Epilepsy; Neurology; Neuromuscular Disorders; Pediatrics
As a pediatric neurologist, my clinical practice focuses on the comprehensive neurologic care of infants, children and adolescents. Having completed fellowship training in clinical neurophysiology, my expertise focuses on the evaluation and management of epileptic and non-epileptic (stress-induced) seizures, as well as neuromuscular disorders, with particular skill in performing electroencephalography (EEG) and electromyography (EMG). I am one of the panel neurologists in the Epilepsy Monitoring Unit at the Women and Children’s Hospital of Buffalo (WCHOB). As a physician for the inpatient and outpatient neurology service, I attend to the needs of patients who present to WCHOB with a variety of neurologic symptoms. In addition to epilepsy and neuromuscular disorders, my clinical interest includes stroke in the young. I am fascinated by the various factors that may predispose infants and children to cerebrovascular ischemia. After an ischemic event, I work closely with the patients and their families to help coordinate long term care and rehabilitation in their road to recovery. I am actively involved in research mentorship and in the teaching of medical students, residents in adult neurology, pediatric neurology, pediatrics, psychiatry and fellows in clinical neurophysiology. I am further interested in autoimmune, demyelinating and infectious processes within the nervous system. After the 2009 influenza A - H1N1 pandemic, I extensively researched the neurologic complications of H1N1 in pediatric patients in Western New York. I compared our results to those of other groups in the global pediatric and neurologic communities. I presented my results at various international medical conferences. I feel fortunate to have participated in and conducted numerous clinical research projects. I have a track record of research, collaboration and publishing in the field of pediatric neurology. I intend to continue blending research with my clinical work, as I feel that both of these are essential for the art of practicing medicine.
Epilepsy; Neurology; Child Neurology
I am a neurologist with added qualifications in child neurology and clinical neurophysiology. I am an attending physician in the Comprehensive Epilepsy Unit at the Women and Children’s Hospital of Buffalo (WCHOB) where I interpret inpatient and outpatient electroencephalograms (EEGs) in neonates, children and adults. I see inpatients at WCHOB, treating a broad range of neurologic conditions and emergencies. My clinical focus is epilepsy, and I have a special interest in caring for disabled adults with epilepsy who have unique quality of life issues. I also care for women with epilepsy, with an emphasis on bone health, reproductive issues and pregnancy. In addition, I manage patients with a wide range of disorders including developmental disorders, headache, tic disorders and Tourette syndrome. My research interests include investigation of techniques to promote neurodevelopment in conditions such as Rett syndrome, a devastating childhood neurodevelopmental disorder. I teach and train medical students, neurology, pediatric, and psychiatric residents and clinical neurophysiology fellows. My teaching activities include delivering core medical student lectures such as the Introduction to the Neurological Examination, Child Neurology and Childhood Epilepsy. It is a privilege to be able to influence medical students, residents and fellows during the formative stage of their careers. My goals are to foster in them an understanding of the full implications of caring for patients and to expose them to intellectual discoveries that will enrich their professional lives and their ability to give their patients the best possible care. In August 2015, I was appointed residency director of the child neurology training program. My focus will be enhancing the overall training experience. I will also lead recruiting efforts as well as efforts to develop clinical and research opportunities for our residents.
I am trained in adult neurology, with expertise in caring for patients with seizures and epilepsy. The core of my practice is diagnosing and caring for patients with epilepsy and facilitating the multidisciplinary care they need. I work frequently with rehabilitation doctors, internists and intensivists, where we advise each other regarding medication and other medical decisions that are needed for the best possible care and treatment outcomes for our patients. I also make an effort to engage family members in the health of my patients. If family members come to the clinic during patient visits and my patients give me permission to talk to spouses, significant others and other family members, I invite these individuals into the exam room. These are opportunities for me to educate families, which in turn helps foster support for my patients and provides an opportunity for family members to be part of the long-term care my patients need. I also work with UBMD Neurosurgery physicians to facilitate appropriate and timely referral of patients who can benefit from epilepsy surgery. I collaborate with my neurosurgical colleagues during joint conferences where, as a team, we make decisions about whether surgery will give our patients the best possible treatment outcome. I read and interpret both inpatient and outpatient electroencephalography (EEG) studies and both Kaleida Health and Erie County Medical Center, where I serve as director of the EEG laboratory. Additionally, I provide medical care at the Comprehensive Epilepsy Unit at the Women and Children’s Hospital of Buffalo (WCHOB), where patients are monitored, evaluated and treated for acute episodes of seizures, epilepsy and other related conditions. As a teacher and mentor, I work closely with medical students and alongside residents and fellows that are training to specialize in adult and pediatric neurology. I teach in our departmental programs that focus on both the acute and long-term care and management of patients with neurological ailments. In working with trainees at all levels, and in all learning settings, I engage everyone in the focused care of patients.
