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 2007

Nonconvulsive Status Epilepticus in Patients Suffering Spontaneous Subarachnoid Hemorrhage, Andrew S. Little, John F. Kerrigan, Cameron G. McDougall, Joseph M. Zabramski, Felipe C. Albuquerque, Peter Nakaji, and Robert F. Spetzler

Anterior Motor Strip Displacement in a Boy With Right Frontal Gray Matter Heterotopia Undergoing Epilepsy Surgery, Andrew S. Little, Yu tze Ng, John F. Kerrigan, David M. Treiman, Evan Fram, and Harold L. Rekate

The role of neurosurgery in status epilepticus., Yu-Tze Ng, Ruth E Bristol, Dewi V Schrader, and Kris A Smith

Distal aneurysms of basilar perforating and circumferential arteries. Report of three cases, Rene O. Sanchez-Mejia and Michael T. Lawton

Complications of lumboperitoneal shunts, Vincent Y. Wang, Nicholas M. Barbaro, Michael T. Lawton, Lawrence Pitts, Sandeep Kunwar, Andrew T. Parsa, Nalin Gupta, and Michael W. McDermott

Postoperative hydrocephalus in patients undergoing decompressive hemicraniectomy for ischemic or hemorrhagic stroke., Allen Waziri, David J Fusco, Stephan A Mayer, Guy M McKhann, and E Sander Connolly

Interleukin-6 upregulates expression of KDR and stimulates proliferation of human cerebrovascular smooth muscle cells, Jianhua S. Yao, Wenwu Zhai, Yongfeng Fan, Michael T. Lawton, Nicholas M. Barbaro, William L. Young, and Guo Yuan Yang

Arteriovenous malformation, William L. Young, Pui-Yan Kwok, Ludmila Pawlikowska, Michael T. Lawton, Helen Kim, Pirro G. Hysi, and Douglas A. Marchuk

Submissions from 2006

Estimating the hemodynamic impact of interventional treatments of aneurysms: Numerical simulation with experimental validation: Technical case report, Gabriel Acevedo-Bolton, Liang Der Jou, Bradley P. Dispensa, Michael T. Lawton, Randall T. Higashida, Alastair J. Martin, William L. Young, and David Saloner

Long-Term Follow-Up of Giant Serpentine Mca Aneurysm Treated With EC-IC Bypass and Proximal Occlusion, S. Amin-Hanjani, P. R. Chen, Steve W. Chang, and Robert F. Spetzler

Prospective analysis of prevalence, distribution, and rate of recovery of left ventricular systolic dysfunction in patients with subarachnoid hemorrhage, Nader Banki, Alexander Kopelnik, Poyee Tung, Michael T. Lawton, Daryl Gress, Barbara Drew, Michael Dae, Elyse Foster, William Parmley, and Jonathan Zaroff

The Evolution of Endovascular Treatment for Intracranial Arteriovenous Malformations, Ruth E. Bristol, Felipe C. Albuquerque, and Cameron G. McDougall

Return to Contact Sports After Spinal Surgery, Mark G. Burnett and Volker K.H. Sonntag

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Computed tomographic angiography for the evaluation of aneurysmal subarachnoid hemorrhage., Shaun D Carstairs, David A Tanen, Timothy D Duncan, Olaf B Nordling, John E Wanebo, Thomas R Paluska, Nicholas Theodore, and Robert H Riffenburgh

Outcome of Oculomotor Nerve Palsy From Posterior Communicating Artery Aneurysms: Comparison of Clipping and Coiling, Peng R. Chen, Sepideh Amin-Hanjani, Felipe C. Albuquerque, Cameron McDougall, Joseph M. Zabramski, and Robert F. Spetzler

MMP-9 expression is associated with leukocytic but not endothelial markers in brain arteriovenous malformations, Yongmei Chen, Yongfeng Fan, K. Y.Trudy Poon, Achal S. Achrol, Michael T. Lawton, Yiqian Zhu, Charles E. McCulloch, Tomoki Hashimoto, Chanhung Lee, Nicholas M. Barbaro, Andrew W. Bollen, Guo Yuan Yang, and William L. Young

