Neuro Pathways: A Cleveland Clinic Podcast for Medical Professionals

Latest in Spinal Cord Injury Management Apr 01, 2021

Spinal cord injury is a debilitating neurological condition that requires providers to address issues beyond the loss of motor and sensory function. In this episode, Gregory Nemunaitis, MD discusses the importance of early intervention, the role of stem cells and steroids for treatment options and the latest innovations in technology for patients with spinal cord injury.

MR Fingerprinting: A Promising New Approach Mar 15, 2021

MR fingerprinting (MRF) has emerged as an alternate imaging method that can successfully address problems associated with conventional and advanced imaging modalities. In this episode, Dan Ontaneda, MD and Irene Wang, PhD discuss the specific advantages of MRF and its use in the diagnosis and monitoring of neurological disorders.

Suicidality in Individuals with Neurological Disorders Mar 01, 2021

Suicidal ideation and behavior have been associated with a variety of neurological illnesses. In this episode, Tatiana Falcone, MD discusses the importance of early screening, management and the use of therapeutics for suicidality in patients with neurological disorders.

Alzheimer’s Disease: Current and New Advances in Treatment Feb 15, 2021

Alzheimer’s disease is one of the most challenging conditions to manage due to the lack of disease-modifying treatment options. In this episode, Babak Tousi, MD discusses the developing therapies in Alzheimer’s disease management that may soon change the outlook for new and existing patients.

Obstructive Sleep Apnea's Impact on Comorbidities Feb 01, 2021

Mobile stroke treatment units bring acute stroke care to a patient’s doorstep, reducing time to treatment with tPA and endovascular therapy. In this episode Andrew Russman, DO shares insights learned on collaborating across municipalities and teams to improve clinical outcomes for stroke patients.

Mobile Stroke Treatment Units: Lessons Learned From an Early Adopter Jan 15, 2021

Mobile stroke treatment units bring acute stroke care to a patient’s doorstep, reducing time to treatment with tPA and endovascular therapy. In this episode Andrew Russman, DO shares insights learned on collaborating across municipalities and teams to improve clinical outcomes for stroke patients.

Functional Movement Disorders: Diagnosis & Management Dec 15, 2020

Functional movement disorder, traditionally viewed as a psychological condition, used to be a diagnosis of exclusion. In this episode Xin Xin Yu, MD and Taylor Rush, PhD discuss diagnosing the disorder and unique challenges that physicians may face.

Applications of 7T in the Care Continuum Dec 01, 2020

7T MRI displays characteristics of the brain more precisely than 3T, which is more widely used. In this episode, Stephen Jones, MD, PhD discusses the advantages and drawback of 7T MRI and the cases that may benefit from this technology.

Teleneurological Services Unbound: Bringing Virtual Subspecialty Care to Providers and Patients Nov 16, 2020

The COVID-19 pandemic has fueled not only a surge in virtual outpatient visits, but also an increase in telemedicine for subspecialty neurological care. In this episode Zeshaun Khawaja, MD, shares the latest developments on how telemedicine is increasing access, improving patient care and reducing burnout.

Ketamine Research for Treatment-Resistant Depression (Early Work Through Current State) Nov 01, 2020

Roughly one in 10 Americans takes an antidepressant to aid in the debilitating symptoms of clinical depression, but for some medications don’t work. In this episode, Amit Anand, MD, discusses the evolving therapies for treatment-resistant depression, including ketamine and esketamine.

Gender Dysphoria Oct 15, 2020

In the U.S., approximately 1.4 million adults identify as transgender and the number of transgender people accessing healthcare for gender dysphoria and related treatments is on the rise. In this episode, Murat Altinay, MD discusses the neurological underpinnings and managing care for individuals with gender dysphoria.

Multi-Modal Monitoring in the Neuro ICU Oct 01, 2020

Multimodal monitoring (MMM) in the neurointensive care unit is increasingly utilized in patients with devastating neurologic injuries and has been advocated as an important feature of neurocritical care. In this episode, Christopher Newey, DO, discusses the challenges of integrating multiple monitoring inputs, the quest for real-time data display and the current and emerging MMM efforts in Cleveland Clinic’s Neuro ICUs.

Surgical Decision-Marking for Movement Disorders Sep 01, 2020

Surgical approaches are an important consideration in the management of many movement disorders, particularly for patients’ refractory to medications. In this episode, Head of the Deep Brain Stimulation Program and staff neurologist, Ben Walter, MD, engages in conversation regarding the underutilization of surgical interventions and he explains when surgery should be considered for patients with conditions like Parkinson’s disease and essential tremor.

