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34 results on '"Kumar, Jay I."'

10. A Nod for Meckel: A Novel Surgical Position Utilizing Meckel's Cave Anatomy for Percutaneous Glycerol Rhizotomy in Trigeminal Neuralgia.

Author

Piper, Keaton Francis, Flores-Milan, Gabriel, Cruz, Alejandro Matos, Kumar, Jay I., and Loveren, Harry van

Subjects
TRIGEMINAL neuralgia, RHIZOTOMY, SURGICAL complications, ANATOMY
Abstract

Objective We aim to describe a novel positioning technique using a specific surgical table to achieve the optimal angle during percutaneous glycerol rhizotomy (PGR) for trigeminal neuralgia (TN). Design This is a descriptive and photographic analysis of successful cases for future implementation. Setting This study was conducted at a single-institution, academic center. Participants The participants were adult patients with TN who underwent PGR and provided consent for publication. Main Outcome Measures Primary outcomes of this study were TN symptomatic relief and surgical complications. Results The use of a beach chair sliding headboard surgical table for PGR is plausible and ensures precise and immobile head flexion for 1 hour postglycerol injection. There were no intraoperative or postoperative complications. All patients achieved successful reduction of TN symptoms. Conclusions Utilizing this new method of intraoperative navigation with a unique surgical table in the upright position, surgeons may achieve precise head adjustments post-PGR. Head flexion has been postulated as a means of ensuring glycerol containment in Meckel's cave. This method can help standardize this procedure for future systematic studies on the importance of head positioning post-PGR. [ABSTRACT FROM AUTHOR]

Published
2024
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14. International Tuberculum Sellae Meningioma Study: Preoperative Grading Scale to Predict Outcomes and Propensity-Matched Outcomes by Endonasal Versus Transcranial Approach

Author

Magill, Stephen T., Schwartz, Theodore H., Couldwell, William T., Gardner, Paul A., Heilman, Carl B., Sen, Chandranath, Akagami, Ryojo, Cappabianca, Paolo, Prevedello, Daniel M., McDermott, Michael W., Przybylowski, Colin J., Almefty, Kaith K., Patel, Akash J., Khan, A. Basit, Wu, Kyle C., Bi, Wenya Linda, Dunn, Ian F., Mamelak, Adam N., Ehsan, Mohammad U., Bruce, Jeffrey N., Englander, Zachary K., Wang, Linda M., Youngerman, Brett, Anand, Vijay K., Kacker, Ashutosh, Tabaee, Abtin, Clarke, David B., Walling, Simon A., Hebb, Andrea L. O., Macki, Mohamed, Anand, Sharath K., Rock, Jack P., Baskin, David S., Yewah Gwei, Larisse K., Guthikonda, Bharat, Kosty, Jennifer, Nanda, Anil, Sun, Hai, Culicchia, Frank, Morrow, Kevin, Fannin, Erin, Germanwala, Anand V., Prabhu, Vikram C., Patel, Chirag R., Chaichana, Kaisorn, Quinones-Hinojosa, Alfredo, ReFaey, Karim, Chandler, James P., Fernandez, Luis G., Oyon, Daniel E., Youngblood, Mark W., Golfinos, John G., Placantonakis, Dimitris G., Pacione, Donato, Delavari, Nader, Albonette-Felicio, Thiago, Otto, Bradley A., Carrau, Ricardo L., Han, Seunggu J., Shahin, Maryam N., Brahimaj, Bledi C., Beer-Furlan, André, Byrne, Richard W., Munich, Stephan A., Munoz, Lorenzo F., Liu, James K., Zhao, Kevin, Agarwalla, Pankaj K., Hsueh, Wayne D., Eloy, Jean Anderson, Chang, Steven D., Meola, Antonio, Teng, Hao, Goulart, Carlos R., Rai, Shawn S., Chin, Lawrence S., Ahye, Nicholas, Weaver, Michael, Mangham, William M., Michael, L. Madison, Robertson, Jon H., Dowd, Richard S., Amenta, Peter S., Scullen, Tyler A., de Divitiis, Oreste, Solari, Domenico, Cavallo, Luigi M., Makarenko, Serge, Rizzuto, Michael, Prakash, Swetha, Chen, William C., El-Sayed, Ivan H., Nguyen, Minh P., Morshed, Ramin A., Theodosopoulos, Philip V., Aghi, Manish K., Santarius, Thomas, Stastna, Daniela, Williams, Brian J., Andaluz, Norberto, Adappa, Nithin D., Palmer, James N., Grady, M. Sean, Lee, John Y. K., Buch, Love, Sharma, Nikhil, Joshi, Disha, Champagne, Pierre-Olivier, Valappil, Benita, Kumar, Jay I., Agarwalla, Pankaj K., Agazzi, Siviero, van Loveren, Harry, Zada, Gabriel, Strickland, Benjamin, Garrett, Norman E., Plitt, Aaron R., Barnett, Samuel L., Mickey, Bruce E., Garzon-Muvdi, Tomas, Nassiri, Farshad, Gentili, Fred, Kalyvas, Aristotelis, Zadeh, Gelareh, Karsy, Michael, Sayyahmelli, Sima, Baskaya, Mustafa K., Morone, Peter J., Cavallo, Claudio, Sylvester, Peter T., and Chicoine, Michael R.