Interleukin-6 involvement in brain arteriovenous malformations, Yongmei Chen, Ludmila Pawlikowska, Jianhua S. Yao, Fanxia Shen, Wenwu Zhai, Achal S. Achrol, Michael T. Lawton, Pui Yan Kwok, Guo Yuan Yang, and William L. Young

Posterior interhemispheric approach: Surgical technique, application to vascular lesions, and benefits of gravity retraction, John H. Chi and Michael T. Lawton

The "yo-yo" technique to prevent cerebrospinal fluid rhinorrhea after anterior clinoidectomy for proximal internal carotid artery aneurysms, John H. Chi, Michael Sughrue, Sandeep Kunwar, and Michael T. Lawton

Conus Medullaris Syndrome Without Lower-Extremity Involvement in L-1 Burst Fractures: Report of Four Cases, Dean Chou, Roger Hartl, and Volker K.H. Sonntag

Dynamic Characteristics of the Intact Fused and Prosthetic-Replaced Cervical Disk, Michael C. Dahl, Jeffrey P. Rouleau, Stephen M. Papadopoulos, David J. Nuckley, and Randal P. Ching

Long-Term Clinical and Angiographic Follow-Up of Unclippable Wrapped Intracranial Aneurysms, Vivek R. Deshmukh, Udaya Kumar Kakarla, Eberval Gadelha Figueiredo, Joseph M. Zabramski, and Robert F. Spetzler

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Neuromonitoring in neurological critical care, Ian F. Dunn, Dilantha B. Ellegala, Zachary N. Litvack, and Dong H. Kim

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Delayed re-opening of an STA-MCA bypass graft, I. F. Dunn, D. B. Ellegala, and A. L. Day

Neurosurgery at the crossroads: integrated multidisciplinary management of 449 patients with brain arteriovenous malformations, Rose Du, Michael W. McDermott, Christopher F. Dowd, William L. Young, and Michael T. Lawton

Durability of Aneurysm Embolization With Matrix Detachable Coils, David Fiorella, Felipe C. Albuquerque, and Cameron G. McDougall

Hypernatremia predicts adverse cardiovascular and neurological outcomes after SAH, Landis A. Fisher, Nerissa Ko, Jacob Miss, Poyee P. Tung, Alexander Kopelnik, Nader M. Banki, David Gardner, Wade S. Smith, Michael T. Lawton, and Jonathan G. Zaroff

Are Cavernous Sinus Hemangiomas and Cavernous Malformations Different Entities?, L. Fernando Gonzalez, Gregory P. Lekovic, Jennifer Eschbacher, Stephen Coons, Randall W. Porter, and Robert F. Spetzler

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Contrast ultrasonographic assessment of cerebral perfusion in patients undergoing decompressive craniectomy for traumatic brain injury, Peter Heppner, Dilantha B. Ellegala, Marcel Durieux, John A. Jane, and Jonathan R. Lindner

Complications of Halo Fixation in the Elderly, Eric M. Horn, Nicholas Theodore, Iman Feiz-Erfan, Gregory P. Lekovic, Curtis A. Dickman, and Volker K.H. Sonntag

Co-occurrence of a cavernous malformation and contralateral moyamoya, G. A. Kerchner, W. Smith, M. T. Lawton, and V. Singh

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Principles of cerebral oxygenation and blood flow in the neurological critical care unit, Dong H. Kim, Ian F. Dunn, Dilantha B. Ellegala, Jonathan F. Fox, and Dong H. Kim

Resolution of an Infectious Pseudoaneurysm in a Cervical Petrous Carotid Vein Bypass Graft After Covered Stent Placement: Case Report, Louis J. Kim, Felipe C. Albuquerque, Cameron G. McDougall, and Robert F. Spetzler

