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Visish M. Srinivasan, Caroline C. Hadley, Akash J. Patel, Bruce L. Ehni, Howard L. Weiner, Ganesh Rao, Frederick F. Lang Jr., Raymond E. Sawaya, and Daniel Yoshor

B aylor College of Medicine (BCM) was founded in 1900 in Dallas, Texas, as the University of Dallas Medical Department. The school became affiliated with Baylor University in 1903, changing its name to Baylor University College of Medicine (BUCM). In May 1943, the MD Anderson Foundation invited BUCM to be the first institution in the nascent Texas Medical Center (TMC), a 160-acre area in Houston envisioned to be the country’s largest conglomerate of medical institutions. This move afforded BUCM the opportunity to expand its affiliations to include multiple

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Joseph M. Zabramski, Donald Whiting, Rabih O. Darouiche, Terry G. Horner, Jeffrey Olson, Claudia Robertson, and Allan J. Hamilton

. Paramore CG , Turner DA : Relative risks of ventriculostomy infection and morbidity. Acta Neurochir 127 : 79 – 84 , 1994 Paramore CG, Turner DA: Relative risks of ventriculostomy infection and morbidity. Acta Neurochir 127: 79–84, 1994 14. Raad I , Darouiche R , Dupuis J , et al : Central venous catheters coated with minocycline and rifampin for the prevention of catheter-related colonization and bloodstream infections. A randomized, double-blind trial. The Texas Medical Center Catheter Study Group. Ann

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Erik Friedrich Hauck, Jonathan Ari White, and Duke Samson

, 21 patients underwent clip ligation of unruptured basilar apex aneurysms < 7 mm. Surgery was performed at the University of Texas Medical Center in Dallas. Superior cerebellar artery aneurysms and P 1–2 junction aneurysms are treated with less risk to the patient because the surgeon does not have to manipulate the thalamic perforators. Accordingly, SCA and P 1–2 junction aneurysms were not included in this series. Data on patient demographics, aneurysm characteristics, surgical procedures, and the degree of aneurysm obliteration were reviewed retrospectively. The

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Sohum K. Desai, Alison Brayton, Valerie B. Chua, Thomas G. Luerssen, and Andrew Jea

contribution to the care of these challenging patients by returning to the drawing board and searching for 1) other materials, such as stainless steel; 2) new designs; or 3) new surgical strategies, including concurrent fusion with instrumentation. 1 His perseverance led to a procedure that began to work. Once the basic idea was developed, he had it tested extensively by the Engineering Department at Rice University, across Main Street from the Texas Medical Center, and at a commercial testing company in Chicago. He collaborated with Zimmer, Inc., to manufacture his spinal

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John L. Gainer, Jason P. Sheehan, James M. Larner, and David R. Jones

University Medical Center, Atlanta, Georgia, Dr. H.-K. G. Shu; Forsyth Medical Center, Winston-Salem, North Carolina, Dr. Volker and Dr. W. W. Stieber; George Washington University Medical Center, Washington, DC, Dr. Jonathan H. Sherman; Medical College of Wisconsin, Milwaukee, Wisconsin, Dr. Mark G. Malkin and Dr. Jennifer M. Connelly; Medical University of South Carolina, Charleston, South Carolina, Dr. Pierre Giglio and Dr. Scott M. Lindhorst; Memorial Hermann-Texas Medical Center, Houston, Texas, Dr. Jay-Jiguang Zhu; North Shore University Health System, Manhasset, New

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Erik Friedrich Hauck, Samuel L. Barnett, Jonathan Ari White, and Duke Samson

discuss nuances of the various approaches in the context of a series of patients who underwent successful operations via the presigmoid approach. Methods Patient Population Between 1999 and 2007, 19 patients presented with pontine cavernomas at the University of Texas Medical Center in Dallas. Nine of these patients, with cavernomas exclusively located in the anterolateral pons, were selected for this study. The remaining patients presented with cavernomas mostly in the posterior pons at the floor of the fourth ventricle. These were resected via a

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Anthony L. Asher, Clinton J. Devin, Brandon McCutcheon, Silky Chotai, Kristin R. Archer, Hui Nian, Frank E. Harrell Jr., Matthew McGirt, Praveen V. Mummaneni, Christopher I. Shaffrey, Kevin Foley, Steven D. Glassman, and Mohamad Bydon

Norton Leatherman Spine Center, Louisville, Kentucky; 6 Springfield Neurologic and Spine Institute, Springfield, Missouri; 7 Department of Neurosurgery, Brain and Spine Center, Holland, Michigan; 8 Department of Neurosurgery, Bay Care Clinic Neurological, Green Bay, Wisconsin; 9 Department of Neurosurgery, North Shore University Health System, Skokie, Illinois; 10 Department of Surgery, East Texas Medical Center, Tyler Neurosurgical, Tyler, Texas; 11 Department of Neurosurgery, University of Utah, Salt Lake City, Utah; 12 Department of Neurological Surgery

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Erik F. Hauck, Bryan Wohlfeld, Babu Guai Welch, Jonathan A. White, and Duke Samson

endovascular treatment outcomes and the natural history of these aneurysms. Methods Patient Population Between 1998 and 2006, 62 patients underwent clip ligation of unruptured 2-cm or larger intracranial aneurysms of the anterior circulation at the University of Texas Medical Center in Dallas. Cavernous aneurysms were excluded from our analysis. The most proximal ICA lesions were paraclinoid aneurysms. Posterior communicating artery aneurysms were included in the study. The medical and diagnostic imaging records for the patients were reviewed. Data on patient

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Paul T. Akins, John Belko, Amit Banerjee, Kern Guppy, David Herbert, Tamara Slipchenko, Christi DeLemos, and Mark Hawk

and improved with diphenhydramine and a slower rate of infusion. At the Texas Medical Center, the prophylactic antibiotic regimen was switched from cefuroxime to vancomycin, 8 and the monthly rate of surgical site infections before and after the switch was studied in 6465 patients. The rate of infections declined by 2.1 cases/100 surgeries, and no increase in wound infections from gram-negative organisms or other gram-positive organisms such as vancomycin-resistant Enterococcus were noted. Conclusions Methicillin-resistant S. aureus must be factored into

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Diana S. L. Chow, Yang Teng, Elizabeth G. Toups, Bizhan Aarabi, James S. Harrop, Christopher I. Shaffrey, Michele M. Johnson, Maxwell Boakye, Ralph F. Frankowski, Michael G. Fehlings, and Robert G. Grossman

collected by centrifugation of blood samples immediately at 2700 G for 10 minutes, then stored at −80°C (or at least as low as −20°C) prior to the shipment with dry ice to the Pharmacology Center of NACTN at the University of Houston, College of Pharmacy at the Texas Medical Center. The blood samples were labeled to conceal patient identity. Plasma samples (instead of serum samples) were collected, because it has been established that riluzole concentrations in plasma and serum are comparable at a concentration less than 500 ng/ml. 54 With a standard drug regimen of 50