Neuroscience Update - Spring 2011

IN THIS ISSUE

Beaumont teams work together to provide

optimal neurosurgical patient care

Procedure-specific pathways create efficient

anesthesia care in neurosurgical OR

High quality continuum of care ensured

through pre-operative and recovery care

tailored to neurosurgical patient needs

updateNEWS FROM THE NEUROSCIENCE PROGRAMSpring 2011

Neuroscience

continued on page 2

Surgical Services and Neuroscience Center of ExcellenceConnie O’Malley, Vice-President, Surgical Services

At Beaumont, Surgical Services is an integral part of the Neuroscience Center of Excellence. The Neurosurgical Services team is a fundamental component of the surgical patient’s care continuum, a seamless process that begins the moment patients are referred to our Neurosurgical services team and continues through their return home to their loved ones to begin the recovery process. We provide the care your patient needs through the preoperative assessment, surgery, postoperative process and recovery phases.

Currently, Royal Oak’s Surgical Services department is one of the top performing divisions in the country and performed more than 47,000 surgeries with over 93,000 surgical hours in 2010. Beaumont is nationally ranked as one of the top 25 surgical centers in the nation. We are recognized as a leader in the industry and are nationally ranked in our quality and safety techniques.

Beaumont was a pioneer in the development and implementation of the Keystone surgical safety checklist. This checklist is similar to what they have used in the airline industry where certain items are checked prior to the start of the surgical procedure. This provides an extra measure of safety for the patients who receive their care here.

Connie O’Malley

2 • NeuroscieNce update • spriNg 2011

Technology plays a very important part in the safety and accuracy of neurosurgery. Surgical procedures in neurosurgery are now as safe as they are in any other type of surgery. The most significant improvement in the safety of neurosurgical procedures results from continued improvement in the precision with which these procedures can be conducted. From the beginning of innovation, the use of the operating microscope with superior lighting made it possible for surgeons to perform procedures through relatively small openings, while preserving great visibility and accuracy.

In the last few years, endoscopic procedures have become increasingly more accurate and precise. Many procedures that in the past could only be performed through large openings in the skull can now be performed through small burr holes, no larger than a quarter. The improvement in illumination through a small tube provided by fiberoptic cables and the high resolution images now provided by modern television systems make neurosurgical endoscopic surgery a reality. Many tumors of the base of the skull such as pituitary tumors or acoustic neuromas can now be removed safely and effectively using endoscopic equipment.

Significant technical improvements have also happened in the delivery of increasingly smaller stents and coils that can be brought to many small intracranial vessels through catheter techniques. Aneurysms in the basilar and vertebral arteries are now preferentially treated by endovascular means including the use of stents, coils or a combination of both. Many arteriovenous malformations of the brain can now be treated through a combination of embolization through endovascular means and

the use of Gamma Radiosurgery, avoiding the need for surgical resection.

Technical improvements have also made spine surgery safer and less damaging to patients. Minimally invasive techniques including spinal radiosurgery of the neck upper and lower back can now resolve many serious spine conditions through smaller and safer procedures. Many types of surgical instrumentation can now be completed through small incisions that produce less tissue damage, limit the amount of blood loss, nearly eliminate the need for blood transfusions and shorten the hospital stay and recovery for the patients, with a faster and greater return to a more normal life. Computer techniques applied to spine surgery are helpful during surgery to allow computer navigation without the need of much intraoperative radiation and to allow the use of intraoperative CT scanning to verify the accurate placement of instrumentation during the surgical procedure.

Greater safety and accuracy during surgery is now possible with many of the technological improvements now available to neurosurgeons at Beaumont. When thinking of brain and spine surgery at Beaumont, Think Neuro First.

Fernando G. Diaz, M.D., Ph.D. System Lead, Neuroscience Center of Excellence Chief, Neurological Surgery, Beaumont Hospital, Royal Oak

Message from the chief

Early adopters of minimally invasive surgery have also been a Beaumont hallmark. In Neurological Surgery, we have been recognized as a minimally invasive neurosurgical center with

procedures that are less invasive and afford our patients quicker recovery time. These procedures include minimally invasive spine surgery, Gamma Knife capabilities, craniofacial and skull base surgery, adult and pediatrics services; we are a full service Neuroscience Center of Excellence.