Postembolization Neurological Deficits in Cerebral Arteriovenous Malformations: Stratification by Arteriovenous Malformation Grade, Louis J. Kim, Felipe C. Albuquerque, Robert F. Spetzler, and Cameron G. McDougall

Predictors of left ventricular regional wall motion abnormalities after subarachnoid hemorrhage, Avinash Kothavale, Nader M. Banki, Alexander Kopelnik, Sirisha Yarlagadda, Michael T. Lawton, Nerissa Ko, Wade S. Smith, Barbara Drew, Elyse Foster, and Jonathan G. Zaroff

Double reimplantation technique to reconstruct arterial bifurcations with giant aneurysms, Michael T. Lawton and Alfredo Quiñones-Hinojosa

The supratonsillar approach to the inferior cerebellar peduncle: Anatomy, surgical technique, and clinical application to cavernous malformations, Michael T. Lawton, Alfredo Quiñones-Hinojosa, and Peter Jun

Intraoperative Rupture of Brainstem Cavernous Malformation: Case Report, Gregory P. Lekovic, L. Fernando Gonzalez, Vini G. Khurana, and Robert F. Spetzler

Apolipoprotein E epsilon 2 is associated with new hemorrhage risk in brain arteriovenous malformations, Ludmila Pawlikowska, K Y. Poon, Achal S. Achrol, Charles E. McCulloch, Connie Ha, Kristen Lum, Jonathan G. Zaroff, Nerissa U. Ko, S Claiborne Johnston, Stephen Sidney, Douglas A. Marchuk, Michael T. Lawton, Pui-Yan Kwok, and William L. Young

The extended retrosigmoid approach: An alternative to radical cranial base approaches for posterior fossa lesions, Alfredo Quiñones-Hinojosa, Edward F. Chang, and Michael T. Lawton

Hemorrhage of Cavernous Malformations During Pregnancy and in the Peripartum Period: Causal or Coincidence? Case Report and Review of the Literature, Sam Safavi-Abbasi, Iman Feiz-Erfan, Robert F. Spetzler, Louis Kim, Şeref Doǧan, Randall W. Porter, and Volker K.H. Sonntag

Pediatric intracranial aneurysms: Durability of treatment following microsurgical and endovascular management, Nader Sanai, Alfredo Quinones-Hinojosa, Nalin M. Gupta, Victor Perry, Peter P. Sun, Charles B. Wilson, and Michael T. Lawton

Superior outcomes in children compared with adults after microsurgical resection of brain arteriovenous malformations, René O. Sanchez-Mejia, Sravana K. Chennupati, Nalin Gupta, Heather Fullerton, William L. Young, and Michael T. Lawton

Sacral epithelioid angiosarcoma associated with a bleeding diathesis and spinal epidural hematoma: Case report, Rene O. Sanchez-Mejia, Steven G. Ojemann, Jeff Simko, Uzair B. Chaudhary, Jay Levy, and Michael T. Lawton

The Use of Computerized Image Guidance in Lumbar Disk Arthroplasty, Harvey E. Smith, Alexander R. Vaccaro, Philip S. Yuan, Stephen M. Papadopoulos, and Rick Sasso

Brain arteriovenous malformation in children, Sung Park Tae, Michael T. Lawton, René O. Sanchez-Mejia, Heather Fullerton, Nalin Gupta, and William L. Young

Endoscope-Assisted Microvascular Decompression for Trigeminal Neuralgia: Technical Case Report, Charles Teo, Peter Nakaji, and Ralph J. Mobbs

Pediatric intracranial aneurysms: A different perspective, Enrique C.G. Ventureyra, Nader Sanai, Nalin M. Gupta, and Michael T. Lawton

Management of cranial base chondrosarcomas., John E Wanebo, Ruth E Bristol, Randall W Porter, Stephen W Coons, and Robert F Spetzler

Surgical remission of pituitary adenomas confined to the neurohypophysis in Cushing's disease., Robert J Weil, Alexander O Vortmeyer, Lynnette K Nieman, Hetty L Devroom, John E Wanebo, and Edward H Oldfield

