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Kolmetzky DW, Gooder DB, Polly ES, Glisan SN, Al-Atrache Z, Badger CA, Yocom SS, Turtz AR, Allison DL. A Survey Assessment of Neurosurgeons' Interest in Osteopathic Medicine and Its Integration Into Their Practice. Cureus 2024; 16:e55707. [PMID: 38586712 PMCID: PMC10998283 DOI: 10.7759/cureus.55707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/06/2024] [Indexed: 04/09/2024] Open
Abstract
INTRODUCTION Osteopathic manipulative medicine (OMM) encompasses techniques guided by the tenets of osteopathy aimed at facilitating the body's natural self-healing capabilities as a treatment option for injury or illness. This approach recognizes the interrelationship of structure and function in promoting overall health. The clinical applications of OMM have been highly researched throughout different subspecialties of medicine; however, there is a notable lack of osteopathic-based research targeted toward neurosurgical patient populations. METHODS This cross-sectional descriptive study was conducted via a survey generated using SurveyMonkey (SurveyMonkey, San Mateo, CA, USA; accessed at www.surveymonkey.com). Subjects for this survey were gathered using a convenience sampling method in which emails of all neurosurgeons listed in the "Member Directory" on the American Association of Neurological Surgeons website were compiled into a mailing list. The survey was sent to all 6,503 emails collected, and the responses were recorded over the next month. The responses for each survey question were averaged and, when appropriate, compared using a two-tailed T-test, with statistical significance defined as a p<0.05. Where applicable, simple linear regression analysis was used to assess correlations between survey data. The measured outcomes included neurosurgeons' (1) knowledge of and (2) attitudes toward OMM. RESULTS Both MD and DO neurosurgeons reported using OMM (or referring their patients for OMM) less than once per year. In comparison to their MD colleagues, neurosurgeons carrying a DO degree ranked their familiarity with the tenets of osteopathic medicine (p<0.0001) and their knowledge of the applications of OMM in their practice (p=0.0018) significantly higher. Greater reported familiarity with the tenets of osteopathic medicine and applications of OMM showed a positive correlation with neurosurgeons' comfort in recommending OMM as a nonsurgical, preoperative treatment option, as a post-surgical, rehabilitative treatment option, and as a pain management option (p<0.0001 for all). There was a clear interest in seeing further osteopathic-based neurosurgery research by both MD and DO neurosurgeons, as well as a trend of interest in incorporating OMM into their practice if shown to be clinically beneficial. CONCLUSIONS Both MD and DO neurosurgeons are interested in seeing more research into the applications of OMM in their patient populations and, most importantly, are likely to integrate OMM into their practice if presented with research detailing clinical benefits to their patients. This study highlights the clinical interest of neurosurgeons in further research into the applications of OMM specific to the field of neurosurgery.
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Affiliation(s)
- Devin W Kolmetzky
- Department of Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA
| | - Dillon B Gooder
- Department of Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA
| | - Evan S Polly
- Department of Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA
| | - Sarah N Glisan
- Department of Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA
| | - Zein Al-Atrache
- Department of Neurosurgery, Cooper University Hospital, Camden, USA
| | - Clint A Badger
- Department of Neurosurgery, Cooper University Hospital, Camden, USA
| | - Steven S Yocom
- Department of Neurosurgery, Cooper University Hospital, Camden, USA
| | - Alan R Turtz
- Department of Neurosurgery, Cooper University Hospital, Camden, USA
| | - Donald L Allison
- Department of Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA
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Vigilante N, Khalife J, Badger CA, Shaikh H, Thomas AJ, Swendseid B, Jovin TG, Siegler JE, Tonetti DA. Surgical management of stylocarotid Eagle syndrome in a patient with bilateral internal carotid artery dissection: illustrative case. J Neurosurg Case Lessons 2024; 7:CASE23682. [PMID: 38285978 PMCID: PMC10829260 DOI: 10.3171/case23682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 12/26/2023] [Indexed: 01/31/2024]
Abstract
BACKGROUND Eagle syndrome is characterized by an elongated styloid process, which can cause acute neurological symptoms when the projection impinges on local structures. One method by which Eagle syndrome can cause acute stroke is via internal carotid artery dissection. OBSERVATIONS A patient presented with acute aphasia and right-arm weakness. Imaging revealed a left internal carotid artery dissection, which was treated with stenting. Three years later, the patient presented with left-sided weakness, and imaging revealed a new right internal carotid artery dissection. Closer review of the patient's imaging revealed bilateral elongated styloid processes. The patient subsequently underwent staged bilateral styloidectomy and returned to his prior baseline postoperatively. LESSONS This case report describes a patient with Eagle syndrome who had two internal carotid artery dissections separated by several years. A literature review revealed that styloidectomy is well tolerated in patients with carotid dissection due to Eagle syndrome. Patients with carotid dissection due to Eagle syndrome remain at risk for contralateral dissection, and prophylactic contralateral styloidectomy should be considered.
