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 2012

Revascularization and Cerebral Hyperperfusion: We Know What but not Why, Peter Nakaji

Clinical status epilepticus due to anaplastic cortical ependymoma., Victoria Ohla, Kris A Smith, and Cornelia Drees

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Spinal and paraspinal giant cervical cavernous malformation with postpartum presentation, Mark E. Oppenlander, M Yashar Kalani, and Curtis A. Dickman

Transsylvian-transinsular approaches to the insula and basal ganglia: Operative techniques and results with vascular lesions, Matthew B. Potts, Edward F. Chang, William L. Young, and Michael T. Lawton

Impact of lateral mass anatomic variation on ideal polyaxial screw head mobility: technical considerations, Wilson Z. Ray, Rory K. Murphy, Ian G. Dorward, Eriks A. Lusis, Spiros L. Blackburn, and Todd Stewart

Medial pectoral nerve to axillary nerve neurotization following traumatic brachial plexus injuries: indications and clinical outcomes, Wilson Z. Ray, Rory K. Murphy, Katherine Santosa, Philip J. Johnson, and Susan E. Mackinnon

Perimesencephalic subarachnoid hemorrhage associated with a painless, pupillary-involving third cranial nerve palsy: case report and literature review, Matthew R. Reynolds, Rafael A. Vega, Rory K. Murphy, Michelle M. Miller-Thomas, and Gregory J. Zipfel

Contralateral clipping of middle cerebral artery aneurysms: rationale, indications, and surgical technique, Ana Rodríguez-Hernández, Andreu Gabarrós, and Michael T. Lawton

Bypass for the prevention of ischemic stroke, Ana Rodríguez-Hernández, S Andrew Josephson, Andrew S. Josephson, David Langer, and Michael T. Lawton

Bypass surgery for the prevention of ischemic stroke: current indications and techniques, Ana Rodríguez-Hernández, Scott Andrew Josephson, and Michael T. Lawton

Coment on the study "abordaje contralateral en aneurismas de la arteria cerebral media con segmento M1 largo: A propósito de dos casos" de Arrese et al, Ana Rodríguez-Hernández and Michael T. Lawton

Management of a recurrent coiled giant posterior cerebral artery aneurysm with trapping and thrombectomy: 3-dimensional operative video, Ana Rodríguez-Hernández and Michael T. Lawton

Twiglike middle cerebral arteries, Ana Rodríguez-Hernández, Susanna Miric, and Michael T. Lawton

Current management of middle cerebral artery aneurysms: surgical results with a "clip first" policy, Ana Rodríguez-Hernández, Michael E. Sughrue, Sina Akhavan, Julian Habdank-Kolaczkowski, and Michael T. Lawton

Emerging Operative Strategies in Neurosurgical Oncology, Nader Sanai

Advanced Technical Skills are Required for Microsurgical Clipping of Posterior Communicating Artery Aneurysms in the Endovascular Era, Nader Sanai, Nolan Caldwell, Dario J. Englot, and Michael T. Lawton

Magnetic Resonance Imaging Volumetric Assessment of the Extent of Contrast Enhancement and Resection in Oligodendroglial Tumors: Clinical Article, Tejas Sankar, Nina Z. Moore, Joshua Johnson, Lynn S. Ashby, Adrienne C. Scheck, William R. Shapiro, Kris A Smith, Robert F Spetzler, and Mark C Preul

Concussions in Soccer: Use Your Head - but not as a Weapon, Volker K.H. Sonntag

Lumbar and Cervical Disc Herniations: A Common Problem Many Solutions, Volker K.H. Sonntag

Navigation and MRI During Surgery: Spine Advances, Volker K.H. Sonntag

The Asymptomatic Degenerative Cervical Disc: A Dilemma, Volker K.H. Sonntag

The Quiet Revolution: Retractorless Surgery for Complex Vascular and Skull Base Lesions - Clinical Article, Robert F. Spetzler and Nader Sanai

Basilar Artery Thrombosis After Reduction of Cervical Spondyloptosis: A Cautionary Report - Case Report, Luis M. Tumialán and Nicholas Theodore

Spontaneous Intracranial Hypotension: A Case Study, Tammy L. Tyree and Randall W. Porter

Cervical and Lumbar Spinal Arthroplasty: Clinical Review, Timothy D. Uschold, David J. Fusco, R. Germain, L. M. Tumialan, and Steve W. Chang

Duplicated Pituitary Gland and Odontoid Process. A Case Report, Yousef Usta, F. Sakha, William L. White, Andrew S. Little, and L. Knecht

The Far-Lateral Approach and its Variations, Gregory J. Velat and Robert F. Spetzler

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Microrna Expression Profile and Differentially-Expressed Genes in Prolactinomas Following Bromocriptine Treatment, Chengde Wang, Zhipeng Su, Nader Sanai, Xiangyang Xue, Lijun Lu, Yunxiang Chen, Jinsen Wu, Weiming Zheng, Qichuan Zhuge, and Zhe Bao Wu