Cardiovascular predictors of in-patient mortality after subarachnoid hemorrhage, Sirisha Yarlagadda, Pam Rajendran, Jacob C. Miss, Nader M. Banki, Alexander Kopelnik, Alan H. Wu, Nerissa Ko, Adrian W. Gelb, Michael T. Lawton, Wade S. Smith, William L. Young, and Jonathan G. Zaroff

Adrenoceptor polymorphisms and the risk of cardiac injury and dysfunction after subarachnoid hemorrhage, Jonathan G. Zaroff, Ludmila Pawlikowska, Jacob C. Miss, Sirisha Yarlagadda, Connie Ha, Achal Achrol, Pui-Yan Kwok, Charles E. McCulloch, Michael T. Lawton, Nerissa Ko, Wade Smith, and William L. Young

Expression of hypoxia-inducible factor-1 and vascular endothelial growth factor in response to venous hypertension, Yiqian Zhu, Michael T. Lawton, Rose Du, Yamin Shwe, Yongmei Chen, Fanxia Shen, William L. Young, and Guo Yuan Yang

Submissions from 2005

Tumor necrosis factor-alpha-238G>A promoter polymorphism is associated with increased risk of new hemorrhage in the natural course of patients with brain arteriovenous malformations, Achal S. Achrol, Ludmila Pawlikowska, Charles E. McCulloch, K Y. Poon, Connie Ha, Jonathan G. Zaroff, S Claiborne Johnston, Chanhung Lee, Michael T. Lawton, Stephen Sidney, Douglas A. Marchuk, Pui-Yan Kwok, and William L. Young

Nonsaccular aneurysms of the azygos anterior cerebral artery, Kurtis I. Auguste, Marcus L. Ware, and Michael T. Lawton

Indications for Surgical Fusion of the Cervical and Lumbar Motion Segment, Nicholas C. Bambakidis, Iman Feiz-Erfan, Jeffrey D. Klopfenstein, and Volker K.H. Sonntag

Acute neurocardiogenic injury after subarachnoid hemorrhage, Nader M. Banki, Alexander Kopelnik, Michael W. Dae, Jacob Miss, Poyee Tung, Michael T. Lawton, Barbara J. Drew, Elyse Foster, Wade Smith, William W. Parmley, and Jonathan G. Zaroff

Adjacent Level Degeneration After Anterior Cervical Fusion: A Clinical Review, Juan C. Bartolomei, Nicholas Theodore, and Volker K.H. Sonntag

Supratentorial Arteriovenous Malformations, Richard E. Clatterbuck, Frank P.K. Hsu, and Robert F. Spetzler

Incidence of Superficial Sylvian Vein Compromise and Postoperative Effects on CT Imaging After Surgical Clipping of Middle Cerebral Artery Aneurysms, Bruce L. Denn, Robert C. Wallace, Joseph M. Zabramski, Alan M. Pitt, C. Roger Bird, and Robert F. Spetzler

Use of "Bonnet" Bypass With Radial Artery Interposition Graft in a Patient With Recurrent Cranial Base Carcinoma: Technical Report of Two Cases and Review of the Literature, Vivek R. Deshmukh, Randall W. Porter, and Robert F. Spetzler

Interobserver variability in grading of brain arteriovenous malformations using the Spetzler-Martin system, Rose Du, Christopher F. Dowd, S Clairborne Johnston, William L. Young, and Michael T. Lawton

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Ruptured cerebral aneurysms, Dilantha B. Ellegala and Arthur L. Day

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Characterization of genetically defined types of Charcot-Marie-Tooth neuropathies by using magnetic resonance neurography, Dilantha B. Ellegala, Stephen J. Monteith, David Haynor, Thomas D. Bird, Robert Goodkin, and Michel Kliot

The Radical Transbasal Approach for Resection of Anterior and Midline Skull Base Lesions, Iman Feiz-Erfan, Patrick P. Han, Robert F. Spetzler, Eric M. Horn, Jeffrey D. Klopfenstein, Randall W. Porter, Mauro A.T. Ferreira, Stephen P. Beals, Salvatore C. Lettieri, and Edward F. Joganic

