Vijay M. Ravindra
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View article: Patient-specific CFD modeling of CSF flow in Chiari I malformation: denticulate-ligament-induced compartmentalization explains flow patterns
Patient-specific CFD modeling of CSF flow in Chiari I malformation: denticulate-ligament-induced compartmentalization explains flow patterns Open
Computational fluid dynamics (CFD) has been widely used to study cerebrospinal fluid (CSF) flow in Chiari Malformation Type I (CM-I). However, most approaches rely on limited patient-specific detail, and it remains unclear whether such min…
View article: Charges associated with preventable trauma transfers after application of pediatric brain injury guidelines (kBIG)
Charges associated with preventable trauma transfers after application of pediatric brain injury guidelines (kBIG) Open
View article: Evaluation of isolated skull fractures in children
Evaluation of isolated skull fractures in children Open
Children with isolated, nondisplaced or minimally displaced skull fractures and normal neurological exams had excellent outcomes. These patients do not require repeat imaging or neurosurgical consultation.
View article: Under pressure: Identifying factors for pediatric patients with severe traumatic brain injury who benefit From external ventricular drainage
Under pressure: Identifying factors for pediatric patients with severe traumatic brain injury who benefit From external ventricular drainage Open
Level III.
View article: Towards a Definition of Physiologic Vulnerability in Pediatric Spine Surgery: Identification of Key Risk Factors in a Cohort Study of Children With Neuromuscular Disease Undergoing Spinal Fusion
Towards a Definition of Physiologic Vulnerability in Pediatric Spine Surgery: Identification of Key Risk Factors in a Cohort Study of Children With Neuromuscular Disease Undergoing Spinal Fusion Open
Study Design Retrospective cohort study. Objectives Preoperative risk stratification using frailty is common for adults but difficult to apply to pediatric populations. We aimed to identify risk factors indicating physiologic vulnerability…
View article: Evaluating the Benefits of Ventriculostomy Compared to Intracranial Pressure Monitoring for Severe Pediatric Traumatic Brain Injury
Evaluating the Benefits of Ventriculostomy Compared to Intracranial Pressure Monitoring for Severe Pediatric Traumatic Brain Injury Open
III.
View article: Comparing ventriculoatrial and ventriculopleural shunts in pediatric hydrocephalus: a Hydrocephalus Clinical Research Network study
Comparing ventriculoatrial and ventriculopleural shunts in pediatric hydrocephalus: a Hydrocephalus Clinical Research Network study Open
OBJECTIVE When the peritoneal cavity cannot serve as the distal shunt terminus, nonperitoneal shunts, typically terminating in the atrium or pleural space, are used. The comparative effectiveness of these two terminus options has not been …
View article: Treatment of pediatric intracranial aneurysms: institutional case series and systematic literature review
Treatment of pediatric intracranial aneurysms: institutional case series and systematic literature review Open
View article: Frequency and predictors of complication clustering within 30 days of spinal fusion surgery: a study of children with neuromuscular scoliosis
Frequency and predictors of complication clustering within 30 days of spinal fusion surgery: a study of children with neuromuscular scoliosis Open
Purpose There is limited information on the clustering or co-occurrence of complications after spinal fusion surgery for neuromuscular disease in children. We aimed to identify the frequency and predictive factors of co-occurring periopera…
View article: Morphological and ultrastructural investigation of the posterior atlanto-occipital membrane: Comparing children with Chiari malformation type I and controls
Morphological and ultrastructural investigation of the posterior atlanto-occipital membrane: Comparing children with Chiari malformation type I and controls Open
Introduction The fibrous posterior atlanto-occipital membrane (PAOM) at the craniocervical junction is typically removed during decompression surgery for Chiari malformation type I (CM-I); however, its importance and ultrastructural archit…
View article: Disparities in indications and outcomes reporting for pediatric tethered cord surgery: The need for a standardized outcome assessment tool
Disparities in indications and outcomes reporting for pediatric tethered cord surgery: The need for a standardized outcome assessment tool Open
Purpose Tethered cord syndrome (TCS) is characterized by abnormal attachment of the spinal cord neural elements to surrounding tissues. The most common symptoms include pain, motor or sensory dysfunction, and urologic deficits. Although TC…
