The Barrow Neurological Institute is proud of its reputation as a medical research facility and is home to some of the most sophisticated research programs outside of an academic setting in the Southwestern United States. Researchers in the Barrow Neurosurgery Research Center are devoted to learning more about the causes of and treatments for a wide range of disorders, such as stroke, aneurysms, spinal cord injury, and hydrocephalus. Our research has led to treatments that are being used around the world. Within the Department are neurosurgeons who subspecialize in cerebrovascular and skull base, functional and stereotactic, pediatric, spine, tumor, and endovascular neurosurgery.

Physicians, scientists, and expert clinical staff come together with a commitment to developing new techniques for the prevention, diagnosis, treatment, and rehabilitation of neurological illnesses and injuries. The leadership of internationally respected physicians keeps Barrow at the forefront of neuroscience. The compassionate expertise of its extensive staff of nurses, technologists, therapists and support personnel is evident in every aspect of care provided.

Our mission is to advance the knowledge and practice of medicine in neuroscience through basic and clinical research, education of medical professionals, and innovation in clinical techniques and technology.

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Submissions from 2011

Biomechanics of Thoracic Short Versus Long Fixation After 3-Column Injury: Laboratory Investigation, Bruno C.R. Lazaro, Fatih Ersay Deniz, Leonardo B.C. Brasiliense, Phillip M. Reyes, Anna G.U. Sawa, Nicholas Theodore, Volker K.H. Sonntag, and Neil R. Crawford

Prophylactic Antibiotic Trends in Transsphenoidal Surgery for Pituitary Lesions, Andrew S. Little and William L. White

Short-Duration Single-Agent Antibiotic Prophylaxis for Meningitis in Trans-Sphenoidal Surgery, Andrew S. Little and William L. White

MR imaging of partially thrombosed cerebral aneurysms: Characteristics and evolution, Alastair J. Martin, S. W. Hetts, W. P. Dillon, R. T. Higashida, V. Halbach, C. F. Dowd, M. T. Lawton, and D. Saloner

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Epidermal electronics, Nikolay Martirosyan and M Yashar Kalani

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Use of in vivo near-infrared laser confocal endomicroscopy with indocyanine green to detect the boundary of infiltrative tumor, Nikolay L. Martirosyan, Daniel D. Cavalcanti, Jennifer M. Eschbacher, Peter M. Delaney, Adrienne C. Scheck, Mohammed G. Abdelwahab, Peter Nakaji, Robert F. Spetzler, and Mark C. Preul

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Aplasia of the anterior arch of atlas associated with multiple congenital disorders: case report, Nikolay L. Martirosyan, Daniel D. Cavalcanti, M Yashar Kalani, Peter H. Maughan, and Nicholas Theodore

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Blood supply and vascular reactivity of the spinal cord under normal and pathological conditions, Nikolay L. Martirosyan, Jeanne S. Feuerstein, Nicholas Theodore, Daniel D. Cavalcanti, Robert F. Spetzler, and Mark C. Preul

Angiopoietin-like 4 (ANGPTL4) gene polymorphisms and risk of brain arteriovenous malformations, Bahar Mikhak, Shantel Weinsheimer, Ludmila Pawlikowska, Annie Poon, Pui-Yan Kwok, Michael T. Lawton, Yongmei Chen, Jonathan G. Zaroff, Stephen Sidney, Charles E. McCulloch, William L. Young, and Helen Kim

Surgical Approaches to Intramedullary Cavernous Malformations of the Spinal Cord, Alim P. Mitha, Jay D. Turner, and Robert F. Spetzler

The financial imperative of physicians to control demand of laboratory testing, R. K.J. Murphy, S. McHugh, N. O'Farrell, B. Dougherty, A. Sheikh, M. Corrigan, and A. D.K. Hill

Acute Transient Cortical Blindness Due to Seizure Following Cerebral Angiography, C. Benjamin Newman, Courtney M. Schusse, Yin C. Hu, Cameron G. McDougall, and Felipe C. Albuquerque

The Surgical Management of Parkinson's Disease, Francisco A. Ponce and Andres M. Lozano

