Lucia Zamorano, MD, PLC

Brain & Spine Surgery

MICHIGAN BRAIN & SPINE

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Concussions cause brain abnormalities similar to Alzheimer’s

brainMore and more research has raised concern over the dangers of concussions – one of the most common forms of head trauma – as many sufferers go on to experience persistent neurological symptoms throughout their lives.

Now, scientists have discovered a clue as to why mild traumatic brain injuries (MTBI) can have such long-lasting health consequences.

In a study published in the journal Radiology, researchers found that white matter damage in the brains of people who had experienced concussions closely resembled the type of white matter damage found in patients with Alzheimer’s disease.  These findings suggest that concussions set off a chain of neurological events that can cause long-term damage to the brain.

“It’s not the hitting your head that’s the problem.  It’s everything else that happens after that,” said lead study author Dr. Saeed Fakhran, assistant professor of radiology in the Division of Neuroradiology at the University of Pittsburgh School of Medicine.

… [Continue Reading]

Filed Under: Concussion Tagged With: Alzheimer, Concussion

New Approaches to Treat Neurological and Psychiatric problem

michigan-brainPrimary types of neuromodulation techniques used in psychiatry and new approaches to treat neurological and psychiatric problem.

Transcranial magnetic stimulation (TMS): There are currently 2 different TMS coils that have been approved by the US Food and Drug Administration (FDA) for the acute treatment of depressed patients who have failed to respond to at least 1 antidepressant medication. Interventional psychiatrists need to understand the fundamental principles behind TMS and demonstrate competency in the delivery and programming of TMS paradigms. A recent multisite, naturalistic, observational study of acute treatment outcomes in clinical practice[2] demonstrated greater than 50% efficacy in sicker populations using TMS.

… [Continue Reading]

Filed Under: Neuromodulation Tagged With: DBS, ECT, FEAST, TDCS, TMS, VNS

Fibromyalgia Guidelines Trigger Changes for FPs

fibromyalgiaNew guidelines published online May 6 in the Canadian Medical Association Journal have codified a number of major changes in fibromyalgia (FM) diagnosis and treatment. The authors of the new guidelines note that FM diagnosis and care have largely shifted to primary care physicians and away from rheumatologists and other specialists.

Mary-Ann Fitzcharles, MB ChB, from the Division of Rheumatology, McGill University, Montreal, Quebec, Canada, and colleagues writing for the Canadian Fibromyalgia Guidelines Committee said that physicians “must rely on the time-honoured art of medicine” in diagnosing FM, as there are no reliable physical findings or laboratory tests, and that the main treatment goal should be to improve function by relieving the most troublesome symptoms, particularly pain, as they arise.

… [Continue Reading]

Filed Under: Fibromyalgia

Meeting at Tigers with Paws

Dr. Zamorano and team at Detroit Tigers Game

Dr. Zamorano and team at Detroit Tigers Game

Filed Under: Community Events

Dr Zamorano, named as one of the 49 surgeons in the USA performing robotic spine surgery

ASC Review

While the number of spine surgeons certified to perform robot spine surgery is still small, the ranks of robotics-certified physicians are growing.

Dr Zamorano , named as one of the 49 surgeons in the USA performing robotic spine surgery.

Dr. Zamorano is a neurosurgeon and orthopedic surgeon at the Michigan Brain and Spine Surgery Center at various locations in Michigan. Dr. Zamorano is certified to perform robot-assisted minimally invasive spine surgery. She completed a neurosurgery fellowship at Henry Ford Hospital in Detroit and serves as a clinical professor at Oakland University and William Beaumont School of Medicine in Royal Oak, Mich. She holds several honors and awards for her research nationally and internationally.

Becker’s ASC Review features general business, legal and clinical guidance on topics including joint-ventures, development and expansion, and regulatory and compliance issues; as well as analysis and insight for specialties including bariatrics, orthopedics/spine, gastroenterology, neurosurgery, pain management, ophthalmology, ENT and anesthesiology. Each of the nine annual issues of the publication reaches a qualified audience of more than 25,000 key business decision-holders, including surgeons, medical directors, directors of surgery, ASC administrators and others involved in the rapidly growing field of outpatient surgery. Further, every ASC in the nation receives Becker’s ASC Review.

Filed Under: News

04/17/2013 Article – New Concussion Guidelines

guidelinesAt a press conference held at the American Academy of Neurology’s (AAN’s) 2013 Annual Meeting, the release of new AAN guidelines for the evaluation and management of sports-related concussion (SRC) were announced. The recommendations update the 1997 AAN sports concussion practice parameter and were published online in Neurology on March 18, 2013.[1] The new guidelines attempt to address uncertainty and inconsistency in the management of concussion and mild traumatic brain injury (TBI) by addressing 4 clinical questions:

1. For athletes, what factors increase or decrease concussion risk?

2a. For athletes suspected of having sustained concussion, what diagnostic tools are useful in identifying those with concussion?