Minocycline- and tetracycline-class antibiotics are protective against partial seizures in vivo, Doris D. Wang, Dario J. Englot, Paul A. Garcia, Michael T. Lawton, and William L. Young

Brain-derived neurotrophic factor Val66Met polymorphism predicts worse functional outcome after surgery in patients with unruptured brain arteriovenous malformation, Erick M. Westbroek, Ludmila Pawlikowska, Michael T. Lawton, Charles E. McCulloch, William L. Young, and Helen Kim

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Rapid ventricular pacing: A novel technique to decrease cardiac output for giant basilar aneurysm surgery, Joseph R. Whiteley, Rebecca Payne, Cesar Rodriguez-Diaz, Dilantha B. Ellegala, and Scott T. Reeves

Multimodality Treatment of Conus Medullaris Arteriovenous Malformations: 2 Decades of Experience With Combined Endovascular and Microsurgical Treatments, David A. Wilson, Adib A. Abla, Timothy D. Uschold, Cameron G. McDougall, Felipe C. Albuquerque, and Robert F. Spetzler

Long-term radiosurgical control of subtotally resected adult pineocytomas., David A Wilson, Al-Wala Awad, David Brachman, Stephen W Coons, Heyoung McBride, Emad Youssef, Peter Nakaji, Andrew G Shetter, Kris A Smith, Robert F Spetzler, and Nader Sanai

Survival and Functional Outcome After Surgical Resection of Intramedullary Spinal Cord Metastases, David A. Wilson, David J. Fusco, Timothy D. Uschold, Robert F. Spetzler, and Steve W. Chang

A Simple and Quantitative Method to Predict Symptomatic Vasospasm After Subarachnoid Hemorrhage Based on Computed Tomography: Beyond the Fisher Scale, David A. Wilson, Peter Nakaji, Adib A. Abla, Timothy D. Uschold, David J. Fusco, Mark E. Oppenlander, Felipe C. Albuquerque, Cameron G. McDougall, Joseph M. Zabramski, and Robert F. Spetzler

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Cerebral atrophy is associated with development of chronic subdural haematoma, Andrew Il Yang, David S. Balser, Artem Mikheev, Shani Offen, Jason H. Huang, James Babb, Henry Rusinek, and Uzma Samadani

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Localization of dense intracranial electrode arrays using magnetic resonance imaging, Andrew I. Yang, Xiuyuan Wang, Werner K. Doyle, Eric Halgren, Chad Carlson, Thomas L. Belcher, Sydney S. Cash, Orrin Devinsky, and Thomas Thesen

The natural history and clinical presentation of cervical spondylotic myelopathy, Chester K. Yarbrough, Rory K. Murphy, Wilson Z. Ray, and Todd J. Stewart

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Direct conversion of fibroblasts to functional neurons, M Yashar, S Kalani, and Nikolay Martirosyan

Submissions from 2011

Delayed Presentation of Traumatic Cerebral and Dural Arteriovenous Fistulae After a BB Gun Accident in a Pediatric Patient: Case Report, Adib A. Abla, Felipe C. Albuquerque, Nicholas Theodore, and Robert F. Spetzler

Advances in the Treatment and Outcome of Brainstem Cavernous Malformation Surgery: A Single-Center Case Series of 300 Surgically Treated Patients, Adib A. Abla, Gregory P. Lekovic, Jay D. Turner, Jean G. De Oliveira, Randall W. Porter, and Robert F. Spetzler

Simultaneous posterior communicating artery aneurysm clipping and selective amygdalohippocampectomy via direct lateral access through the mesial temporal lobe to the basal cisterns., Adib A Abla, Kris A Smith, and Peter Nakaji

Comparison of two antibiotic-impregnated ventricular catheters: a prospective sequential series trial., Adib A Abla, Joseph M Zabramski, Heidi Jahnke, David J Fusco, and Peter Nakaji

A Novel Technique of Odontoidoplasty and C1 Arch Reconstruction: Anatomical and Biomechanical Basis, Abhishek Agarwal, Phillip M. Reyes, Ulises Garcia-Gonzalez, Daniel D. Cavalcanti, Steve W. Chang, Nicholas Theodore, Volker K.H. Sonntag, Robert F. Spetzler, Mark C. Preul, and Neil R. Crawford

Arteriovenous Malformations and Associated Aneurysms, Kaith Almefty and Robert F. Spetzler

Cotton-Clipping Technique to Repair Intraoperative Aneurysm Neck Tear: A Technical Note, Daniel L. Barrow and Robert F. Spetzler

Brain arteriovenous malformation multiplicity predicts the diagnosis of hereditary hemorrhagic telangiectasia: quantitative assessment, Aditya Bharatha, Marie E. Faughnan, Helen Kim, Tony Pourmohamad, Timo Krings, Pinar Bayrak-Toydemir, Ludmila Pawlikowska, Charles E. McCulloch, Michael T. Lawton, Christopher F. Dowd, William L. Young, and Karel G. Terbrugge