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Decompressive craniectomy: Technical note, T. M. Quinn, J. J. Taylor, J. A. Magarik, E. Vought, M. S. Kindy, and D. B. Ellegala

Flash fluorescence with indocyanine green videoangiography to identify the recipient artery for bypass with distal middle cerebral artery aneurysms: operative technique, Ana Rodríguez-Hernández and Michael T. Lawton

Aneurysms associated with non-moyamoya collateral arterial networks: report of three cases and review of literature, Ana Rodríguez-Hernández, Daniel C. Lu, Susanna Miric, and Michael T. Lawton

Segmental anatomy of cerebellar arteries: a proposed nomenclature. Laboratory investigation, Ana Rodríguez-Hernández, Albert L. Rhoton, and Michael T. Lawton

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Normal pressure hydrocephalus, Gail Rosseau

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Pituitary tumors and transsphenoidal surgery, Gail L. Rosseau

Intraoperative confocal microscopy for brain tumors: a feasibility analysis in humans., Nader Sanai, Jennifer M Eschbacher, Guido Hattendorf, Stephen W Coons, Mark C Preul, Kris A Smith, Peter Nakaji, and Robert F Spetzler

Intraoperative Confocal Microscopy in the Visualization of 5-Aminolevulinic Acid Fluorescence in Low-Grade Gliomas: Clinical Article, Nader Sanai, Laura A. Snyder, Norissa J. Honea, Stephen W. Coons, Jennifer M. Eschbacher, Kris A. Smith, and Robert F. Spetzler

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Neurosurgical treatment of trigeminal neuralgia, Sophia F. Shakur, Anita Bhansali, Ali Y. Mian, and Gail L. Rosseau

Large Hemangiopericytoma Associated With Arteriovenous Malformations and Dural Arteriovenous Fistulae, M. Yashar S. Kalani, Nikolay L. Martirosyan, Jennifer M. Eschbacher, Peter Nakaji, Felipe C. Albuquerque, and Robert F. Spetzler

Current Indications for Indocyanine Green Angiography, Laura A. Snyder and Robert F. Spetzler

Ossification of the Ligamentum Flavum (Olf): An Increasing Cause of Cervical Myelopathy, Volker K.H. Sonntag

A 3-Tier Classification of Cerebral Arteriovenous Malformations, Robert F. Spetzler and Francisco A. Ponce

The Evolution of Neurosurgical Instrumentation, Robert F. Spetzler and Rodney Samuelson

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Neurons in the Human Hippocampus and Amygdala Respond to Both Low- and High-Level Image Properties, Peter N. Steinmetz, Elaine Cabrales, Michael S. Wilson, Christopher P. Baker, Christopher K. Thorp, Kris A Smith, and David M. Treiman

Giant intracranial aneurysms: evolution of management in a contemporary surgical series, Michael E. Sughrue, David Saloner, Vitaliy L. Rayz, and Michael T. Lawton

Elevated BNP is associated with vasospasm-independent cerebral infarction following aneurysmal subarachnoid hemorrhage, Pam R. Taub, Jeremy D. Fields, Alan H.B. Wu, Jacob C. Miss, Michael T. Lawton, Wade S. Smith, William L. Young, Jonathan G. Zaroff, and Nerissa U. Ko

Progressive vertebral body osteolysis after cervical disc arthroplasty., Luis M Tumialán and Wayne M Gluf

Arthroscopic techniques in minimally invasive spine surgery: closure of the lumbar fascia: surgical technique., Luis M Tumialán, Ryan Ponton, and Anthony I Riccio

Supracerebellar infratentorial endoscopically controlled resection of pineal lesions: case series and operative technique., Timothy Uschold, Adib A Abla, David J Fusco, Ruth E Bristol, and Peter Nakaji

Gene expression profiling of blood in brain arteriovenous malformation patients, Shantel M. Weinsheimer, Huichun Xu, Achal S. Achrol, Boryana Stamova, Charles E. McCulloch, Ludmila Pawlikowska, Yingfang Tian, Nerissa U. Ko, Michael T. Lawton, Gary K. Steinberg, Steven D. Chang, Glen Jickling, Bradley P. Ander, Helen Kim, Frank R. Sharp, and William L. Young