Clinical Neurophysiology; Epilepsy; Neurology
I am board-certified in neurology and clinical neurophysiology. My clinical practice focuses on the care of patients with epilepsy. With advanced training, my expertise lies not only in clinical care but also in interpreting electroencephalography (EEG) and performing electrodiagnostic studies, including nerve conduction studies (NCS) and electromyography (EMG). I see outpatients at Buffalo General Medical Center (BGMC) and the UBMD Neurology clinic in Williamsville. I am one of the attending physicians in the epilepsy monitoring unit at the Women and Children’s Hospital of Buffalo. I also attend the inpatient neurology service at BGMC and the Buffalo VA Medical Center (Buffalo VAMC). My research focus is on epilepsy, but I am open to research ideas that address other neurological diseases which can help patient management. My current research is mainly chart review retrospective studies on: 1.) the yield of EEG after new-onset seizures and 2.) potential modifiable factors contributing to the delay of epilepsy surgery. I will participate in a few multicenter studies, including one that aims to determine the main reason for 30-day readmission to the epilepsy monitoring unit. Another is a prospective study for a new medication that might help with super-refractory status epilepticus. I am also interested in conducting retrospective studies on the association between epilepsy and stress. I am the clinical neurophysiology fellowship director. I design training curriculum, interview fellowship applicants and coordinate the scholarly activity of fellows. I feel fortunate to have the opportunity to help fellows develop into successful neurologists specialized in clinical neurophysiology. I am also actively involved in research mentorship and in the teaching of medical students, neurology residents and clinical neurophysiology fellows. With my extensive experience in conducting research with trainees, I am familiar with the needs of residents and fellows and enjoy helping them and providing guidance to them throughout the duration of their training.
Epilepsy; Multiple Sclerosis; Neurology; Neuropsychology; Pediatrics
As a neuropsychologist with training in both child and adult neuropsychology, my clinical practice focuses on the comprehensive neurocognitive and psychological evaluation of children, adolescents and adults. My primary focus is in pediatric neuropsychology; I see children ages 3 to 18 with a variety of developmental and neurological disorders. I also evaluate adults with developmental disorders and epilepsy. One of my areas of expertise is in pre- and post-surgical assessment, primarily for patients with intractable seizure disorder. As a consultant with our epilepsy unit at Women and Children’s Hospital of Buffalo, I work with patients’ neurologists and neurosurgeons regarding seizure focus, cognitive integrity and prognostic factors related to surgical outcome. I also serve as the primary neuropsychologist for the Pediatric MS Center of Excellence, one of six such centers in the U.S. designated by the National Multiple Sclerosis Society that offers comprehensive, multidisciplinary evaluation and care for children with demyelinating conditions. I provide neuropsychological assessment for the children and conduct research in the center and with collaborating sites within the network. In addition, I have extensive training and experience in assessment and diagnostic clarification for children with neurodevelopmental disorders. In my outpatient clinic at Buffalo General Medical Center, I focus on thorough evaluations of neurocognitive function to provide not only diagnostic clarification, but a better understanding of specific areas of strength and weakness to help guide my patients’ medical treatment, school interventions and other therapeutic interventions. Given findings from the neuropsychological evaluation, I provide specific recommendations to help my patients achieve the greatest degree of success possible. My research interests include understanding neurocognitive functioning in pediatric patients with demyelinating disorders and epilepsy treatment and surgical outcomes. Conducting clinical research allows me to use information from my clinical work to guide research questions, improve understanding of patient populations and provide better care and guidance regarding treatment interventions to my patients. As a teacher, I work with medical residents and psychology graduate students to improve their understanding of neurocognitive functioning and neurocognitive assessment in children and adults with a variety of disorders such as MS, demyelinating disorders, epilepsy, head injury and autism spectrum disorder. I also tailor training if a resident/student has a particular area of interest. In addition, I serve as a mentor for neurology residents and psychology graduate students on research projects and offer more extensive training in neuropsychological assessment and diagnostics. I am also available to work with recently graduated undergraduates and master’s students who would like to gain research experience.
Neurology; Child Neurology; Epilepsy
I joined the Department of Neurology and the University at Buffalo in July 1998 with the goal to develop the EEG and pediatric epilepsy program. Prior to that time, I completed residencies in Pediatrics at the University of Tel-Aviv and at Rainbow Babies Case Western University, as well as fellowships in Child Neurology and in Epilepsy and Clinical Neurophysiology at the Cleveland Clinic Foundation. I currently serve as Director of the Division of Child Neurology, the Epilepsy Monitoring Unit as well as the EEG laboratories for Kaleida Health. I was promoted to Professor in Clinical Neurology in March 2014. I serve as the main instructor for EEG and Epilepsy for neurology residents and clinical neurophysiology fellows, and mentored numerous residents and fellows for research projects. The child neurology division was recognized by the “US NEWS and WORLD REPORT” as one of the Top 50 Children’s Hospital in the field of Neurology/Neurosurgery in 2013 and 2011. Our 8-bed epilepsy monitoring unit (EMU) was recognized as a Level IV NAEC level for 4 years in a row (highest possible) by the National Association of Epilepsy Centers (NAEC). The EMU was awarded a $1,000,000 grant by the Cummings Foundation to build a new 12-bed Epilepsy Monitoring Unit in the John R. Oishei Children’s Hospital, Buffalo, NY. My interests in child neurology and epilepsy have focused on management of refractory epilepsy in children, epilepsy surgery and EEG. I am board certified in child neurology, clinical neurophysiology and epilepsy. I read evoke potentials and perform Quality Assurance of EEG‘s at various hospitals in the city of Buffalo. My main research is relate to the diagnosis and management of refractory epilepsy and epilepsy surgery. I have been the site investigator for many Pharma and NINDS sponsored studies on novel anti-epileptic drug therapies, particularly as they relate to pediatric epilepsy, and was the PI of various investigator initiated studies. I am passionate in the education of epilepsy and EEG and guiding medical students, neurology residents and clinical neurophysiology fellows into their careers while promoting the field of epilepsy. Professor of Clinical Neurology State University of New York at Buffalo Medical Director, Child neurology Division Director, Epilepsy Program and Long Term Monitoring Women and Children’s Hospital of Buffalo 219 Bryant Street Buffalo, New York 14222 Phone: (716) 878-7840, Fax: (716) 878-7326 E-mail: email@example.com