As a leading American College of Surgeons certified Level 1 Trauma Center, we also have been able to provide the highest quality of neurosurgical care to pediatric and adult surgical patients in the event of trauma. With teams of qualified physicians and clinicians always ready to serve, you can be assured that this team is ready to provide you the best of care. Beaumont has also been able to implement easy access to our surgeons through our Direct Access Center. These specially trained access nurses provide information and referrals to our neurosurgeons 24 hours a day, seven days a week, 365 days a year.

As a new member of the Beaumont administrative team and with over 25 years of surgical services and administrative experience, I am proud to be working with the Neurological Surgery team at Beaumont.

Surgical Services and Neuroscience Center continued from page 1

Beaumont teams work together to provide optimal neurosurgical patient careAmanda Nash, R.N., BSN, MSA, CNOR, Director, South Tower Surgical Services

With renowned surgeons, leading edge technology and collaborative teams, the Neurological Surgery department at Beaumont Hospital, Royal Oak provides world class

care to patients of all ages, many who travel great distances for treatment.

Our teams of highly trained staff are dedicated to providing quality care specific to the neurosurgery service. This team consists of anesthesiologists, nurse anesthetists, nurses, surgical technicians, first assistants and technical support assistants, all of which are specifically assigned and trained for this specialized and very technical surgical discipline. As a Level 1 Trauma Center, this high quality and skilled professional group is available around the clock to accommodate all scheduled and emergency cases.

Coupling the staff’s expertise is high-tech equipment designed to assist our Neurological Surgery teams in providing the best care for patients. Of the

63 operating rooms at Royal Oak, the neurosurgical rooms are among the largest. Recent renovations to all Neuro OR rooms included upgrading to high definition monitors with 46-inch screens in addition to a high definition microscope available to all surgeons. There are also in-light cameras that can send signals to any of these monitors in the rooms as well as having

the signal routed to our Surgical Learning Center and BioSkills Lab. This technological advancement allows a large group of observers, visiting professors and students to view any of our complex procedures performed with unnecessary traffic and distraction in the operating room, a tool that will prove to be invaluable as medical students from the Oakland University

William Beaumont School of Medicine begin rotating throughout the

neurosurgery service.

The Neuro OR also has a computer assisted guidance

system, StealthStation®. Although this has become

common protocol for craniotomy procedures, our neurosurgeons are

applying this technology within spinal surgery and are experiencing

success at increased rates.

Some members of the Neuro OR team.

continued on page 4

spriNg 2011 • NeuroscieNce update • 3


Procedure-specific pathways create efficient anesthesia care in neurosurgical ORJames Grant, M.D., Chair, Department of Anesthesia; Patricia Tuttle, CRNA, MSN, Clinical Education Coordinator, Anesthesia

As with any surgical specialty, intraoperative protocol and preference can vary greatly with each diagnosis, procedure and patient. Meticulous attention is paid to every detail and aspect of a surgical procedure to ensure the best patient outcome and physician satisfaction. Anesthesia is no exception.

At Beaumont Hospital, Royal Oak, the department of Anesthesiology in conjunction with the Neurological Surgery faculty has developed pathways specific to anesthesia for every major neurosurgical procedure in order to increase patient safety,

improve quality of care and outcomes, and streamline operating room efficiencies. Pathways are categorized in specialties, including:• brain• spine• pediatrics• functionalThese pathways were developed based on documented protocol as outlined by the anesthesiologists and certified registered nurse anesthetist teams and are specific to diagnosis and subsequent procedure combinations, not one or the other

exclusively. Furthermore, each neurosurgeon within the department had the opportunity to edit each individual pathway to reflect his or her specific preferences in the operating room based on procedure.

This specialized documentation allows the Anesthesiology staff to review the particular pathway for an upcoming procedure to ensure both patient needs and physician preference are met during surgery.