Terminal ventriculostomy as an adjuvant treatment of complex syringomyelia: a case report and review of the literature., David A Wilson, David J Fusco, and Harold L Rekate

Delayed subarachnoid hemorrhage following failed odontoid screw fixation., David A Wilson, David J Fusco, and Nicholas Theodore

Submissions from 2010

Comparison of dural grafts in Chiari decompression surgery: Review of the literature., Adib A Abla, Timothy Link, David J Fusco, David A Wilson, and Volker K H Sonntag

Coiling Versus Clipping for Posterior Communicating Artery Aneurysms Associated With Oculomotor Nerve Palsy: Only Time Will Tell, Felipe C. Albuquerque

Stroke in the "Real World", Felipe C. Albuquerque

Long-term outcome in the repair of spinal cord perimedullary arteriovenous fistulas, L. Antonietti, S. A. Sheth, V. V. Halbach, R. T. Higashida, C. F. Dowd, M. T. Lawton, J. D. English, and Steven W. Hetts

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Initial audit of a basic and emergency neurosurgical training program in rural Tanzania, Jonah E. Attebery, Emanuel Mayegga, Robert G. Louis, Rachel Chard, Abednego Kinasha, and Dilantha B. Ellegala

The evolution of the treatment of traumatic cerebrovascular injury during wartime., Randy S Bell, Robert D Ecker, Meryl A Severson, John E Wanebo, Benjamin Crandall, and Rocco A Armonda

Wartime traumatic aneurysms: acute presentation, diagnosis, and multimodal treatment of 64 craniocervical arterial injuries., Randy S Bell, Alexander H Vo, Ryan Roberts, John E Wanebo, and Rocco A Armonda

Computed tomographic angiography in evaluation of superficial temporal to middle cerebral artery bypass., David A Besachio, Jordan I Ziegler, Timothy D Duncan, and John S Wanebo

Stabilization of the Atlantoaxial Joint With C1-C3 Lateral Mass Screw Constructs: Biomechanical Comparison With Standard Technique, Leonardo B.C. Brasiliense, Bruno C.R. Lazaro, Phillip M. Reyes, Douglas Fox, Volker K.H. Sonntag, and Neil R. Crawford

Anterolateral C1-C2 Transarticular Fixation for Atlantoaxial Arthrodesis: Landmarks Working Area and Angles of Approach, Daniel D. Cavalcanti, Abhishek Agrawal, Ulises Garcia-Gonzalez, Neil R. Crawford, Paulo L.M.S. Tavares, Nicholas Theodore, Volker K.H. Sonntag, and Mark C. Preul

The Anatomy of the Callosomarginal Artery: Applications to Microsurgery and Endovascular Surgery, Daniel D. Cavalcanti, Felipe C. Albuquerque, Benjamin F. Silva, Robert F. Spetzler, and Mark C. Preul

Supratentorial cavernous malformations in eloquent and deep locations: surgical approaches and outcomes. Clinical article, Edward F. Chang, Rodney A. Gabriel, Matthew B. Potts, Mitchel S. Berger, and Michael T. Lawton

Treatment of Distal Posterior Cerebral Artery Aneurysms: A Critical Appraisal of the Occipital Artery-To-Posterior Cerebral Artery Bypass, Steve W. Chang, Adib A. Abla, Udaya Kumar Kakarla, Eric Sauvageau, Shervin R. Dashti, Peter Nakaji, Joseph M. Zabramski, Felipe C. Albuquerque, Cameron G. McDougall, and Robert F. Spetzler

Four-Level Anterior Cervical Discectomy and Fusion With Plate Fixation: Radiographic and Clinical Results, Steve W. Chang, Udaya Kumar Kakarla, Peter H. Maughan, Jeff DeSanto, Douglas Fox, Nicholas Theodore, Curtis A. Dickman, Stephen M. Papadopoulos, and Volker K.H. Sonntag