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Affiliation(s)
| | - Jane Khalife
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 2Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
| | - Clint A Badger
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 3Department of Neurosurgery, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
| | - Hamza Shaikh
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 3Department of Neurosurgery, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
| | - Ajith J Thomas
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 3Department of Neurosurgery, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
| | - Brian Swendseid
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 4Division of Otolaryngology - Head and Neck Surgery, Cooper University Hospital, Camden, New Jersey; and
| | - Tudor G Jovin
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 2Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
| | - James E Siegler
- 5Department of Neurology, University of Chicago, Chicago, Illinois
| | - Daniel A Tonetti
- 1Cooper Medical School of Rowan University, Camden, New Jersey
- 2Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
- 3Department of Neurosurgery, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey
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Bhattacharyya M, Badger CA, Jankowitz BT, Shaikh HA. Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies. Front Neurol 2023; 13:1035959. [PMID: 36703630 PMCID: PMC9871883 DOI: 10.3389/fneur.2022.1035959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Accepted: 12/09/2022] [Indexed: 01/12/2023] Open
Abstract
Thrombotic strokes are caused by occlusion of flow in a blood vessel by a clot or thrombus, resulting in disruption of oxygen and nutrients to the brain that can result in neurological deficits. There are many devices now available for safe and effective removal of thrombi from large blood vessels. This report focuses on the Zoom 0.088" large-bore catheter, which has the potential to be navigated into a large vessel for thrombus removal via aspiration, and weigh the risks and benefits of its utilization in thrombectomy patients. In this case, we discuss the use of this device for thrombectomy of a left M1 middle cerebral artery occlusion that resulted in a distal left MCA dissection and eventual loss of access to the site of the thrombus. Ultimately, the patient died from a large stroke in the left MCA territory. In light of this occurrence, we seek to explore the utility and feasibility of large-bore catheters and their risks in thrombectomy candidates.
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Affiliation(s)
- Meghna Bhattacharyya
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, United States,*Correspondence: Meghna Bhattacharyya ✉
| | - Clint A. Badger
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, United States
| | - Brian T. Jankowitz
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, United States
| | - Hamza A. Shaikh
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, United States,Department of Radiology, Cooper University Hospital, Camden, NJ, United States
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Badger CA, Jankowitz BT, Shaikh HA. Treatment of cerebral vasospasm secondary to subarachnoid hemorrhage utilizing the Comaneci device. Interv Neuroradiol 2020; 26:582-585. [PMID: 32722988 DOI: 10.1177/1591019920945554] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Delayed cerebral ischemia due to vasospasm following subarachnoid hemorrhage continues to have high morbidity and mortality despite current treatments. This report highlights the use of the Comaneci (Rapid Medical, Yokneam, Israel), a device FDA approved for temporary coil embolization assistance, for the treatment of symptomatic vasospasm. Ten days post subarachnoid hemorrhage, a patient developed acute left-sided hemiparesis with angiographic vasospasm. Through a Headway 17 microcatheter, a Comaneci 17 was deployed in the right ICA terminus, M1, M2, A1, and, A2 segments resulting in improvement of angiographic vasospasm and the patient's left-sided hemiparesis. On the following day, a repeat angiogram demonstrated no recurrence of vasospasm. The patient had complete return on neurologic function by post bleed day 18 continuing to her four-week follow-up appointment. This case demonstrates the feasibility of the Comaneci device as an effective tool in the treatment of vasospasm following subarachnoid hemorrhage.
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Affiliation(s)
- Clint A Badger
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, USA
| | - Brian T Jankowitz
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, USA
| | - Hamza A Shaikh
- Department of Neurosurgery, Cooper University Hospital, Camden, NJ, USA.,Department of Radiology, Cooper University Hospital, Camden, NJ, USA
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Badger CA, Lopez AJ, Heuer G, Kennedy BC. Systematic review of corpus callosotomy utilizing MRI guided laser interstitial thermal therapy. J Clin Neurosci 2020; 76:67-73. [DOI: 10.1016/j.jocn.2020.04.046] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 04/09/2020] [Indexed: 12/15/2022]
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Robertson JM, Sgueglia JB, Badger CA, Juston AC, Ballantyne J. Forensic applications of a rapid, sensitive, and precise multiplex off lysis of the four short tandem repeat loci HUMVWF31/A, HUMTH01, HUMF13A1, and HUMFES/FPS. Electrophoresis 1995; 16:1568-76. [PMID: 8582337 DOI: 10.1002/elps.11501601260] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
A system of four short tandem repeat loci (HUMVWF31A, HUMTH01, HUMF13A1, and HUMFES/FPS) has been tested in co-amplification with forensic (post-mortem and post-coital) DNA samples. Semiautomated DNA typing was employed to analyze polymerase chain reaction (PCR) products formed by extension of primers labeled with a fluorescent dye at the 5'-terminus. Most DNA extracts could be typed, although a few required the addition of bovine serum albumin or a pretreatment by ultrafiltration in order to obtain sufficient signal for typing. Balanced signals for the alleles were obtained frequently across the loci, although preferential amplifications of HUMTH01 was observed often with the forensic samples. Band splitting due to nontemplate nucleotide addition to the blunt ends of the amplimers was frequently detected for the DNA extracted from the forensic samples. A data-base was constructed for the African-American population and compared with a Caucasian database. Few differences were observed across the two populations, except at the locus HUMTH01. The fluorescence-based system facilitates large-scale databasing, because the PCR products run off the gel, allowing more than one set of samples to be analyzed per run. Polyacrylamide gel reuse did not diminish genotyping accuracy.
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Affiliation(s)
- J M Robertson
- Applied Biosystems Division Perkin Elmer Corporation, Foster City, CA 94404, USA
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