The pathways for each procedure document include:• clinical presentation of diagnosis• anesthesia concerns for diagnosis• monitors needed during surgery• maintenance by anesthesia• intervention during surgery, if needed

All surgical pathways are housed on a shared portal that can be accessed at any time by anesthesia and neurological surgery allowing for continual review and update, if necessary, ensuring optimal patient outcomes at all times.

In addition to up-to-date anesthesia protocol for all neurosurgical procedures, the department has created specialized teams to further promote the continuum of care in the operating room. The consistency of neuro-trained teams to help create an efficient and well-educated staff present for all procedures.

Neurosurgical patient care continued from page 3

The unit also houses two intra-operative O-arm® imaging systems that take a high quality image of the patient’s anatomy in both 2-D and 3-D planes. These imagines are then loaded into the StealthStation® to provide surgeons with a detailed map to guide them throughout the surgery. The symbiotic use of these technologies assists our neurosurgeons in providing optimal

patient care and provides safety for all operating room staff by limiting the amount of radiation exposure, which can be considerable with as many procedures as our neurosurgeons perform.

Our Neurological Surgery faculty is very skilled in the most advanced surgical techniques, ranging from skull based treatment of lesions to complex spinal

surgery. Many of these adult and pediatric surgeries involve the use of minimally invasive approaches, often working collaboratively with surgeons from other services to approach the brain and spine in ways that have not been used before. In addition, our surgeons perform deep brain stimulation for movement disorders like Parkinson’s disease.

Dr. Grant meets with patient before surgery to discuss anesthesia and answer any questions.


Physician Spotlight:

Daniel R. Pieper, M.D., FACS Department of Neurological Surgery

Daniel Pieper, M.D., is board certified in neurosurgery as well as cerebrovascular and skull base surgery. He is also a professor of neurosurgery at Oakland University William Beaumont School of Medicine.

Dr. Pieper attended medical school at the Medical College of Virginia and completed his neurosurgical residency at

the Baylor College of Medicine under the program direction of Robert Grossman, M.D., a leader in the field of neurosurgery and medical education. After completing his residency, Dr. Pieper did a fellowship at the University of Arkansas in skull base and cerebrovascular surgery.

Dr. Pieper treats a wide range of spinal and brain disorders, most often in a collaborative manner with other specialists. “Many diagnoses, like AVM, pituitary tumors and craniofacial defects demand the expertise of more than one specialty,” explains Dr. Pieper. “Collaboration amongst physicians allows us to serve as tertiary referrals for things like complex lesions of the skull base including cerebrovascular deformities.”

This collaborative approach with multiple specialties is one reason why Dr. Pieper was recently appointed as one of the medical directors of the new Ian Jackson Craniofacial and Cleft Palate Clinic at Royal Oak. The clinic is designed to collaboratively treat pediatric and adult patients suffering from a number of craniofacial deformities or traumatic injuries. Furthermore, he is involved in the development of a multidisciplinary neurological oncology tumor clinic at Beaumont. Dr. Pieper is internationally recognized for his ground-breaking work in endoscopic surgery of the brainstem.

In addition to his work at Beaumont, Dr. Pieper also offers his craniofacial and skull base expertise to mission work in the Philippines during an annual trip he takes with his surgical team. “The lack of adequately trained neuro and craniofacial surgeons, equipment and funding in these countries has subsequently limited the population from receiving the treatment they need,” says Dr. Pieper. “It’s extremely gratifying to give back and help those in need.”

To refer a patient to the Ian Jackson Craniofacial and Cleft Palate Clinic, call 248-898-0181. To refer a patient to a Multidisciplinary Cancer Clinic, call 877-BEAT-CANCER (877-232-8226).

Neuroscience AchievementsRecently, Beaumont Hospital, Royal Oak Stroke Program received the “Get with the Guidelines” silver award from The Joint Commission.

Institutions receiving this award have reached a successful benchmark of treating stroke patients with 85 percent or higher compliance with standards of care as outlined by the American Heart Association/American Stroke Association for 12 consecutive months.

“This is the first time Beaumont has been awarded the GWTG silver award from the Joint Commission. It’s a great accomplishment for Beaumont’s stroke team, which treats more stroke patients than any other hospital in Michigan,” says Susan Catto, M.D., director, Stroke Center at Royal Oak.