Surgical technique of temporary arterial occlusion in the operative management of spinal hemangioblastomas, Aaron J. Clark, Daniel C. Lu, R. Mark Richardson, Tarik Tihan, Andrew T. Parsa, Dean Chou, Nicholas M. Barbaro, Sandeep Kunwar, Philip R. Weinstein, Michael T. Lawton, Mitchel S. Berger, and Michael W. McDermott

Commentary for Recurrent Intracranial Aneurysms After Successful Neck Clipping, Katharine Cronk and Robert F. Spetzler

Vertebral artery-posterior inferior cerebellar artery bypass using a radial artery graft for hemorrhagic dissecting vertebral artery aneurysms: surgical technique and report of 2 cases, Marcus Czabanka, Muhammad Ali, Peter Schmiedek, Peter Vajkoczy, and Michael T. Lawton

Supracerebellar Infratentorial Approach to Cavernous Malformations of the Brainstem: Surgical Variants and Clinical Experience With 45 Patients, Jean G. de Oliveira Santos, Gregory P. Lekovic, Sam Safavi-Abbasi, Cassius V. Reis, Ricardo A. Hanel, Randall W. Porter, Mark C. Preul, and Robert F. Spetzler

Sticking to the rules: Are you documenting your irish medical council registration number?, P. Dhillon, R. Murphy, Z. Burukan, H. Ali, M. Corrigan, A. Sheikh, and A. D.K. Hill

Anterior Selective Amygdalohippocampectomy: Technical Description and Microsurgical Anatomy., Eberval Gadelha Figueiredo, Pushpa Deshmukh, Peter Nakaji, Marcelo U. Crusius, Manoel J. Teixeira, Robert F. Spetzler, and Mark C. Preul

Neuroform Stent Assisted Aneurysm Treatment: Evolving Treatment Strategies Complications and Results of Long Term Follow-Up, David Fiorella, Felipe C. Albuquerque, H. Woo, P. A. Rasmussen, T. J. Masaryk, and C. G. McDougall

Evidence of endothelial progenitor cells in the human brain and spinal cord arteriovenous malformations, Peng Gao, Yongmei Chen, Michael T. Lawton, Nicholas M. Barbaro, Guo Yuan Yang, Hua Su, Feng Ling, and William L. Young

Occipitoatlantal Dislocation, Mark P. Garrett, Giacomo Consiglieri, Udaya Kumar Kakarla, Steve W. Chang, and Curtis A. Dickman

Transcranial Minimally Invasive Neurosurgery for Tumors, Mark P. Garrett, Giacomo Consiglieri, and Peter Nakaji

Formation of Painful Seroma and Edema After the Use of Recombinant Human Bone Morphogenetic Protein-2 in Posterolateral Lumbar Spine Fusions, Mark P. Garrett, Udaya Kumar Kakarla, Randall W. Porter, and Volker K.H. Sonntag

Use of Microscope-Integrated Near-Infrared Indocyanine Green Videoangiography in the Surgical Treatment of Spinal Dural Arteriovenous Fistulae, Ricardo A. Hanel, Peter Nakaji, and Robert F. Spetzler

No association between intraoperative hypothermia or supplemental protective drug and neurologic outcomes in patients undergoing temporary clipping during cerebral aneurysm surgery: Findings from the intraoperative hypothermia for aneurysm surgery trial, Bradley J. Hindman, Emine O. Bayman, Wolfgang K. Pfisterer, James C. Torner, Michael M. Todd, W. Clarke, K. Chaloner, P. Davis, M. Howard, D. Tranel, S. Anderson, J. Winn, M. Wichman, R. Peters, M. Hansen, D. Anderson, J. Lang, B. Yoo, H. Adams, G. Clifton, A. Gelb, C. Loftus, A. Schubert, D. Warner, W. Young, R. Frankowski, K. Kieburtz, D. Prough, L. Sternau, J. Marler, C. Moy, and B. Radziszewska

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Neurosurgery and global health: Going far and fast, together, Roger Hrtl and Dilantha B. Ellegala

