatosis and Schwannoma Cases
- Traumatic Brain Injury Research
- Spinal Fractures and Fixation Techniques
- Peripheral Nerve Disorders
- Nerve Injury and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Trauma and Emergency Care Studies
- Meningioma and schwannoma management
- Intracranial Aneurysms: Treatment and Complications
- Neurosurgical Procedures and Complications
- Spinal Hematomas and Complications
- Vascular Malformations Diagnosis and Treatment
- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- S100 Proteins and Annexins
- Intracerebral and Subarachnoid Hemorrhage Research
- Delphi Technique in Research
- Cerebrovascular and Carotid Artery Diseases
- Cervical and Thoracic Myelopathy
- Cerebral Venous Sinus Thrombosis
- Shoulder and Clavicle Injuries
- Anesthesia and Pain Management
Neurological Surgery
2016-2025
Walter Reed National Military Medical Center
2022-2025
Mayo Clinic
2012-2022
University of Pittsburgh Medical Center
2018-2022
Mayo Clinic in Florida
2022
Mayo Clinic in Arizona
2011-2020
WinnMed
2011-2020
Oxford University Press (United Kingdom)
2018-2020
Beijing Friendship Hospital
2019
United States Nuclear Regulatory Commission
2019
In this study the authors determined patency rate of ophthalmic artery (OphA) after placement 1 or more flow diversion devices across arterial inlet for treatment proximal internal carotid (ICA) aneurysms, and correlated possible risk factors OphA occlusion.Nineteen consecutive patients were identified (mean age 53.9 years, range 23-74 all female) who treated 20 ICA aneurysms. a Pipeline Embolization Device (PED) was placed ostium while treating target aneurysm. Flow through PED by immediate...
Glial fibrillary acidic protein (GFAP) is cleared by the Food and Drug Administration (FDA) to determine need for head computed tomography (CT) within 12 h after mild traumatic brain injury (TBI) (Glasgow Coma Score [GCS] 13-15); S100 calcium-binding B (S100B) serves this function in Europe. This phase 1 biomarker cohort analysis of multi-center, observational Transforming Research Clinical Knowledge Traumatic Brain Injury (TRACK-TBI) study compares GFAP's diagnostic performance, measured on...
<h3>BACKGROUND AND PURPOSE:</h3> Aneurysms of the cavernous segment ICA are difficult to treat with standard endovascular techniques, and sacrifice achieves a high rate occlusion but carries an elevated level surgical complications risk de novo aneurysm formation. We report rates treatment-related data in 44 patients sinus aneurysms treated flow diversion. <h3>MATERIALS METHODS:</h3> Patients diversion were selected from prospectively maintained base 2009 present. Demographic information,...
Favorable long-term functional outcomes after severe traumatic brain injury (TBI) may be underestimated. We analyzed 24-month from a consecutive series of TBI survivors. A prospective, observational database survivors single institution was analyzed. Glasgow Outcome Scale-Extended (GOS-E) scores were obtained at 3, 6, 12, and 24 months post-injury. GOS-E dichotomized into unfavorable favorable outcomes, the proportion changing to calculated using Wilcoxon signed-rank tests. Surviving adults...
BACKGROUND: Obesity rates continue to rise along with the number of obese patients undergoing elective spinal fusion. OBJECTIVE: To evaluate impact obesity on resource utilization and early complications in surgery for degenerative spine disease. METHODS: A single-institution retrospective analysis was conducted disease requiring instrumentation between 2008 2012. The 801 identified were grouped based a body mass index (BMI) <30 (nonobese, n = 478), ≥30 <40 (obese, 283), alternatively BMIs...
<h3>SUMMARY:</h3> Endovascular treatments of ophthalmic segment aneurysms are commonly used but visual outcomes remain a concern. We performed retrospective review patients with carotid-ophthalmic treated flow diversion from June 2009 to 2015. The following were studied through chart review: outcomes, complications, postoperative stroke and intraparenchymal hemorrhage, clinical outcomes. Angiographic angiography MRA at 6 months, 1 year, 3 years. evaluated 50 in 48 patients, among whom 44 46...
OBJECTIVE Type II odontoid fracture is a common injury among elderly patients, particularly given their predisposition toward low-energy falls. Previous studies have demonstrated survival advantage following early surgery patients older than 65 years, yet octogenarians represent medically distinct and rapidly growing population. The authors compared operative nonoperative management in 79 years. METHODS A single-center prospectively maintained trauma database was reviewed using ICD-9 codes...
