Michelle L Nichols

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The combined retrolabyrinthine-retrosigmoid (CRR) approach utilizes anterior retraction of the sigmoid sinus to improve exposure of the posterior fossa without cerebellar retraction. The CRR was initially used for vestibular neurectomy but is now utilized for acoustic neuroma excision with hearing preservation and exposure for clipping of basilar and(More)
As part of a longitudinal study of the early developmental effects of exposure to lead, we administered the Bayley Scales of Infant Development at age 6 months to infants classified into three groups based on their umbilical cord blood lead levels ("low": mean = 1.8 micrograms/dl; "mid": mean = 6.5 micrograms/dl; "high": mean = 14.6 micrograms/dl). No(More)
This study examines the manifestation of attention-deficit hyperactivity disorder (ADHD) among females of varying ages by testing the utility of particular tests to discriminate older from younger females with ADHD. A retrospective clinical chart review was conducted at a community outpatient mental health center for 75 girls from 4 to 19 years of age with(More)
Necrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamiliarity of the condition among clinicians. Management(More)
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