• Disease
  • Chiari
  • Chiari Malformation
  • Walter Jerry Oakes

    Prominent publications by Walter Jerry Oakes

    KOL Index score: 12937

    OBJECT: Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. Reanimation of the facial nerve has been performed using different regional nerves. The nerve to the mylohyoid has not been previously explored as a donor nerve for facial nerve reanimation procedures.

    METHODS: Five fresh adult human cadavers (10 sides) were dissected to identify an additional nerve donor candidate for facial nerve neurotization. Using a curvilinear cervicofacial skin ...

    Also Ranks for: Facial Nerve |  cadaveric feasibility study |  length diameter |  reanimation procedures |  digastric muscle
    KOL Index score: 12625

    OBJECT: Quality improvement techniques are being implemented in many areas of medicine. In an effort to reduce the ventriculoperitoneal shunt infection rate, a standardized protocol was developed and implemented at 4 centers of the Hydrocephalus Clinical Research Network (HCRN).

    METHODS: The protocol was developed sequentially by HCRN members using the current literature and prior institutional experience until consensus was obtained. The protocol was prospectively applied at each HCRN ...

    Also Ranks for: Standardized Protocol |  shunt infection |  cerebrospinal fluid |  network quality |  hydrocephalus clinical
    KOL Index score: 12360

    OBJECTIVE: We report the control of hydrocephalus in children with presumed tectal plate gliomas by the use of endoscopic third ventriculostomy (ETV).

    METHODS: The hospital records, office charts, and imaging studies from children who underwent ETV at the Children's Hospital of Alabama were reviewed. Thirteen children with the diagnosis of tectal plate glioma and hydrocephalus were identified. ETV was the primary therapy instituted for all but one of these children. Successful treatment ...

    Also Ranks for: Tectal Plate Gliomas |  hydrocephalus etv |  endoscopic ventriculostomy |  follow studies |  children underwent
    KOL Index score: 12182

    OBJECT: The purpose of this study was to define the incidence of permanent shunt placement and infection in patients who have undergone the 2 most commonly performed temporizing procedures for posthemorrhagic hydrocephalus (PHH) of prematurity: ventriculosubgaleal (VSG) shunt placement and ventricular reservoir placement for intermittent tapping.

    METHODS: The 4 centers of the Hydrocephalus Clinical Research Network participated in a retrospective chart review of infants with PHH who ...

    Also Ranks for: Posthemorrhagic Hydrocephalus |  cerebrospinal fluid |  birth weight |  vsg shunt |  incidence csf infection
    KOL Index score: 11596

    OBJECT: In neurotization procedures, donor nerves--either whole or in part-with relatively pure motor function can be carefully chosen to provide the optimal nearby motor input with as little donor site morbidity as possible. In this context, the ulnar nerve branches to the forearm muscles are relatively dispensable; however, quantitation of and landmarks for these branches are lacking in the literature.

    METHODS: The ulnar branches to the flexor carpi ulnaris (FCU) and flexor digitorum ...

    Also Ranks for: Ulnar Nerve |  medial epicondyle |  landmarks branches |  fcu fdp |  aged muscle
    KOL Index score: 11200

    OBJECT: The aim of this study was to present the long-term findings of a surgical series of pediatric patients with Chiari I malformations.

    METHODS: One hundred thirty symptomatic pediatric patients with Chiari I malformations underwent posterior fossa decompression. The age in this group of patients ranged from 2 months to 20 years (mean 11 years). The length of the hospital stay extended from 2 to 7 days (mean 2.7 days), and follow up was from 3 months to 15 years (mean 4.2 years). ...

    Also Ranks for: Pediatric Patients |  surgical experience |  posterior decompression |  2 months |  headache neck pain
    KOL Index score: 10916

    BackgroundPrevious anatomic studies have shown the conus medullaris to terminate between T12 and L1 vertebral levels in adults with normal spinal anatomy. Prior anatomic and radiographic studies of conus position with flexion and extension of the spine have had conflicting results. We performed a cadaveric study with direct visualization of the conus during flexion and extension to further study this question and potentially determine if flexion and extension of the spine during magnetic ...

    Also Ranks for: Conus Medullaris |  flexion position |  cauda equina |  extension spine |  diagnostic tool
    KOL Index score: 10628

    BackgroundScoliosis is a common finding in children with Chiari I malformation and syringomyelia. The development of scoliosis associated with a Chiari malformation typically has been ascribed to the presence of syringomyelia. Decompression of the hindbrain hernia will often alleviate the syringomyelia and, in many cases, stabilize or reverse the scoliosis.Case reportWe report a child with Chiari I malformation and scoliosis who presented with Valsalva-induced headache/neck pain. MRI ...

    Also Ranks for: Chiari Malformation Syringomyelia |  malformation scoliosis |  case report review |  posterior fossa decompression |  neck pain
    KOL Index score: 10524

    Although surgical procedures are often performed over the posterior head and neck, surgical landmarks for avoiding the cutaneous nerves in this region are surprisingly lacking in the literature. Twelve adult cadaveric specimens underwent dissection of the cutaneous nerves overlying the posterior head and neck, and mensuration was made between these structures and easily identifiable surrounding bony landmarks. All specimens were found to have a third occipital nerve (TON), lesser ...