Published
2023
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15. International Tuberculum Sellae Meningioma Study: Surgical Outcomes and Management Trends

Author

Magill, Stephen T., Schwartz, Theodore H., Couldwell, William T., Gardner, Paul A., Heilman, Carl B., Sen, Chandranath, Akagami, Ryojo, Cappabianca, Paolo, Prevedello, Daniel M., McDermott, Michael W., Przybylowski, Colin J., Almefty, Kaith K., Patel, Akash J., Khan, A. Basit, Wu, Kyle C., Bi, Wenya Linda, Dunn, Ian F., Mamelak, Adam N., Ehsan, Mohammad U., Bruce, Jeffrey N., Englander, Zachary K., Wang, Linda M., Youngerman, Brett, Anand, Vijay K., Kacker, Ashutosh, Tabaee, Abtin, Clarke, David B., Walling, Simon A., Hebb, Andrea L. O., Macki, Mohamed, Anand, Sharath K., Rock, Jack P., Baskin, David S., Yewah Gwei, Larisse K., Guthikonda, Bharat, Kosty, Jennifer, Nanda, Anil, Sun, Hai, Culicchia, Frank, Morrow, Kevin, Fannin, Erin, Germanwala, Anand V., Prabhu, Vikram C., Patel, Chirag R., Chaichana, Kaisorn, Quinones-Hinojosa, Alfredo, ReFaey, Karim, Chandler, James P., Fernandez, Luis G., Oyon, Daniel E., Youngblood, Mark W., Golfinos, John G., Placantonakis, Dimitris G., Pacione, Donato, Delavari, Nader, Albonette-Felicio, Thiago, Otto, Bradley A., Carrau, Ricardo L., Han, Seunggu J., Shahin, Maryam N., Brahimaj, Bledi C., Beer-Furlan, André, Byrne, Richard W., Munich, Stephan A., Munoz, Lorenzo F., Liu, James K., Zhao, Kevin, Agarwalla, Pankaj K., Hsueh, Wayne D., Eloy, Jean Anderson, Chang, Steven D., Meola, Antonio, Teng, Hao, Goulart, Carlos R., Rai, Shawn S., Chin, Lawrence S., Ahye, Nicholas, Weaver, Michael, Mangham, William M., Michael, L. Madison, Robertson, Jon H., Dowd, Richard S., Amenta, Peter S., Scullen, Tyler A., de Divitiis, Oreste, Solari, Domenico, Cavallo, Luigi M., Makarenko, Serge, Rizzuto, Michael, Prakash, Swetha, Chen, William C., El-Sayed, Ivan H., Nguyen, Minh P., Morshed, Ramin A., Theodosopoulos, Philip V., Aghi, Manish K., Santarius, Thomas, Stastna, Daniela, Williams, Brian J., Andaluz, Norberto, Adappa, Nithin D., Palmer, James N., Grady, M. Sean, Lee, John Y. K., Buch, Love, Sharma, Nikhil, Joshi, Disha, Champagne, Pierre-Olivier, Valappil, Benita, Kumar, Jay I., Agarwalla, Pankaj K., Agazzi, Siviero, van Loveren, Harry, Zada, Gabriel, Strickland, Benjamin, Garrett, Norman E., Plitt, Aaron R., Barnett, Samuel L., Mickey, Bruce E., Garzon-Muvdi, Tomas, Nassiri, Farshad, Gentili, Fred, Kalyvas, Aristotelis, Zadeh, Gelareh, Neurosurgery, Division of, Hospital, Toronto Western, Toronto, University of, Toronto, Ontario, Karsy, Canada; Michael, Sayyahmelli, Sima, Baskaya, Mustafa K., Morone, Peter J., Cavallo, Claudio, Sylvester, Peter T., and Chicoine, Michael R.