Dr. Catto represented Beaumont Hospital at a recipient’s award ceremony at the International Stroke Conference in February.

Beaumont Hospitals in Grosse Pointe and Royal Oak are certified as primary stroke centers by The Joint Commission.

Beaumont offers comprehensive neuroscience services including treatment of stroke and stroke-related problems; minimally invasive endoscopic head, neck and spine procedures; gamma radiosurgery for tumors and other brain conditions; minimally invasive surgery; head injuries; tumors; vascular diseases of the brain and spinal cord; pain management; degenerative spinal disorders; and pediatric neurosurgery. CT stereotactic brain biopsies for tissue diagnosis in brain tumors are also available. In addition, there is a Myasthenia Gravis Treatment Center; a Neurology Clinic; a Neuromuscular Clinic for children; neuroradiology and clinical neurophysiology.

Congratulations to Becky Doherty, N.P., MSN, MPH for her recent recognition of five dedicated years at Beaumont as a neurosurgery physician extender.

Holly Weissman, N.P., chief neurosurgery physician extenders, presents Becky Doherty, NP, with her five-year service award.


Physician Spotlight:

Jeffrey M. Wilseck, D.O., FAOCR Diagnostic and Interventional Neuroradiology

An interventional neuroradiologist, Jeffrey Wilseck, D.O., practices in Beaumont Hospital, Royal Oak.

He attended the Michigan State University College of Osteopathic Medicine. After also completing his

residency training at MSU, he completed an extensive fellowship in neuroradiology at Harper Hospital and Wayne State University in Detroit. He is board-certified in diagnostic radiology and also has a certificate of additional qualification in neuroradiology.

Currently a 10-year board member of the American Osteopathic Board of Radiology, Dr. Wilseck is also a member of the National Conference for DO Colleges, contributes book chapters for head and neck publications, lectures across the country on neuroradiology and participates in numerous case reports.

Dr. Wilseck enjoys the procedure aspect of his work and has extensive experience in pain management procedures, like kyphoplasty and vertebroplasty for spinal compression fractures. In addition to his hospital-based work, Dr. Wilseck was a driving force in the development of CT functional perfusion imaging at Royal Oak.

“I really enjoy the cooperative relationship with Neurological Surgery and the opportunity to balance interventional neuroradiology with complex imaging for optimal patient care,” says Dr. Wilseck. “Beaumont is a great place to work because it offers an environment of patient care balance and also provides the combination of reading films while understanding what referring physicians need to know through our imaging.”

To refer a patient to Dr. Wilseck or any member of the Interventional Neuroradiology team, please contact the department at 248-898-2195.

High quality continuum of care ensured through pre-operative and recovery care tailored to neurosurgical patient needsSophie Varghese, R.N., BSN, Pre-Op and PACU administrative manager

Just as important as the time a patient spends in the operating room is the time spent preparing for such procedures and recovering in the hospital. Vital health care applications crucial to a patient’s well being take place in these areas, which are comprised of nurses specialized in caring for the neurosurgery patient at Beaumont Hospital, Royal Oak.

There are 12 private pre-operative rooms dedicated to servicing the neurosurgery operating rooms, both areas being full service around the clock for maximized patient

care and physician satisfaction. The pre-operative area at Royal Oak is staffed and equipped to treat the adult and pediatric populations.

In addition to standard pre-operative care, this neurosurgery-specialized area is operational for specialty specific testing necessary to prepare the patient and the physician for surgery. In the cases of many tumor resection procedures, neurosurgeons may choose to order a pre-op MRI with fiducial marker reference points for proper surgical planning. The Royal Oak pre-operative team is skilled in marker application as well as education to the patients about the process to which they are undergoing. A well-versed and skilled team is essential to the full surgical experience in efficacy and satisfaction.

Once patients are moved to recovery in the Post Anesthesia Care Unit, or PACU, they are met with nurses who are highly experienced in intensive care and have specialized neuro training in treating patients with a variety of drains, intracranial pressure monitoring devices and complex brain and spinal surgeries. Nurses new to the units undergo intense training to ensure the proper and efficient care of neurosurgery patients.