View article: Shunt infection prevention practices in Hydrocephalus Clinical Research Network–Quality: a new quality improvement network for hydrocephalus management
Shunt infection prevention practices in Hydrocephalus Clinical Research Network–Quality: a new quality improvement network for hydrocephalus management Open
OBJECTIVE Knowledge-based tools used to standardize perioperative care, such as the shunt infection prevention protocol of the Hydrocephalus Clinical Research Network (HCRN), have demonstrated their ability to reduce surgeon-based and cent…
View article: Abstract 076: 2023 Fusarium Meningitis Outbreak: Neuroendovascular Outcomes and Observations of the Angioinvasive Disease from South Texas
Abstract 076: 2023 Fusarium Meningitis Outbreak: Neuroendovascular Outcomes and Observations of the Angioinvasive Disease from South Texas Open
Introduction The Centers for Disease Control and Prevention (CDC) issued a health advisory in response to an outbreak of Fusarium meningitis from exposure to spinal anesthesia for cosmetic surgery performed in Mexico between Jan 1 to May 1…
View article: Anticoagulation for the treatment of septic cerebral venous sinus thrombosis in the setting of pediatric sinogenic and otogenic intracranial infections
Anticoagulation for the treatment of septic cerebral venous sinus thrombosis in the setting of pediatric sinogenic and otogenic intracranial infections Open
OBJECTIVE Septic cerebral venous sinus thrombosis (CVST) is a recognized complication of pediatric sinogenic and otogenic intracranial infections. The optimal treatment paradigm remains controversial. Proponents of anticoagulation highligh…
View article: How do children fare compared with adults? Comparing relative outcomes after thrombectomy for acute ischemic stroke due to large-vessel occlusion
How do children fare compared with adults? Comparing relative outcomes after thrombectomy for acute ischemic stroke due to large-vessel occlusion Open
View article: Large saccular intracranial aneurysm in a child with RASA1-associated capillary malformation–arteriovenous malformation syndrome: illustrative case
Large saccular intracranial aneurysm in a child with RASA1-associated capillary malformation–arteriovenous malformation syndrome: illustrative case Open
BACKGROUND Large cerebral aneurysms are much less common in children than in adults. Thus, when present, these lesions require careful surgical evaluation and comprehensive genetic testing. RASA1 -associated capillary malformation–arteriov…
View article: Effect of Fusion and Arthroplasty for Cervical Degenerative Disc Disease in Active Duty Service Members Performed at an Overseas Military Treatment Facility: A 2-Year Retrospective Analysis
Effect of Fusion and Arthroplasty for Cervical Degenerative Disc Disease in Active Duty Service Members Performed at an Overseas Military Treatment Facility: A 2-Year Retrospective Analysis Open
Introduction Among U.S. military active duty service members, cervicalgia, cervical radiculopathy, and myelopathy are common causes of disability, effecting job performance and readiness, often leading to medical separation from the milita…
View article: Frequency and predictors of concurrent complications in multi-suture release for syndromic craniosynostosis
Frequency and predictors of concurrent complications in multi-suture release for syndromic craniosynostosis Open
Purpose Understanding the complication profile of craniosynostosis surgery is important, yet little is known about complication co-occurrence in syndromic children after multi-suture craniosynostosis surgery. We examined concurrent periope…
View article: O-048 Comparing outcomes after thrombectomy for acute ischemic stroke due to large-vessel occlusion: children vs. adults – a systematic review and meta-analysis
O-048 Comparing outcomes after thrombectomy for acute ischemic stroke due to large-vessel occlusion: children vs. adults – a systematic review and meta-analysis Open
Background Endovascular mechanical thrombectomy (EVT) is a standard treatment for acute ischemic stroke secondary to large-vessel occlusion (LVO) in adults. Although EVT is performed in children, data regarding safety and efficacy is less …
View article: Comparison of outcomes in the management of abdominal pseudocyst in children with shunted hydrocephalus: a Hydrocephalus Clinical Research Network study
Comparison of outcomes in the management of abdominal pseudocyst in children with shunted hydrocephalus: a Hydrocephalus Clinical Research Network study Open
OBJECTIVE Abdominal pseudocyst (APC) can cause distal site failure in children with ventriculoperitoneal shunts and is specifically designated as an infection in Hydrocephalus Clinical Research Network (HCRN) protocols. Specific management…