Published
2023
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16. Improved Outcomes with Concurrent Instrumentation and Fusion of the Sacroiliac Joint in Patients with Long Lumbosacral Constructs.

Author

Noureldine, Mohammad Hassan A., Farooq, Jeffrey, Kumar, Jay I., Pressman, Elliot, Coughlin, Emily, Mhaskar, Rahul, and Alikhani, Puya

Subjects
SACROILIAC joint, SPINAL fusion, PELVIC bones, ACADEMIC medical centers, VISUAL analog scale
Abstract

Study Design: Retrospective Cohort Study Objective: Spinal fusion, specifically constructs connected to pelvic bones, has been consistently reported as a predisposing factor to sacroiliac joint (SIJ) pain. The aim of this study is to compare SIJ outcomes in patients with constructs to the pelvis following instrumentation vs instrumentation plus fusion of the SIJ. Methods: Data of study subjects was extracted from a prospectively maintained database as well as retrospectively collected from records at a tertiary academic medical center in the United States between 2018 and 2020. Results: A cohort of 103 patients was divided into 2 groups: 65 in Group 1 [S2AI screw without fusion device] and 38 in Group 2 [S2AI screw with fusion device]. None of the patients in Group 2 developed postoperative SIJ pain compared to 44.6% in Group 1. Sacroiliac joint fusion occurred in all Group 2 but none of Group 1 patients. The postoperative Visual Analogue Scale (VAS) for lower extremity (LE) pain (.8 vs.5; P =.03) and postoperative Oswestry Disability Index (ODI) (18.7 vs 14.2; P <.01) were significantly higher in Group 1. The rate of distal junctional break, failure, and/or kyphosis (DJBFK) and time to DJBFK were not significantly different between the two groups, and the rate of DJBFK did not change in the presence of multiple covariates. Conclusion: The SIJs carry the heavy load of long lumbosacral fusion constructs extending to the pelvis. Simultaneous SIJ instrumentation and fusion decreases the risk of disability, prevents the development of postoperative SIJ pain, and may also protect the S2AI screw from loosening and failure. [ABSTRACT FROM AUTHOR]

Published
2023
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26. Subarachnoid Hemorrhage and Internal Carotid Artery Dissection and Occlusion Following Self‑Enucleation.

Author

Joud, Hadi, Noureldine, Mohammad Hassan A., Peto, Ivo, Kumar, Jay I., Bajric, Jasmina, and Agazzi, Siviero

Subjects
CAROTID artery dissections, SUBARACHNOID hemorrhage, ARTERIAL occlusions, INTERNAL carotid artery, CEREBRAL vasospasm, INTRAVENTRICULAR hemorrhage, CEREBRAL infarction
Abstract