Temporal stability of dysmorphic fusiform aneurysms of the intracranial internal carotid artery, Loic Boussel, Vitaliy Rayz, Alastair Martin, Michael Lawton, Randall Higashida, Wade S. Smith, William L. Young, and David Saloner

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Surgical management and outcome of schwannomas in the craniocervical region, Daniel D. Cavalcanti, Nikolay L. Martirosyan, Ketan Verma, Sam Safavi-Abbasi, Randall W. Porter, Nicholas Theodore, Volker K. Sonntag, Curtis A. Dickman, and Robert F. Spetzler

A Prospective Study of Nonfunctioning Pituitary Adenomas: Presentation Management and Clinical Outcome, Lukui Chen, William L. White, Robert F. Spetzler, and Bainan Xu

Pott Disease in a 13-Month-Old: Case Report, Giac Consigilieri, Udaya Kumar Kakarla, and Nicholas Theodore

Improving surgical outpatient efficiency through mobile phone text messaging, Mark A. Corrigan, Seamus M. McHugh, Rory K. Murphy, Paul Dhillon, Abid Shah, Immanuel Hennessy, Athar Sheikh, Elaine Lehane, and Arnold S. Hill

Classification schemes for arteriovenous malformations, Jason M. Davies, Helen Kim, William L. Young, and Michael T. Lawton

The contralateral transcingulate approach: operative technique and results with vascular lesions, Jason Davies, Rabih G. Tawk, and Michael T. Lawton

Development of an adhesive surgical ward round checklist; a technique to improve patient safety, P. Dhillon, R. K.J. Murphy, H. Ali, Z. Burukan, M. A. Corrigan, A. Sheikh, and A. D.K. Hill

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The 2011 Egyptian Revolution: a neurosurgical perspective, Mohamed El-Fiki and Gail Rosseau

Predictors of seizure freedom in the surgical treatment of supratentorial cavernous malformations, Dario J. Englot, Seunggu J. Han, Michael T. Lawton, and Edward F. Chang

Language and motor mapping during resection of brain arteriovenous malformations: Indications, feasibility, and utility, Andreu Gabarrós, William L. Young, Michael W. McDermott, and Michael T. Lawton

Transarterial Onyx Embolization of Sacral Chordoma: Case Report and Review of the Literature, Yin C. Hu, C. Benjamin Newman, Randall W. Porter, and Felipe C. Albuquerque

Craniofacial Approaches to Large Juvenile Angiofibromas: Clinical Article, M. Yashar S. Kalani, Maziyar A. Kalani, Samuel Kalb, Felipe C. Albuquerque, Cameron G. Mcdougall, Peter Nakaji, Robert F. Spetzler, Randall W. Porter, and Iman Feiz-Erfan

Tumoral Calcinosis Presenting as a Deformity of the Thoracic Spine: Case Report, M. Yashar S. Kalani, Nikolay L. Martirosyan, Andrew S. Little, Udaya Kumar Kakarla, and Nicholas Theodore

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Analysis of demographics, risk factors, clinical presentation, and surgical treatment modalities for the ossified posterior longitudinal ligament, Samuel Kalb, Nikolay L. Martirosyan, Luis Perez-Orribo, M Yashar Kalani, and Nicholas Theodore

Commentary on "Microporous Polysaccharide Hemospheres (MPH) for Cerebral Hemostasis: A Preliminary Report", James Kalyvas and Robert F. Spetzler

Critical roles of macrophages in the formation of intracranial aneurysm, Yasuhisa Kanematsu, Miyuki Kanematsu, Chie Kurihara, Yoshiteru Tada, Tsung Ling Tsou, Nico Van Rooijen, Michael T. Lawton, William L. Young, Elena I. Liang, Yoshitsugu Nuki, and Tomoki Hashimoto

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Stereotactic radiosurgery for chordoma: a report from the North American Gamma Knife Consortium, Hideyuki Kano, Fawaad O. Iqbal, Jason Sheehan, David Mathieu, Zachary A. Seymour, Ajay Niranjan, John C. Flickinger, Douglas Kondziolka, Bruce E. Pollock, Gail Rosseau, Penny K. Sneed, Michael W. McDermott, and L Dade Lunsford

Parafalcine and midline arteriovenous malformations: surgical strategy, techniques, and outcomes, Yong Bae Kim, William L. Young, and Michael T. Lawton

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Accurate state estimation from uncertain data and models: an application of data assimilation to mathematical models of human brain tumors, Eric J. Kostelich, Yang Kuang, Joshua M. McDaniel, Nina Z. Moore, Nikolay L. Martirosyan, and Mark C. Preul

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History and current state of neurosurgery at the Medical University of South Carolina, Vibhor Krishna, Yasmeen Rauf, Sunil Patel, Steve Glazier, Phanor Perot, and Dilantha B. Ellegala

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