View article: Thoracolumbar Scoliosis in Pediatric Patients With Loeys-Dietz Syndrome: A Case Series
Thoracolumbar Scoliosis in Pediatric Patients With Loeys-Dietz Syndrome: A Case Series Open
Background Loeys-Dietz syndrome (LDS) is a genetic connective tissue disorder that predominantly affects cardiovascular, skeletal, and craniofacial structures. Associated thoracolumbar scoliosis in LDS can be challenging to manage, though …
View article: Multi-Center Validation of the McGovern Pediatric Blunt Cerebrovascular Injury Screening Score
Multi-Center Validation of the McGovern Pediatric Blunt Cerebrovascular Injury Screening Score Open
Blunt cerebrovascular injury (BCVI) is defined as blunt trauma to the head and neck leading to damage to the vertebral and/or carotid arteries; debate exists regarding which children are considered at high risk for BCVI and in need of angi…
View article: A history of neurosurgical capabilities in the United States Pacific Command: from World War II to present
A history of neurosurgical capabilities in the United States Pacific Command: from World War II to present Open
Neurosurgery has benefited from innovations as a result of military conflict. The volume and complexity of injuries sustained on the battlefield require medical teams to triage, innovate, and practice beyond their capabilities in order to …
View article: E-022 Treatment of giant intracranial aneurysms using the pipeline flow-diverting stent: long-term results from the international retrospective study of the pipeline embolization device (IntrePED)
E-022 Treatment of giant intracranial aneurysms using the pipeline flow-diverting stent: long-term results from the international retrospective study of the pipeline embolization device (IntrePED) Open
Background and Purpose Traditional endovascular treatments of giant intracranial aneurysms are associated with high rates of complications and retreatment. Our objective was to examine the safety and long-term efficacy of the Pipeline Embo…
View article: Correlation of intraventricular nicardipine for refractory vasospasm in aneurysmal subarachnoid hemorrhage with improved neurophysiology on intracranial multimodality monitoring: illustrative case
Correlation of intraventricular nicardipine for refractory vasospasm in aneurysmal subarachnoid hemorrhage with improved neurophysiology on intracranial multimodality monitoring: illustrative case Open
BACKGROUND Cerebral vasospasm after aneurysmal subarachnoid hemorrhage can lead to considerable mortality and morbidity affecting the intracranial vessels, leading to delayed cerebral ischemia and stroke. Therapeutic options for patients w…
View article: Endovascular mechanical thrombectomy in a child with COVID-19: Clot analysis reveals a novel pathway in the neuroinflammatory cascade resulting in large-vessel occlusion
Endovascular mechanical thrombectomy in a child with COVID-19: Clot analysis reveals a novel pathway in the neuroinflammatory cascade resulting in large-vessel occlusion Open
Large-vessel occlusion is rare in children, but its results can be devastating and may lead to recurrent strokes, persistent neurological deficits, and decreased quality of life. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)…
View article: Evaluation of cervical spine pathology in children with Loeys-Dietz syndrome
Evaluation of cervical spine pathology in children with Loeys-Dietz syndrome Open
Background: Loeys-Dietz syndrome (LDS) is a genetic connective tissue disorder associated with multiple musculoskeletal anomalies, including cervical spine instability. We sought to examine the nature of imaging for cervical spine instabil…
View article: Investigating the “Weekend Effect” on Outcomes of Patients Undergoing Endovascular Mechanical Thrombectomy for Ischemic Stroke
Investigating the “Weekend Effect” on Outcomes of Patients Undergoing Endovascular Mechanical Thrombectomy for Ischemic Stroke Open
View article: Surface Area of Decompressive Craniectomy Predicts Bone Flap Failure after Autologous Cranioplasty: A Radiographic Cohort Study
Surface Area of Decompressive Craniectomy Predicts Bone Flap Failure after Autologous Cranioplasty: A Radiographic Cohort Study Open
Skull bone graft failure is a potential complication of autologous cranioplasty after decompressive craniectomy (DC). Our objective was to investigate the association of graft size with subsequent bone graft failure after autologous cranio…
View article: Bow hunter syndrome in rheumatoid arthritis: illustrative case
Bow hunter syndrome in rheumatoid arthritis: illustrative case Open
BACKGROUND Rheumatoid arthritis (RA) frequently features degeneration and instability of the cervical spine. Rarely, this degeneration manifests as symptoms of bow hunter syndrome (BHS), a dynamic cause of vertebrobasilar insufficiency. OB…