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Clinical Neuroscience News, March 2013

Dr. Raj K. Narayan

Dear Readers,
Traumatic brain injury (TBI) is a significant cause of morbidity and mortality worldwide, and commonly results from falls, motor vehicle accidents, sports injuries and physical violence. It has also become the signature injury in the military setting. 

As a New York State-designated Level One Trauma Center for our region, North Shore University Hospital admits an average of 72 severe, 33 moderate and 3,695 mild TBI cases each year, administering advanced neurosurgical services with a focus on quality and personalized care. Credit for this goes to our multidisciplinary team of neurosurgeons, trauma surgeons, neurointensivists, neuroanesthesiologists and neurocritical care nurses who work 24/7 in our state-of-the art neurointensive care and surgical intensive care units. These specialists are supported by highly skilled imaging specialists and advanced monitoring tools that provide critical data on each patient’s status.

The initial brain injury usually results in some permanent brain damage. Many brain cells survive without injury, but the ones that are injured can recover under the proper conditions. The target of neurocritical care is to avoid secondary brain cell injury, which may worsen the ultimate outcome. Our specialists can lessen the long-term deficits of brain injury through prevention and management of any secondary insults that may occur.

In this issue of the Clinical Neuroscience News, we report on some of the advanced procedures currently offered to TBI patients. Three remarkable interventions are described in brief case studies, one included here and others accessible at
CNInewsletter.com, or via the QR code below. Also reported inside is a promising research collaboration that has engaged a CNI neurosurgeon, a bioengineer on staff at The Feinstein Institute for Medical Research and scientists at the University of Cincinnati. Together these innovative experts have developed a prototype smart catheter by which seven or more key indicators of brain status will be monitored continuously in real time.
 

For more information, or to discuss a patient referral, call us at (516) 562-3822 or email us at neuro@nshs.edu.


Raj K. Narayan, MD, FACS
Chair, Department of Neurosurgery
North Shore University Hospital
and Long Island Jewish Medical Center

Director, Cushing Neuroscience Institute

Chair and Professor, Neurosurgery
Hofstra North Shore-LIJ School of Medicine

 

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