Self‑enucleation is an uncommon type of major self‑injury, which may lead to severe neurological deficits and life‑threatening complications, such as subarachnoid hemorrhage (SAH) and internal carotid artery (ICA) dissection and occlusion. Our patient is a 53‑year‑old man with a history of bipolar disorder and schizophrenia who presented with SAH, intraventricular hemorrhage, ICA dissection and occlusion, and right cerebral infarct following self‑enucleation. Despite a Glasgow Coma Score of 6 on initial presentation, he improved with conservative management. He achieved a near‑complete neurological recovery, with residual left lower extremity weakness and mild confusion. Self‑enucleation is a major neurologic, ophthalmologic, and psychiatric emergency with a potential for serious neurological complications and contralateral visual loss. Yet, conservative management may lead to dramatic recovery [ABSTRACT FROM AUTHOR]

Published
2020
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31. Phantosmia and Dysgeusia following Endoscopic Transcribriform Approaches to Olfactory Groove Meningiomas.

Author

Venteicher, Andrew S., Kumar, Jay I., Murphy, Emma A., Gray, Stacey T., Holbrook, Eric H., and Curry, William T.

Subjects
*MENINGIOMA, *TASTE disorders, *SKULL base, *CRIBRIFORM plate, *EPITHELIUM
Abstract

The endoscopic, endonasal transcribriform approach (EETA) is an important technique used to directly access the anterior skull base and is increasingly being used in the management of olfactory groove meningiomas (OGMs). As this approach requires removal of the cribriform plate and olfactory epithelium en route to the tumor, patients are anosmic postoperatively. Here, we report the development of phantosmia and dysgeusia in two patients who underwent EETAs for OGMs, which has not yet been reported in the literature. We hypothesize that phantosmia and dysgeusia may result from aberrant neuronal signals or misinterpretation centrally from the remaining distal portions of the olfactory and taste pathways. Since EETAs are newer than traditional open craniotomy-based techniques, reporting these outcomes will be important to appropriately counsel patients preoperatively. [ABSTRACT FROM AUTHOR]

Published
2017
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34. Anterior Column Release: With Great Lordosis Comes Great Risk of Complications-A Case Series.

Author

Pressman E, Monsour M, Goldman H, Kumar JI, Noureldine MHA, and Alikhani P

Abstract

Study Design: Retrospective review., Objective: We sought to characterize complications associated with anterior column release (ACR)., Summary of Background Data: Correction of positive sagittal imbalance was traditionally completed with anterior column grafts or posterior osteotomies. ACR is a minimally invasive technique for addressing sagittal plane deformity by restoring lumbar lordosis., Methods: We conducted a retrospective review of consecutive patients who underwent ACR in a prospectively kept database at a tertiary care academic center from January 2012 to December 2018. The prespecified complications were hardware failure (rod fracture, hardware loosening, or screw fracture), proximal junctional kyphosis, ipsilateral thigh numbness, ipsilateral femoral nerve weakness, arterial injury requiring blood transfusion, bowel injury, and abdominal pseudohernia., Results: Thirty-eight patients were identified. Thirty-five patients had ACR at L3-4, 1 had ACR at L4-5, and 1 patient had ACR at L2-3 and L3-4. Eighteen patients (47.4%) had one of the prespecified complications (10 patients had multiple). Ten patients developed hardware failure (26.3%); 8 patients (21.1%) had rod fracture, 4 (10.5%) had screw fracture, and 1 (2.6%) had screw loosening. At discharge, rates of ipsilateral thigh numbness (37.8%) and hip flexor (37.8%)/quadriceps weakness (29.7%) were the highest. At follow-up, 6 patients (16.2%) had ipsilateral anterolateral thigh numbness, 5 (13.5%) suffered from ipsilateral hip flexion weakness, and 3 patients (5.4%) from ipsilateral quadriceps weakness. Arterial injury occurred in 1 patient (2.7%). Abdominal pseudohernia occurred in 1 patient (2.7%). There were no bowel injuries observed., Conclusions: ACR is associated with a higher than initially anticipated risk of neurological complications, hardware failure, and proximal junctional kyphosis., Competing Interests: The authors declare no conflict of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
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