Antiplatelet Therapy in Neuroendovascular Therapeutics, David Fiorella, Lucie Thiabolt, Felipe C. Albuquerque, Vivek R. Deshmukh, Cameron G. McDougall, and Peter A. Rasmussen

Long-term hemorrhage risk in children versus adults with brain arteriovenous malformations, Heather J. Fullerton, Achal S. Achrol, S. Claiborne Johnston, Charles E. McCulloch, Randall T. Higashida, Michael T. Lawton, Stephen Sidney, and William L. Young

De Novo Presentation of an Arteriovenous Malformation: Case Report and Review of the Literature, L. Fernando Gonzalez, Ruth E. Bristol, Randall W. Porter, and Robert F. Spetzler

Suppression of MMP-9 by doxycycline in brain arteriovenous malformations, Tomoki Hashimoto, Melissa M. Matsumoto, Jenny F. Li, Michael T. Lawton, and William L. Young

Coexpression of angiogenic factors in brain arteriovenous malformations, Tomoki Hashimoto, Yongqin Wu, Michael T. Lawton, Guo Yuan Yang, Nicholas M. Barbaro, and William L. Young

SCIWORA: An Antiquated Acronym, Eric M. Horn, Nicholas Theodore, and Volker K.H. Sonntag

Biomechanical Comparison of C1-2 Posterior Fixation Techniques., Jonathan S. Hott, James J. Lynch, Robert H. Chamberlain, Volker K.H. Sonntag, and Neil R. Crawford

Orbitozygomatic Approach to Basilar Apex Aneurysms, Frank P.K. Hsu, Richard E. Clatterbuck, and Robert F. Spetzler

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Graft harvesting for revascularization in the head and neck., Terence E Johnson, John E Wanebo, Stephen W Bayles, and Charles Y Liu

Chlamydia pneumoniae burden in carotid arteries is associated with upregulation of plaque interleukin-6 and elevated C-reactive protein in serum, S Claiborne Johnston, Hui Zhang, Louis M. Messina, Michael T. Lawton, and Deborah Dean

Correlation between lumenal geometry changes and hemodynamics in fusiform intracranial aneurysms, Liang Der Jou, Gregory Wong, Brad Dispensa, Michael T. Lawton, Randall T. Higashida, William L. Young, and David Saloner

Age and aneurysm position predict patterns of left ventricular dysfunction after subarachnoid hemorrhage, Kiran Khush, Alexander Kopelnik, Poyee Tung, Nader Banki, Michael Dae, Michael Lawton, Wade Smith, Barbara Drew, Elyse Foster, and Jonathan Zaroff

Combined Surgical and Endovascular Treatment of a Recurrent A3-A3 Junction Aneurysm Unsuitable for Stand-Alone Clip Ligation or Coil Occlusion: Technical Note, Louis J. Kim, Felipe C. Albuquerque, Cameron McDougall, and Robert F. Spetzler

Prevalence and implications of diastolic dysfunction after subarachnoid hemorrhage, Alexander Kopelnik, Landis Fisher, Jacob C. Miss, Nader Banki, Poyee Tung, Michael T. Lawton, Nerissa Ko, Wade S. Smith, Barbara Drew, Elyse Foster, and Jonathan Zaroff

Far-Lateral Approach to the Craniocervical Junction, Giuseppe Lanzino, Sergio Paolini, and Robert F. Spetzler

Effect of the neurosurgeon's surgical experience on outcomes from intraoperative aneurysmal rupture, Michael T. Lawton and Rose Du

Effect of presenting hemorrhage on outcome after microsurgical resection of brain arteriovenous malformations, Michael T. Lawton, Rose Du, Mary Nelson Tran, Achal S. Achrol, Charles E. McCulloch, S. Claiborne Johnston, Nancy J. Quinnine, and William L. Young

