Cerebrovascular neurosurgeon @UofR / alumnus @hopkinsnsurg @mckinsey @yale / @ironmantri triathlete, marathoner, run commuter

Rochester, NY
Joined September 2022
Hemorrhage in moyamoya disease can be due to lenticulostriate aneurysms (LSA). In this case, LSA grew over 1mo in ICU, while pt recovered intact neuro exam. Repeat DSA shows LSA growth from 2mm to 4mm with direct arterial supply to distal MCA branches. @moyamoyafdn @cvsection
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Early follow-up DSA on POD7 shows complete regression of the LSA aneurysm. Bypass fills proximally and distally.
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Direct STA-MCA bypass to frontal branch amidst residual brain swelling. Patent proximally, though not initially distally. Accomplished goal of replacing flow through lenticulostriates, alleviating demand.
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Spinal extradural arachnoid cyst surgery. Profound redundant arachnoid, mercifully small dural defect. Mysterious that some pts have orthostatic HA and others compressive myelopathy. Dilemma addressed by @MarkMamloukMD @Niklas_Luetzen recently PMID 40441881
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@francisdeng delighted to have found the operative video ;)
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Contemplated this case while traveling to inaugural @issclsociety mtg. Pt in 20s w numb/weak BLE with bend/twist. Never HA. Spinal extradural arachnoid cyst Analagous to a Type II CSF leak Straightforward OR... Resect extradural arachnoid, close small dorsal dural defect
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Matt Bender retweeted
Thank you to all the attendees who joined the inaugural @issclsociety meeting. The world experts on #spinalCSFleak!
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Curious about experiences stenting IIH post-CVST? Despite diffuse stenosis and irregular walls, even crossing jugular bulb, I've had great results in pts w recalcitrant papilledema. Route92 half-cath w Tenzing delivery assist is transformational technology for sinus stenting.
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Which of these aneurysms do you think ruptured? Based on imaging? Based on intra-op findings? I'm still not certain. I initially deferred the basilar, ultimately took hybrid approach to cure all @BAFOUND @cvsection @SNISinfo
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Seeing some great new studies for the first issue of JNIS Advances, from stroke to surgery and from new devices to outcome prediction. Submit your work now for rapid, expert peer review and a chance to be included in vol. 1 no. 1! jnisadvances.bmj.com/pages/a… @SNISinfo @JNIS_BMJ
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IT cardene works best when started before any sign of ischemia in aneurysmal SAH @URNeurosurgery @URNeuroscience
🚨 New study in Clinical Neurology and Neurosurgery on aneurysmal subarachnoid hemorrhage (aSAH) management 🩸 🧠 Anticipatory initiation of Intrathecal Nicardipine (ITN)—given before clinical or imaging evidence of delayed cerebral ischemia (DCI)—significantly reduces DCI parenchymal infarcts compared to controls (31.3% vs 55.2%). Key findings: 📉 Starting ITN prior to intra-arterial (IA) spasmolytics significantly lowers the need for serial IA treatments for recalcitrant vasospasm from 71.4% down to 23.1%. 🛡️ It is a safe intervention with no increased risk of EVD-related complications or meningitis. ⚠️ Timing is everything, because reactionary ITN given after DCI onset did not reduce the rate of additional infarcts or the need for serial IA treatments. Question: Does this article change your practice? #NeuroTwitter #NeuroCriticalCare #SubarachnoidHemorrhage #Vasospasm #NeuroSurgery sciencedirect.com/science/ar…
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Save the date! Inaugural meeting of the International Society for Spinal CSF leak in New York City, New York, October 17&18, 2026. ⁦@spinalCSFleak⁩ ⁦@csfleakuk⁩ ⁦@SpinalCSFLeakAu⁩ ⁦@SpinalCSFCanada⁩ ⁦@issclsociety⁩ ⁦@PeterGKranz⁩
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Kicking off day 3 of the 2026 #cerebralvenous & #CSF Disorders Summit with @mtbendermd and Emanuele Orru’, MD 📝
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Skills lab today @URNeurosurgery simulating type 2 and 3 CSF leak repair. Seeing more and more of these cases. Great to practice and teach technique. Appreciate educational grant support from @BioventusGlobal for bone scalpel laminoplasty. @spinalCSFleak
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Such a treat to visit and share my experience treating patients with spontaneous intracranial hypotension. Clever residents and inspiring faculty! @spinalCSFleak @URNeurosurgery
We are honored to welcome Matthew T. Bender, M.D., from @URNeurosurgery, as our Invited Visiting Professor! Join us as we host Dr. Bender for an insightful session sharing his expertise in neurosurgery and patient care. #VisitingProfessor #WakeForestNeurosurg
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What is the inciting insult in #IIH? We’ve argued it’s glymphedema and interstitial fluid accumulation. Excited to see this come out in @HeadacheJournal @URNeuroscience @URNeurosurgery
🧠 New narrative review: A proposed disease model for #IIH suggests altered brain fluid regulation, linked to obesity, may drive a cycle of fluid buildup, venous compression, & ⬆️intracranial pressure. Read the full article: headachejournal.onlinelibrar… @D_SchartzMD @mtbendermd
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After two years and thousands of manuscripts, I’ve learned that the real work of an editor isn’t gatekeeping — it’s partnership. My latest @JACCJournals Editor’s Page: The Partnership 🔗 jacc.org/doi/10.1016/j.jacc.… #MedTwitter #AcademicMedicine #Cardiology @YaleMed @YaleSPH
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Congrats to @AaronAnandaraj1 one of our most productive @penn undergraduates in the #NeuroVERT lab, now a med student up in Rochester. Look forward to following your work with @mtbendermd and crew – at Philadelphia, PA
Excited to have presented my research looking at differences in thrombectomy times based on various social determinants at the regional #APSA conference in Rochester, with my colleagues presenting at #CNS! Thank you for the support from @visishs and @PennNSG over the past year!
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