Frailty and Prehabilitation in Spinal Deformity Aug 15, 2020

Frailty is the most problematic expression of population ageing as it affects an estimated 7-12% of Americans age 65+. In this episode, Augusto Hsia Jr. MD, discusses proactive ways to reduce frailty in the patient population and how prehabilitation can help improve outcomes for spine surgery.

Next Frontiers in Monitoring the Progression of Multiple Sclerosis Aug 01, 2020

Treatments for multiple sclerosis have increased in the last decade, making early diagnosis and patient monitoring an important piece in overall care. As a result, relying on standard MRI and checking patients’ reflexes may no longer be enough. In this episode, Robert Bermel, MD discusses emerging technologies that meet the needs in MS patient care, such as the central vein sign and optical coherence tomography.

Neurological Manifestations of COVID-19 Infection Jul 15, 2020

Growing data indicates there are neurological manifestations of COVID-19 infection. In this episode Jeffrey Cohen, MD, discusses the mounting evidence and the neurological manifestations presenting in COVID-19-positive patients.

Physician Burnout & Care in a Crisis Jul 01, 2020

Six out of 10 neurologists reported at least one symptom of burnout, potentially compromising their own wellbeing, patient care, and the physician workforce. In this episode, Amy Sullivan, PsyD, ABPP discusses how mental health and resiliency are leading concerns in physician burnout even more during the current COVID-19 crisis.

Indications and candidates for trigeminal neuralgia surgery Jun 15, 2020

Section Head of Headache and Facial Pain in Cleveland Clinic’s Center for Neurological Restoration, Emad Estemalik, MD, discusses the importance of multidisciplinary care and the challenges of diagnosing and treating trigeminal neuralgia in this Neuro Pathways podcast episode.

Implications of Stem Cells in Multiple Sclerosis Research and Treatment Jun 01, 2020

Director of the Experimental Therapeutics Program in Cleveland Clinic’s Mellen Center for Multiple Sclerosis, Jeffrey Cohen, MD, shares insights on how stem cell-based therapies may provide revolutionary treatment options for neurological disorders and deliver exciting prospects in modern medicine.

Bedside-to-Bench-to-Bedside: The Keys to Successful Collaboration in Neuroscience Research May 15, 2020

The development of basic science discoveries into clinical applications – often described as “bench to bedside” work – is the central goal of translational research. In this episode, Bruce Trapp, PhD sheds light on how scientists and physicians are working together, beginning at the bedside, to turn scientific discoveries into healthcare solutions for patients with neurological disorders.

Bioethical Considerations in Today’s Neurology and Neurosurgery Practice Apr 08, 2020

Neurologists and neurosurgeons regularly confront complex clinical situations that require the application of ethical principles to achieve a respectful and fair resolution. In this episode, Lauren Sankary, JD discusses the emerging role of bioethics and the bioethical considerations facing providers and patients in today’s practice.

Novel therapies in the treatment of glioblastoma Mar 15, 2020

Neuro-oncologist Manmeet Ahluwalia, MD details precision medicine-based approaches, immunotherapies and targeted therapies – the way of the future for glioblastoma treatment.

Epilepsy Surgery: New Methods to Pinpoint the Right Candidates Mar 01, 2020

Epilepsy affects 3.5M people in the U.S. and although many are medically managed, an astounding number still experience seizures. In this episode, Imad Najm, MD discusses implications of medically intractable and uncontrolled seizures, and the latest methods used in epilepsy surgery candidate selection.

Identification and Management of Post-ICU Syndrome Feb 15, 2020

A growing movement to identify and manage post-ICU syndrome (PICS) in patients and families is the focus of this Neuro Pathways podcast episode, featuring Joao Gomes, MD, head of Cleveland Clinic’s Neuro Intensive Care Units.

Managing the Complexities of Chronic Back Pain Feb 01, 2020

The need for early intervention and to gain a deeper understanding of the factors contributing to each patient’s pain, within the care of a multidisciplinary team, is the focus of this Neuro Pathways podcast featuring Sara Davin, PsyD, and Kush Goyal, MD.