Perfusion computed tomographic imaging and surgical selection with patients after poor-grade aneurysmal subarachnoid hemorrhage, Abel Po Hao Huang, Sandeep Arora, Max Wintermark, Nerrissa Ko, Yong Kwang Tu, and Michael T. Lawton

Pediatric Intracranial Aneurysms, Brian J. Jian, Steven W. Hetts, Michael T. Lawton, and Nalin Gupta

Endovascular treatment of medically refractory cerebral vasospasm following aneurysmal subarachnoid hemorrhage, P. Jun, N. U. Ko, J. D. English, C. F. Dowd, V. V. Halbach, R. T. Higashida, M. T. Lawton, and Steven W. Hetts

Atlas Fractures, Udaya Kumar Kakarla, Steve W. Chang, Nicholas Theodore, and Volker K.H. Sonntag

Placement of Percutaneous Thoracic Pedicle Screws Using Neuronavigation, Udaya Kumar Kakarla, Andrew S. Little, Steve W. Chang, Volker K.H. Sonntag, and Nicholas Theodore

Gamma Knife surgery combined with resection for treatment of a single brain metastasis: preliminary results., M Yashar S Kalani, Aristotelis S Filippidis, Maziyar A Kalani, Nader Sanai, David Brachman, Heyoung L McBride, Andrew G Shetter, and Kris A Smith

Comparison of 2 approaches for determining the natural history risk of brain arteriovenous malformation rupture, Helen Kim, Charles E. McCulloch, S. Claiborne Johnston, Michael T. Lawton, Stephen Sidney, and William L. Young

A supplementary grading scale for selecting patients with brain arteriovenous malformations for surgery, Michael T. Lawton, Helen Kim, Charles E. McCulloch, Bahar Mikhak, and William L. Young

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Temporal characterization of the functional density of the vasa vasorum by contrast-enhanced ultrasonography maximum intensity projection imaging, Sang Chol Lee, Chad L. Carr, Brian P. Davidson, Dilantha Ellegala, Aris Xie, Azzdine Ammi, Todd Belcik, and Jonathan R. Lindner

Brain retraction and thickness of cerebral neocortex: an automated technique for detecting retraction-induced anatomic changes using magnetic resonance imaging., Andrew S Little, Seban Liu, Scott Beeman, Tejas Sankar, Mark C Preul, Leland S Hu, Kris A Smith, and Leslie C Baxter

Simplified Aqueductal Stenting for Isolated Fourth Ventricle Using a Small-Caliber Flexible Endoscope in a Patient With Neurococcidiomycosis: Technical Case Report, Andrew S. Little, Joseph M. Zabramski, and Peter Nakaji

A history of the Barrow Neurological Institute., Richard A Lochhead, Adib A Abla, Alim P Mitha, David J Fusco, Kaith K Almefty, Nader Sanai, Mark E Oppenlander, and Felipe C. Albuquerque

Clinical presentation and surgical management of intramedullary spinal cord cavernous malformations, Daniel C. Lu and Michael T. Lawton

Rotational vertebral artery occlusion-series of 9 cases, Daniel C. Lu, Zsolt Zador, Praveen V. Mummaneni, and Michael T. Lawton

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Manganese-enhanced magnetic resonance imaging in experimental spinal cord injury: correlation between T1-weighted changes and Mn(2+) concentrations, Nikolay L. Martirosyan, Kevin M. Bennett, Nicholas Theodore, and Mark C. Preul

The azygos anterior cerebral artery bypass: double reimplantation technique for giant anterior communicating artery aneurysms, Zaman Mirzadeh, Nader Sanai, and Michael T. Lawton

Blister-Like Aneurysms: an Enigma of Cerebrovascular Surgery, Alim P. Mitha and Robert F. Spetzler

How to Use the Modern Operating Room for the Education of Neurosurgeons, Peter Nakaji

