Sankalp S Gokhale

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BACKGROUND Adenosine-induced flow arrest is a technique used to assist in the surgical clipping of complex aneurysms. OBJECTIVE To assess the safety associated with adenosine-assisted intracranial aneurysm surgery. METHODS Medical records of all patients presenting between January 1, 2009, and December 31, 2012, for intracranial aneurysm surgery were(More)
BACKGROUND Oculomotor nerve palsy (OMNP) is a well-recognized complication of posterior communicating artery (PCOM) aneurysms. Only a few comparative studies have assessed the effect of clipping versus coiling on recovery from OMNP in PCOM aneurysms. A retrospective review and meta-analysis was conducted to assess the relationship between PCOM aneurysm(More)
BACKGROUND Spinal dural arteriovenous fistula (SDAVF) is a rare spinal vascular malformation with an annual incidence of 5-10 cases per million. The data on efficacy, recurrence rates and complications of endovascular versus surgical treatment of SDAVF is limited. METHODS We conducted a retrospective chart review of 27 adult patients with a diagnosis of(More)
BACKGROUND AND PURPOSE None of the randomized trials of intravenous tissue-type plasminogen activator reported vascular imaging acquired before thrombolysis. Efficacy of tissue-type plasminogen activator in stroke without arterial occlusion on vascular imaging remains unknown and speculative. METHODS We performed a retrospective, multicenter study to(More)
BACKGROUND The risk of developing immediate postoperative seizures in patients undergoing supratentorial brain tumor surgery without anti-epileptic drug (AED) prophylaxis is 15-20%. Patients who present with pre-operative seizures and patients with supratentorial meningioma or supratentorial low grade gliomas are at significantly higher risk. There is(More)
Delirium is sometimes defined as acute onset of either overactivity or underactivity. This article reviews the nature and clinico-anatomical locations of lesions in patients with reduced activity. The term abulia is used to describe global underactivity. Abulia is customarily explained by interruptions in frontal-subcortical(More)
Primary intracerebral hemorrhage (ICH) is a common, yet devastating, stroke subtype. Although ethnicity and age can predispose individuals to ICH and affect outcome, little investigation has been made into investigating sex differences in incidence, pathophysiology, or outcome after ICH. In order to understand fundamental mechanisms, improve preclinical(More)
BACKGROUND Dysphagia is a major complication of stroke, but factors influencing its recovery are incompletely understood. The goal of this study was to identify important prognostic variables affecting swallowing recovery after acute ischemic stroke. METHODS We retrospectively reviewed our patient database to identify acute ischemic stroke patients who(More)
Whereas visual and somatosensory forms of neglect are commonly recognized by clinicians, auditory neglect is often not assessed and therefore neglected. The auditory cortical processing system can be functionally classified into 2 distinct pathways. These 2 distinct functional pathways deal with recognition of sound ("what" pathway) and the directional(More)