Thrombotic intracranial aneurysms: Classification scheme and management strategies in 68 patients, Michael T. Lawton, Alfredo Quiñones-Hinojosa, Edward F. Chang, and Timothy Yu

A novel gene mutation (1292 deletion) in a Chinese family with cerebral cavernous malformations, Ying Mao, Yao Zhao, Liang-Fu Zhou, Chuan-Xin Huang, Xue-Fei Shou, Jia-Lei Gong, Michael T. Lawton, and Guo-Yuan Yang

Subarachnoid Hemorrhage Due to Isolated Spinal Artery Aneurysm in Four Patients, Manoj G. Massand, Robert C. Wallace, L. Fernando Gonzalez, Joseph M. Zabramski, and Robert F. Spetzler

Management of Arteriovenous Malformations: A Surgical Perspective, Peter Nakaji, Pankaj Gore, and Robert F. Spetzler

Indications for Surgical Treatment of Arteriovenous Malformations, Peter Nakaji and Robert F. Spetzler

Endoscopic-Assisted Microvascular Decompression of the Cranial Nerves: Operative Technique, Peter Nakaji and Charles Teo

The Bryan Cervical Disc System, Stephen M. Papadopoulos

Polymorphisms in transforming growth factor-beta-related genes ALK1 and ENG are associated with sporadic brain arteriovenous malformations, Ludmila Pawlikowska, Mary N. Tran, Achal S. Achrol, Connie Ha, Esteban Burchard, Shweta Choudhry, Jonathan Zaroff, Michael T. Lawton, Richard Castro, Charles E. McCulloch, Douglas Marchuk, Pui-Yan Kwok, and William L. Young

Revascularization with saphenous vein bypasses for complex intracranial aneurysms, Alfredo Quiñones-Hinojosa, Rose Du, and Michael T. Lawton

In situ bypass in the management of complex intracranial aneurysms: Technique application in 13 patients, Alfredo Quiñones-Hinojosa and Michael T. Lawton

Intraoperative motor mapping of the cerebral peduncle during resection of a midbrain cavernous malformation: Technical case report, Alfredo Quiñones-Hinojosa, Russ Lyon, Rose Du, and Michael T. Lawton

Use of a side branch in a saphenous vein interposition graft for high-flow extracranial-intracranial bypass procedures. Technical note., Dennis J Rivet, John E Wanebo, Gareth A Roberts, and Ralph G Dacey

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Pioneers in the development of neurological surgery in Auckland, New Zealand: Robertson, Wrightson, and Mackenzie, Jason P. Sheehan, Jonas M. Sheehan, Dilantha B. Ellegala, and Christopher Furneaux

Microvascular Decompression After Gamma Knife Surgery for Trigeminal Neuralgia: Intraoperative Findings and Treatment Outcomes, Andrew G. Shetter, Joseph M. Zabramski, and Burton L. Speiser

Microsurgical Anatomy and Quantitative Analysis of the Transtemporal- Transchoroidal Fissure Approach to the Ambient Cistern, Rungsak Siwanuwatn, Pushpa Deshmukh, Joseph M. Zabramski, Mark C. Preul, and Robert F. Spetzler

Plasma B-type natriuretic peptide levels are associated with early cardiac dysfunction after subarachnoid hemorrhage, Poyee P. Tung, Elise Olmsted, Alexander Kopelnik, Nader M. Banki, Barbara J. Drew, Nerissa Ko, Michael T. Lawton, Wade Smith, Elyse Foster, William L. Young, and Jonathan G. Zaroff

Angiogenesis in the brain during development: the effects of vascular endothelial growth factor and angiopoietin-2 in an animal model, G Edward Vates, Tomoki Hashimoto, William L. Young, and Michael T. Lawton

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The baromodulatory effect of gamma knife irradiation of the hypothalamus in the obese Zucker rat, David A. Vincent, Tord D. Alden, Toshifumi Kamiryo, Beatrice Lopez, Dilantha Ellegala, Jeffrey J. Laurent, Michael Butler, Mary Lee Vance, and Edward R. Laws