Introduction: Risk factors for young adults with mTBI are not well understood. Improved understanding of age and sex as risk impaired six-month outcomes in is needed.Methods: Young adult subjects aged 18–39 years (18-29y; 30-39y) were extracted from the Transforming Research Clinical Knowledge Traumatic Brain Injury Pilot (TRACK-TBI Pilot) study. Multivariable regressions performed age, sex, interaction factor age-group*sex variables interest, controlling demographic injury variables....
Systemic inflammation impacts outcome after traumatic brain injury (TBI), but most TBI biomarker studies have focused on brain-specific proteins. C-reactive protein (CRP) is a widely used of with potential as prognostic TBI. The Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) study prospectively enrolled patients within 24 h injury, well orthopedic uninjured controls; biospecimens were collected at enrollment. A subset hospitalized participants had blood...
The object of this study was to assess outcomes after surgery for recurrent intracranial glioma.The authors retrospectively reviewed cases involving adult patients with glioma undergoing initial (biopsy or resection) and one more additional surgeries at their institution.A total 323 operations were performed in 131 patients. median survival 76 months first surgery, 36 second, 24 third, 26.5 4 surgeries. overall complication rate 12.8% 27.0% second (OR 2.52, p = 0.0068), 22.0% third 1.92, not...
External ventricular drainage (EVD) after intraventricular hemorrhage (IVH) without symptomatic hydrocephalus is controversial. The object of this study was to examine indicators or the timeframe for in patients not immediately treated with EVD IVH.Records from 2007 2014 were searched "intraventricular hemorrhage" "IVH." Inclusion criteria IVH intracerebral (ICH), trauma, tumor, vascular anomalies. Exclusion more than minimal subarachnoid hemorrhage, catastrophic ICH, layering only, EVD....
OBJECTIVE When considering traumatic brachial plexus and upper extremity nerve injuries, iatrogenic nontraumatic injuries are commonly encountered in clinical practice. Despite this, data synthesis comparison of available studies difficult. This is at least part due to the lack standardization reporting a core outcome set (COS). Thus, there need for COS adult (COS-BPUE). The objective this study was develop COS-BPUE using modified Delphi approach. METHODS A 5-stage approach used COS-BPUE: 1)...
The authors conducted a study to review their experience with tentorial dural arteriovenous fistulas (DAVFs) treated transarterial endovascular embolization in which Onyx was used.The reviewed prospectively collected data 9 patients DAVFs between 2008 and 2011. Information included clinical presentation, angiographic features, treatment, radiologically documented outcome. Clinical follow-up available every patient. Radiological studies were 8 of (mean 4.6 months).Six had complete...
Health care-related costs after lumbar spine surgery vary depending on procedure type and patient characteristics. Age, body mass index (BMI), number of spinal levels, presence comorbidities probably have significant effects overall costs. The present study assessed the impact characteristics hospital in patients undergoing elective decompressive surgery.This was a retrospective review decompression surgeries, with focus specific to determine which factors drive postoperative,...
The authors sought to assess whether Hounsfield units (HU) increase following teriparatide treatment and compare HU increases with changes in bone mineral density (BMD) as measured by dual-energy x-ray absorptiometry (DEXA).
OBJECTIVE Acute traumatic subdural hematoma (atSDH) can be a life-threatening neurosurgical emergency that necessitates immediate evacuation. The elderly population particularly vulnerable to tearing bridging veins. aim of this study was evaluate inpatient morbidity and mortality, as well predictors in national trauma database. METHODS authors queried the 2016–2017 National Trauma Data Bank registry for patients aged 65 years older who had undergone evacuation atSDH. Patients were...
Core outcome sets (COSs) are needed to promote data consistency across studies as well synthesis and comparability. The goal of the current study was utilize a modified Delphi process develop COS-sciatic injury neuropathy evaluation (COS-SINE). A five-stage approach utilized COS-SINE: stage 1, consortium development; 2, literature review identify potential measures; 3, survey consensus on outcomes for inclusion; 4, definitions; 5, meeting finalize COS definitions. followed Outcome...
Off-road motorcycling is a very popular sport practiced by countless people worldwide. Despite its popularity, not much has been published on the severity and distribution of central nervous system-related injuries associated with this activity in pediatric population. The purpose study was to confirm, characterize, document rate head spine off-road population.All patients aged 18 years or less who were treated for motorbike injury at authors' institution (a Level 1 regional trauma center)...
Retrospective case-control study using prospectively collected data.Evaluate the impact of liposomal bupivacaine (LB) on postoperative pain management and narcotic use following standardized single-level low lumbar transforaminal interbody fusion (TLIF).Poor control after surgery has been linked with decreased satisfaction increased economic burden. Unfortunately, opioids have many limitations side effects despite being primary treatment pain. LB may be a form pre-emptive analgesia used to...