To maintain the team’s level of expertise, yearly skill validation is conducted by the Surgical Services educators and neurosurgery nurse practitioners and physician assistants. Educational modules consist of clinical information related to the treatment of a pre- and post-op neurosurgical patient as well as the compassionate care component. Such empathetic care is delineated through services like patient liaisons tasked with keeping a patient’s family informed throughout the duration of a procedure or a follow-up phone call from the pre- and post-operative teams to monitor a patient’s progress and post-surgical satisfaction.

Keeping the patient’s care in mind at all times, the pre- and post-surgical areas in the Neurosurgical OR at Royal Oak create a continuum of care resulting in better outcomes and satisfied customers.


Neuroscience program overview

Traumatic Brain and Spinal Cord Injuries – When an accident results in brain or spinal cord injury, treatment often begins at one of Beaumont’s Emergency Centers. Our EC’s offer leading edge imaging and advanced telemetry for fast, accurate diagnosis of injuries.

Our multidisciplinary team of EC staff, trauma surgeons, neurosurgeons and rehab specialists work together to begin immediate treatment, which is essential for best outcomes.

Gamma Knife® – Beaumont’s Gamma Knife® treats brain tumors and neurological conditions with pinpoint accuracy.

Gamma Knife® delivers a highly therapeutic dose of radiation to the brain accurately and without the risks of open surgery like general anesthesia, infection and bleeding. Only the target tissue receives a significant radiation dose and no incision is required. Recovery is quick and treatment is generally done on an outpatient basis.

In addition to tumors, Gamma Knife® can be used for arteriovenous malformations, trigeminal neuralgia, Parkinson’s disease, essential tremors, epilepsy and obsessive-compulsive disorder.

Neuro Oncology – Our specialists diagnose and treat malignant brain and spine tumors in children and adults using neuroimaging techniques like positron emission tomography, magnetic resonance spectroscopy imaging, Gamma Knife® and spinal radiosurgery. The team includes neuro oncologists, neurosurgeons, radiation therapists and neuroradiologists.

Craniofacial and Skull Base – Beaumont’s craniofacial program brings together specialists to provide integrated care for children with a range of craniofacial disorders, such as cleft lip or palate. The multidisciplinary team includes plastic surgeons, otolaryngologists, maxillofacial surgeons and neurosurgeons.

Pediatric Neurosurgery – At Beaumont Children’s Hospital, pediatric neurologists, neurosurgeons and interventional neuroradiologists are available to treat a variety of neurological conditions in infants and children. Our experts are skilled and equipped to handle the most severe head and spine trauma issues in children.

As the only hospital in SE Michigan providing pediatric interventional treatment of brain aneurysms, arteriovenous malformations and vascular tumors, we reduce or eliminate the need for traditional surgery methods.

Epilepsy and Movement Disorders – Our team treats a broad grouping of neurological conditions like epilepsy, Parkinson’s disease, dystonia, spasticity, Huntington’s disease and movement disorders caused by brain injury.

Epilepsy Monitoring Units at Beaumont, Royal Oak and Grosse Pointe serve as specialized inpatient units designed to evaluate, diagnose and treat children and adults with seizures. The EMUs offers leading diagnostic capabilities and physician consultation.

Beaumont is also a leader in using deep brain stimulation (DBS) to treat various neurological and movement disorders like Parkinson’s disease, essential tremor, dystonia, tremor due to multiple sclerosis and chronic pain.

Pain Management – Safe and effective pain management is an integral part of treatment. Beaumont’s neuroscience team works in conjunction with anesthesiologists on a variety of treatments and procedures.

Physicians have innovative options for treating pain including dorsal column stimulators that can be adjusted for varying levels of pain as well as an implantable intrathecal drug pump. Beaumont’s advanced radiosurgery equipment is helpful in treating focal pain conditions because

it’s less invasive than surgery and can be repeated if symptoms recur.

Spine – Our team performs minimally invasive surgeries on complex spinal conditions including spinal trauma, spinal deformities and spinal oncology. This approach significantly improves patient outcomes with less blood loss, less pain, lower infection rates and shorter hospital stays.