2b. For athletes suspected of having sustained concussion, what diagnostic tools are useful in identifying those at increased risk for severe or prolonged early impairments, neurologic catastrophe, or chronic neurobehavioral impairment?

3. For athletes with concussion, what clinical factors are useful in identifying those at increased risk for severe or prolonged early postconcussion impairments, neurologic catastrophe, recurrent concussions, or chronic neurobehavioral impairment?

4. For athletes with concussion, what interventions enhance recovery, reduce the risk for recurrent concussion, or diminish long-term sequelae?

The new AAN recommendations — divided into preparticipation counseling; assessment, diagnosis, and management of suspected concussion; and management of diagnosed concussion — were nicely summarized at the press event by lead authors Christopher C. Giza, MD, and Jeffrey S. Kutcher, MD. However, some areas of the guideline are open to interpretation, particularly when it comes to deciding when it is acceptable to allow an athlete with a suspected concussion to return to play. The following summary serves as a guide to the new report, highlighting the major recommendations and providing additional clarification based on comments from Drs. Giza and Kutcher.

… [Continue Reading]

Filed Under: Concussion

St. Vincent de Paul 25th Annual Banquet

Michigan Brain and Spine Surgery Center congratulates all that received awards at the 25th annual awards banquet of the Society of St. Vincent de Paul. We thank you for your service and commitment to the poor.

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Filed Under: Community Events Tagged With: Community Support

10th Annual Chaldean American Chamber of Commerce

Michigan Brain and Spine Surgery Center, Lucia Zamorano, MD, PLC celebrates the Chaldean American Chamber of Commerce 10th Annual Dinner on April 12, 2013. We congratulate His excellency Bashar Warda, Archbishop of Erbil and John Loussia of Value Wholesale for being the 2013 honorees.

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Filed Under: Community Events Tagged With: Community Support

New Approaches to Monitor Stroke

stroke-monitoringStroke is a common, potentially devastating disease with potential high morbidity and mortality. Recognition at the onset of acute ischemic stroke is pivotal to changing outcomes such as intravenous thrombolysis. Stroke monitoring is a burgeoning field with various methods described and newer devices that aid in detecting acute or worsening ischemia that can lead to improved bedside and intensive care unit management. This article describes various methods of bedside stroke monitoring including newer techniques of intracranial pressure monitoring using the pressure reactivity index and compensatory reserve index to detect changes in autoregulatory states, noninvasive intracranial pressure monitoring, quantitative EEG with alpha–delta ratio, transcranial Doppler, methods of arteriovenous brain oxygen monitoring such as jugular venous oxygen and near-infrared spectroscopy, invasive brain oxygen probes such as LicoxTM (brain tissue O2), cerebral blood flow probe (CBF HemedexTM) and cerebral microdialysis.

… [Continue Reading]

Filed Under: Stroke Tagged With: stroke

Suspect Concussion? Remove Athlete from Play

american academy of neurologyAmerican Academy of Neurology Releases Concussion Guideline Update

Athletes who are suspected of having a concussion should be removed from the game immediately and not returned until assessed by a licensed health care professional trained in diagnosing and managing concussion. That is one of the recommendations from the American Academy of Neurology (AAN), which today released an update to its evidence-based guideline for evaluating and managing athletes with concussion. The new guideline is endorsed by several athletic, medical, and patient groups.

… [Continue Reading]

Filed Under: Guidelines

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Clinical Expertise

  • Auto & Workman’s Compensation
  • Brain & Spine Tumors
  • Cervical Spine Surgery
  • Computer Assisted Surgery
  • Endoscopic Lumbar Fusion
  • Endoscopic Spine Surgery
  • Endoscopy Brain
  • Endoscopy Spine
  • Epilepsy Surgery
  • Gamma Knife
  • Intra-Operative MRI
  • Kyphoplasty
  • Laser Surgery
  • Low Grade Gliomas
  • Lumbar Spine Surgery
  • Minimally Invasive Surgery
  • Movement Disorders
  • Neurosurgical Oncology
  • Pain Management
  • Pituitary Tumors
  • Radio Surgery
  • Robotic Surgery
  • Robotics Endoscopic Spine Surgery
  • Skull Base Surgery
  • Spinal Cord Injury
  • Spine Surgery
  • StemWave Non-Invasive Acoustic Wave Therapy Machine
  • Stereotactic Surgery
  • Traumatic Brain Injury
  • Trigeminal Neuralgia

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We offer immediate patient scheduling 24/7. Our VIP/Concierge Services Program offers a full array of services for the discerning patients and families as well as out of town or international patients and families. Learn more.

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