    Also Ranks for: Eop Gon |  occipital nerves |  head neck |  nerve ton |  medial branch
    KOL Index score: 10074

    OBJECT: Cerebrospinal fluid shunt ventricular catheters inserted into the frontal horn or trigone are associated with prolonged shunt survival. Developing surgical techniques for accurate catheter insertion could, therefore, be beneficial to patients. This study was conducted to determine if the rate of accurate catheter location with intraoperative ultrasound guidance could exceed 80%.

    METHODS: The authors conducted a prospective, multicenter study of children (< 18 years) requiring ...

    Also Ranks for: Shunt Insertion |  ventricular catheter |  hydrocephalus clinical |  frontal horn |  intraoperative ultrasound
    KOL Index score: 9749

    OBJECTIVE: The posterior fossa (PF) has been found to be small in various forms of Chiari malformation. Explanations involving a connection between growth hormone deficiency (GHD) and Chiari I malformation (CIM) have been proposed. However, to date, no quantitative analysis of the PF of patients with CIM and GHD has been performed. Our study was performed to determine the geometry of the PF in children with GHD and CIM.

    METHODS: Morphometric analysis of the PF was performed in 10 ...

    Also Ranks for: Morphometric Analysis |  growth hormone deficiency |  ghd cim |  posterior cranial fossa |  chiari malformation
    KOL Index score: 9654

    OBJECTIVE: The purposes of this study were as follows: 1) to determine the incidence and degree of ventral brain stem compression (VBSC) in pediatric and young adult patients with Chiari I malformations, and 2) to correlate VBSC with other imaging and clinical factors to help determine what amount of VBSC is successfully treated with a posterior decompressive procedure alone.

    METHODS: The magnetic resonance images and clinical histories of 40 pediatric and young adult patients with ...

    Also Ranks for: Brain Stem |  posterior fossa decompression |  vbsc patients |  tonsillar descent |  9 mm
    KOL Index score: 9222

    OBJECT: Injury of the facial nerve with resultant facial muscle paralysis may result in other significant complications such as corneal ulceration. To the authors' knowledge, neurotization to the facial nerve using the long thoracic nerve (LTN), a nerve used previously for neurotization to other branches of the brachial plexus, has not been explored previously.

    METHODS: In an attempt to identify an additional nerve donor candidate for facial nerve neurotization, 8 adult human cadavers ...

    Also Ranks for: Facial Nerve |  long thoracic |  cadaveric feasibility study |  length diameter |  authors knowledge


    Walter Jerry Oakes: Influence Statistics

    Sample of concepts for which Walter Jerry Oakes is among the top experts in the world.
    Concept World rank
    extension posterior mediastinum #1
    children lsa #1
    patients chiari malformation #1
    cmi syrinx #1
    shunt failure parents #1
    understanding cim #1
    potential benefits surgery #1
    syringomyelia child #1
    sacral bony abnormality #1
    pediatric brainstem tumors #1
    male syringomyelia #1
    mri child #1
    urinary bladder infection #1
    nonshunt procedures nsqipp #1
    605–682 #1
    frequent shunt failure #1
    hydrocephalic children 1990s #1
    12year series #1
    patients syringobulbia #1
    therapeutic diversion csf #1
    neurosurgical procedures chiari #1
    chiari posterior decompression #1
    diameter filum #1
    9296 procedures #1
    operation chiari patients #1
    patient conus #1
    symptoms tethered #1
    distal shunt implantation #1
    cord spina #1
    decompression attention #1
    temporary csf diversion #1
    horizontal sacrum lsa #1
    case premature infant #1
    absence syringomyelia #1
    occult spinal dysraphism #1
    hairy patch #1
    posterior fossa children #1
    patients lipomyelomeningocele #1
    galen avg #1
    chiari malformation cim #1
    currarino unique complex #1
    tethered spinal #1
    low conus medullaris #1
    patients conus #1
    cranial humans infant #1
    management chiari malformation #1
    studies syringomyelia #1
    accuracy parental response #1
    41 accuracy #1
    patients ambulatory abilities #1

    Key People For Chiari Malformation

    Top KOLs in the world
    Thomas H Milhorat
    spinal cord central canal choroid plexus
    Walter Jerry Oakes
    chiari malformation spinal cord vertebral artery
    Richard Shane Shane Tubbs
    spinal cord vertebral artery anatomical study
    Marcy C Speer
    neural tube defects human pair linkage studies
    Roger W Kula
    chiari malformation condylar screws brain stem
    Arnold H Menezes
    craniovertebral junction chiari malformation basilar invagination

    Walter Jerry Oakes:Expert Impact

    Concepts for whichWalter Jerry Oakeshas direct influence:Chiari malformation,  Spinal cord,  Vertebral artery,  Posterior cranial fossa,  Vagus nerve,  Occult spinal dysraphism,  Tethered spinal cord,  Shunt failure.

    Walter Jerry Oakes:KOL impact

    Concepts related to the work of other authors for whichfor which Walter Jerry Oakes has influence:Chiari malformation,  Spinal cord,  Spina bifida,  Magnetic resonance,  Foramen magnum,  Brachial plexus,  Surgical treatment.



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    9Division of Neurosurgery, University of Alabama School of Medicine, Birmingham, Alabama. | Department of Neurosurgery, University of Alabama–Birmingham, Birmingham, AL, United States of America | 33Division of Pediatric Neurosurgery, University of A