Innovating with Clinical Intent through Tech-enabled Data Capture Jan 15, 2020

Join biomedical engineer and Cleveland Clinic Neurological Institute Vice Chair of Innovation, Jay Alberts, PhD, as he discusses how the future of neurological care resides in harnessing the power of big data and deep, integrated collaboration between clinicians, statistical and technical experts, and patients.

Adoption of New Technologies for Multiple Sclerosis Rehabilitation Jan 01, 2020

Francois Bethoux, MD, engages in a discussion with Alex Rae-Grant, MD, as he explores the evolution of multiple sclerosis rehabilitation and advent of new technologies including, exoskeletons and virtual reality platforms.

Use of Artificial intelligence in Spine Surgery Decision Making Dec 15, 2019

Join Tom Mroz, MD, as he discusses the use of artificial intelligence and its redefining role in value-based spine care.

Diagnosis and Management of Psychogenic Non-epileptic Seizures Dec 01, 2019

Becky Tilahun, PhD, and Jocelyn Bautista, MD, discuss the challenges of psychogenic non-epileptic seizure (PNES) diagnosis and their multi-disciplinary approach to treating and supporting patients with PNES.

Standard of care and novel therapies in the treatment of brain metastases Nov 15, 2019

Neurosurgeon Gene Barnett, MD and Neuro-oncologist Manmeet Ahluwalia, MD discuss a revolutionary shift in the treatment of brain metastases – coupling targeted and immunotherapies with radiosurgery to deliver superior outcomes.

Advent of New Spine Surgery Approaches & Technologies Nov 01, 2019

Cleveland Clinic Chairman of Neurosurgery, Mike Steinmetz, MD discusses the latest advances in minimally invasive spine surgery, including new approaches and technologies, with host Alex Rae-Grant, MD.

Latest Advances in the Treatment of Brain Aneurysms Oct 15, 2019

As endovascular alternatives become commonplace, approaches to surgical planning for brain aneurysms is evolving. Join neurosurgeon Mark Bain, MD and host Alex Rae-Grant, MD as they discuss the changing landscape of brain aneurysm treatment.

Evaluating and Managing Lewy Body Dementia Oct 01, 2019

Brain health expert Jim Leverenz, MD joins host Alex Rae-Grant, MD in a discussion that provides clarity around the diagnosis of Lewy body dementia, and how clinicians can better evaluate and manage the disease for patients and their families.

Incorporating Sleep Management Into Routine Neurological Care Sep 16, 2019

Join Nancy Foldvary-Shaefer, DO, Director of Cleveland Clinic's Sleep Disorders Center as she discusses the connections between sleep disorders and neurological conditions, and how providers can proactively screen for these conditions in their practice.

Evolution of Our Understanding of Parkinson Disease Sep 01, 2019

Parkinson disease (PD) is the second most common neurodegenerative disorder in the U.S. Host Alex Rae-Grant, MD engages Hubert Fernandez, MD in a discussion of how our understanding of PD has evolved and how the emergence of targeted therapies is changing the treatment landscape for clinicians.

Managing Patients in the Opioid Crisis Era Aug 15, 2019

Join David Streem, MD, as he discusses the opioid crisis, safe opioid prescribing, and overdose prevention.

Advancements in Neuromodulation for the Treatment of Epilepsy Aug 01, 2019

Epileptologist Dileep Nair, MD discusses the evolution of neuromodulation in the treatment of medically refractory epilepsy, patient selection, and how the latest option, deep brain stimulation, can be adopted into practice.

Emerging Therapies in the Treatment of Progressive MS Jul 15, 2019

Multiple sclerosis specialists Bob Fox, MD and Alex Rae-Grant, MD discuss the latest trials and emerging therapies in the treatment of progressive MS.

Complexities in Acute Stroke Treatment and Making the Best, Timely Decision for Patients Jun 10, 2019

Shazam Hussain, MD joins Alex Rae-Grant, MD in a discussion of the evolution and complexities of acute stroke treatment, and newest interventional options available to neurologists and neurosurgeons.

Emerging Therapies for Migraine - Making Sense of the Hype Jun 10, 2019

Join Zubair Ahmed, MD, as he discusses the commonality and treatment history of migraines, and addresses the practical use of the new class of CGRP monoclonal antibodies for preventing migraines.

Implementation And Patient Experience With Outpatient Subspecialty Teleneurology Jun 10, 2019

Marisa McGinley, DO shares the first published data on the use of telemedicine in a large-scale neurology practice, and how others can adopt this technology for their own practice.

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