Interventional Neuroradiology and Stroke – Beaumont, Royal Oak is designated a Primary Stroke Center by the Joint Commission affirming the success of our comprehensive stroke care. Our team includes specially trained and certified nursing staff, more interventional stroke specialists than any other hospital in Michigan, dedicated ICU beds for stroke patients, interventional neurosurgeons and neuroradiologists who can administer intra-arterial TPA and remove blood clots from the brain and a dedicated neuroscience unit with 66 beds and 9 monitored critical care beds.

A minimally-invasive approach is provided by our team to treat vascular diseases of the central nervous system and spine including aneurysms, vascular malformations, arterial/venous stenosis and tumors of the brain, head and neck requiring surgical intervention.

Intraoperative Monitoring – Intraoperative monitoring allows surgeons to check the functionality and integrity of the nervous system during surgery. The use of electrophysiological methods measures brain, nerve and spinal cord activity and has shown to improve patient safety and surgical outcomes.

Beaumont’s IOM team has training and experience exceeding many programs in the nation in the surgical areas of neurosurgery, orthopedics, otolaryngology/head and neck and urology.

3711 Thirteen Mile RoadRoyal Oak, Michigan 48073

Neuroscience update is published quarterly in support of the Neuroscience Program at Beaumont Hospitals.

For comments or suggestions, please call Rachael Wade at 248-551-2300

NeurosurgeryFernando G. Diaz, M.D., Ph.D.¥

Chief, NeurosurgeryMick J. Perez-Cruet, M.D., M.S.¥

Vice-Chief, NeurosurgeryHolly S. Gilmer, M.D.¥£

Chief, Pediatric NeurosurgeryDaniel B. Michael, M.D., Ph.D.§¥

Chief, NeurotraumaRyan J. Barrett, D.O.¥

Stephen E. Boodin, M.D.¥Chaim Ben-Joseph Colen,

M.D., Ph.D.§Phillip Friedman, M.D.¥

Mark L. Goldberger, D.O.§Murali Guthikonda, M.D.¥

Bradley T. Hall, D.O.¥£

Steven D. Ham, D.O.¥Robert R. Johnson, M.D.¥Fredrick S. Junn, M.D.¥

Steven N. Kalkanis, M.D.¥£

Ghaus M. Malik, M.D.¥Todd Y. Nida, M.D.¥£

Manouchehr Nikpour, M.D.§Rick E. Olson, M.D.¥£

Daniel R. Pieper, M.D.¥Omar M. Qahwash, D.O.¥

Boyd Richards, DO¥

Jack P. Rock, M.D.¥Mark L. Rosenblum, M.D.¥

Teck M. Soo, M.D.¥Sandeep Sood, M.D.¥Richard Veyna, MD¥

Karol Zakalik, M.D.¥Lucia J. Zamorano, M.D.¥ß

John L. Zinkel, M.D., Ph.D.§

Stroke ProgramSusan Catto, M.D.¥

Medical Stroke Director

Physician ExtendersHolly Weissman, N.P.

ChiefKim Cameron, P.A.

Megan Clippard, N.P.Becky Doherty, N.P.

Amanda Griffith, N.P.Lauren Gurski, P.A.Justin Hugelier, P.A.Jennifer Jehle, N.P.Megan Keiser, N.P.

Rosie Mannina, N.P.Kristen McGrath, N.P.Jamie Peysakhov, P.A.

Hospital AdministrationVictoria Hollingsworth-Schuler,

M.S., M.S.A.Vice President, Neuroscience

Dorothy Bernard, B.S.N., M.S.ADirector, Specialty Nursing

Neuroscience AdministrationLori Sheridan

Administrative ManagerRachael Wade

Administrative AssistantAdministrative Office

248-551-2300

NeurologyAmer G. Aboukasm, M.D.§

Gyula Acsadi, M.D.§Mazen M. Al-Hakim, M.D.¥£

Kheir M. Al-Zouhayli, M.D.¥£

Malaz Almsaddi, M.D.£Steven S. Beall, M.D.§

Martin I. Belkin, D.O.¥£

William D. Boudouris, D.O.¥Julie A Burnham, D.O.£

Norman M. Burns, M.D.¥Nancy Jingyang Cao, M.D.

