A5062237680- Neurological disorders and treatments
- Vaccine Coverage and Hesitancy
- Parkinson's Disease Mechanisms and Treatments
- COVID-19 and Mental Health
- SARS-CoV-2 and COVID-19 Research
- Prion Diseases and Protein Misfolding
- Long-Term Effects of COVID-19
- Intracerebral and Subarachnoid Hemorrhage Research
- Telemedicine and Telehealth Implementation
- Misinformation and Its Impacts
- Obstructive Sleep Apnea Research
- Glaucoma and retinal disorders
- Spinal Hematomas and Complications
- Advanced Chemical Sensor Technologies
- Intracranial Aneurysms: Treatment and Complications
- Cholinesterase and Neurodegenerative Diseases
- Dementia and Cognitive Impairment Research
- Cerebrospinal fluid and hydrocephalus
- Neonatal and fetal brain pathology
- Cerebral Venous Sinus Thrombosis
- Traumatic Brain Injury Research
- Allergic Rhinitis and Sensitization
- Obsessive-Compulsive Spectrum Disorders
- Musculoskeletal pain and rehabilitation
- Sleep and Wakefulness Research
The University of Texas Medical Branch at Galveston
2025
University of Hawaiʻi at Mānoa
2020-2024
University of Washington Medical Center
2024
Neurology, Inc
2023
Creighton University
2019
BACKGROUND Juvenile idiopathic arthritis (JIA) is the most common pediatric rheumatological disease, yet cervical spine involvement remains an underrecognized but potentially devastating manifestation. Atlantoaxial subluxation (AAS) arises from inflammatory changes causing ligamentous laxity and instability. OBSERVATIONS A 13-year-old female presented with progressive neck pain. Imaging revealed a 10-mm atlantodental interval on CT, along hyperintensity stretching of transverse atlantal...
Abstract Objective A survey was implemented for early assessment of pandemic‐related practice processes and quality improvement (QI). Background In response to the public health measures in Hawaii curtail coronavirus 2019 pandemic, Pacific Neuroscience (HPN) adapted their patient care ensure continuity neurological treatment. Methods The telephone conducted on patients seen at HPN during period April 22, 2020–May 18, 2020 address four areas related patients’ outpatient experience: delivery...
Introduction: Given that the success of vaccines against coronavirus disease 2019 (COVID-19) relies on herd immunity, identifying patients at risk for vaccine hesitancy is imperative—particularly those high severe COVID-19 (i.e., minorities and with neurological disorders). Methods: Among from a large neuroscience institute in Hawaii, was investigated relation to over 30 sociodemographic variables medical comorbidities, via telephone quality improvement survey conducted between 23 January...
A middle-aged patient presented with right-sided chemosis, exophthalmos, and progressive visual loss. Digital subtraction angiography revealed a type D carotid-cavernous fistula (CCF). Transarterial embolization through the internal maxillary artery was unsuccessful, there no venous access to CCF. robotic-guided direct transtemporal of CCF Onyx performed, resulting in successful obliteration symptom resolution. This is first reported case transcranial embolization. We include technical video...
Against the backdrop of diverse minority-majority state Hawaii, this study seeks to better characterize associations between idiopathic intracranial hypertension (IIH) with sociodemographic variables and medical comorbidities.A retrospective case-control was conducted by utilizing 54 IIH patients 216 age-, sex-, race-matched controls, unmatched 63 migraine patients.Relative were 25 years younger (p < 0.0001) 10.18 kg/m2 heavier 0.0001), as well exhibited greater odds following 0.05): female...
Background: Surgical decompression for the treatment of chronic subdural hematomas (cSDHs) is irrefutably effective; however, its utility in managing cSDH patients with comorbid coagulopathy remains controversial. The optimal threshold platelet transfusion management <100,000/mm 3 , according to guidelines from American Association Blood Banks GRADE framework. This may be unachievable refractory thrombocytopenia, though surgical intervention still warranted. We present a patient...
BACKGROUND AND OBJECTIVES: Hemimegalencephaly (HME) is a rare diffuse malformation of cortical development characterized by unihemispheric hypertrophy, drug-resistant epilepsy (DRE), hemiparesis, and developmental delay. Definitive treatment for HME-related DRE hemispheric surgery through either anatomic (AH) or functional hemispherectomy (FH). This individual patient data meta-analysis assessed seizure outcomes AH FH HME with pharmacoresistant epilepsy, predictors Engel I, efficacy...
Gomez-Lopez-Hernandez syndrome (GLHS), also known as cerebello-trigeminal-dermal dysplasia, is a neurocutaneous disorder typically presenting in childhood. GLHS characterized by rhombencephalosynapsis (RES) and partial alopecia, with or without trigeminal anesthesia. We describe rare case of paucisymptomatic adult who presented new-onset seizure-like activity. Magnetic resonance imaging revealed midline fusion the cerebellar hemispheres, incomplete development vermis, slight medialization...
Aim: To identify current perceptions of aducanumab among patients with Alzheimer’s disease (AD) and their caregivers. Methods: A total 352 caregivers AD seen at Hawaii’s largest multidisciplinary neuroscience center between January 01, 2019, June 21, 2021, were surveyed by telephone to understand patient caregiver knowledge, familiarity, hesitancy toward aducanumab. Results: Thirty-seven percent familiar Caregivers who spouses respective (p=0.0023) had increased odds familiarity. Additional...
Investigate the relationship between work-related difficulties and key factors that negatively impact employability quality of life (QoL) for patients with intractable vs. non-intractable chronic migraines.
This quality improvement (QI) project was conducted in order to better understand how demographic factors may influence the likelihood of COVID-19 vaccination hesitation and declination patients with neurological disorders Hawaii. Adult who had visited Hawaii Pacific Neuroscience (HPN) between January 1, 2019 2021 were contacted through a telephone QI survey assess hesitancy relation patient race sex. Over 30 different sociodemographic variables medical comorbidities examined. Statistical...