Perioperative hypothermia (33°C) does not increase the occurrence of cardiovascular events in patients undergoing cerebral aneurysm surgery: Findings from the intraoperative hypothermia for aneurysm surgery trial, Hoang P. Nguyen, Jonathan G. Zaroff, Jonathan G. Zaroff, Emine O. Bayman, Adrian W. Gelb, Adrian W. Gelb, Michael M. Todd, Bradley J. Hindman, M. Todd, B. Hindman, W. Clarke, K. Chaloner, K. Chaloner, J. Torner, P. Davis, M. Howard, D. Tranel, S. Anderson, J. Weeks, L. Moss, J. Winn, W. Clarke, M. Wichman, R. Peters, M. Hansen, D. Anderson, J. Lang, B. Yoo, H. Adams, G. Clifton, W. Young, and C. Loftus

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Use of adipose tissue to ease compatibility of a stylet with its sheath during ventriculoperitoneal shunt placement: technical note, Mark E. Oppenlander and Harold L. Rekate

Advances in Spinal Hemangioblastoma Surgery, Mark E. Oppenlander and Robert F. Spetzler

EBV-positive B cell cerebral lymphoma 12 years after sex-mismatched kidney transplantation: post-transplant lymphoproliferative disorder or donor-derived lymphoma?, Paul J. Phelan, Rory K. Murphy, Michael Farrell, Orna O'Toole, Josie Heffernan, Donncha O'Brien, Oscar Breathnach, and Peter J. Conlon

Highly Cited Works in Neurosurgery. Part I: The 100 Top-Cited Papers in Neurosurgical Journals: A Review, Francisco A. Ponce and Andres M. Lozano

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Histone H4K20/H3K9 demethylase PHF8 regulates zebrafish brain and craniofacial development, Hank H. Qi, Madathia Sarkissian, Gang-Qing Hu, Zhibin Wang, Arindam Bhattacharjee, D Benjamin Gordon, Michelle Gonzales, Fei Lan, Pat P. Ongusaha, Maite Huarte, Nasser K. Yaghi, Huijun Lim, Benjamin A. Garcia, Leonardo Brizuela, Keji Zhao, Thomas M. Roberts, and Yang Shi

Flow residence time and regions of intraluminal thrombus deposition in intracranial aneurysms, V. L. Rayz, L. Boussel, L. Ge, J. R. Leach, A. J. Martin, M. T. Lawton, C. McCulloch, and D. Saloner

Anatomical triangles defining surgical routes to posterior inferior cerebellar artery aneurysms, Ana Rodríguez-Hernández and Michael T. Lawton

Microsurgical Management of Pediatric Intracranial Aneurysms, Nader Sanai, Kurtis I. Auguste, and Michael T. Lawton

Supracerebellar-supratrochlear and infratentorial-infratrochlear approaches: gravity-dependent variations of the lateral approach over the cerebellum, Nader Sanai, Zaman Mirzadeh, and Michael T. Lawton

Miniaturized handheld confocal microscopy for neurosurgery: results in an experimental glioblastoma model., Tejas Sankar, Peter M Delaney, Robert W Ryan, Jennifer M Eschbacher, Mohammed Abdelwahab, Peter Nakaji, Stephen W Coons, Adrienne C Scheck, Kris A Smith, Robert F Spetzler, and Mark C Preul

In Vitro Biological Dosimeter Modeling of the Glioblastoma Response to Radiation Delivered By the Gamma Knife: Laboratory Investigation, Ryan Smith, Kris A. Smith, Christopher A. Biggs, and Adrienne C. Scheck

Comments: to Burkhardt JK, Zinn PO, Bozinov O, Colen RR, Bertalanffy H, Kasper E. "Neurosurgical education in Europe and the United States of America.", Laura Snyder and Robert F. Spetzler

Lateral Mass Screw Fixation of the Atlas: Importance of Anatomy of C1 for Lateral Mass Screw Placement, Volker K.H. Sonntag

The World Cup and World Neurosurgery, Volker K.H. Sonntag

Treatment of Isthmic Spondylolisthesis: Still Controversial, Volker K.H. Sonntag

Treatment of the Herniated Lumbar Disc: Persistent Problem, Volker K.H. Sonntag

The Status of Neurosurgery in the United States: 2010 and Beyond, Robert F. Spetzler and Shelley A. Kick