Ph.D.¥£

Paul A. Cullis, M.D.§Sarih Dalati, M.D.§

Lawrence M. Eilender, M.D.¥Mitchell L. Elkiss, D.O.¥

Aaron L. Ellenbogen, D.O.¥£

Anthony A. Emmer, D.O.¥Raina M. Ernstoff, M.D.¥£

Jonathan Fellows, D.O.¥£

Sonia G. Fernando, M.D.¥Martha Frankowski, M.D.£Michelle L. Furmaga, M.D.¥

Jodi A. Ganley, D.O.¥Thomas Giancarlo, M.D.§

Neil J. Gilbert, M.D.¥Shaila Gowda, M.D.¥Rashmi Gupta, M.D.¥

Cesar D. Hidalgo, M.D.£Matthew Holtzman, D.O.¥Agnes Jani-Acsadi, M.D.§Nancy K. Juopperi, D.O.§

Mark A. Kachadurian, D.O.¥Brian N. Kirschner, M.D.¥

Muhammad A. Khan, M.D.£Lawrence W. Konst, D.O.§

Boris J. Leheta, M.D.§Elizabeth A. Leleszi, M.D.¥William Leuchter, M.D.¥Zef Lucaj, M.D. Ph.D.¥£

Alicia G. Lumley, M.D.§John Manica, M.D.¥£

M. Eileen McCormick, D.O.¥Tracey T. Morson, M.D.§Shyam S. Moudgil, M.D.§Sami Mounayer, M.D.¥£

Steven E. Newman, M.D.¥Thomas J. O’Neil, M.D.£

Haranath Policherla, M.D.§Chakrapani Ranganathan, M.D.£

Ayman Rayes, M.D.£Andrea M. Rossi, D.O.¥£

Howard S. Rossman, D.O.¥Leonard Sahn, M.D.¥Vijay Samuel, M.D.¥

Steven H. Schecter, M.D.¥Manaf Seidarabi, M.D.§

Alka Y. Shah, M.D.¥Vaqar K. Siddiqui, M.D.§Mark B. Silverman, D.O.¥Bruce M. Silverman, D.O.¥Lalitha Sivaswamy, M.D.¥Susan L. Smietana, D.O.¥Elizabeth C. Smith, M.D.¥

Alexander R. Spitzer, M.D.¥Alex M. Steinbock, D.O.¥

Yi Chul Sul, M.D.§Danette C. Taylor, D.O.¥

Gary L. Trock, M.D.¥£

Richard M. Trosch, M.D.¥Narayan P. Verma, M.D.¥

James Matthew Voci, M.D.§Nader S. Warra, D.O.¥

Danny F. Watson, M.D.¥Esther L. Young, D.O.¥£

Nadia F. Zaki, M.D.£

NeuroradiologyChris D. Kazmierczak, M.D.¥

Anant Krishnan, M.D.¥James Mick, M.D.¥

Samir E. Noujaim, M.D.¥Sneha R. Patel, M.D.¥

Richard Silbergleit, M.D.¥Kurt E. Tech, M.D.¥

Ay-Ming Wang, M.D.¥Jeffrey M. Wilseck, D.O.¥

§ - Grosse Pointe¥ – Royal Oak

£ – Troyß – Gamma Knife only

Neuroscience Center of Excellence

Royal OakFernando G. Diaz, M.D., Ph.D.*

Physician LeadHolly Weissman, N.P.

Nursing LeadVickie Hollingsworth, M.S.,

M.S.A.Administrative Lead

TroyEsther Young, M.D.

Physician LeadKathy Evans, N.P.

Peggy Tweedie, R.N.Nursing Leads

Debbie Guido-Allen, R.N.Administrative Lead

Grosse PointeJohn Zinkel, M.D., Ph.D.

Physician LeadCathleen Solecki*, R.N.

Nursing LeadChris Stesney-Ridenour, M.B.A.

Administrative Lead

Shane CeroneHospital President

Donna Hoban, M.D.Physician-in-Chief

*indicates system lead

Neuroscience Faculty and Staff

Documents

Neuroscience Update - Spring 2011