News for members of the Western Neurosurgical Society

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Summer 2018


2018 Annual Meeting

2018 Western Neurosurgical Society Meeting
Kohala Cost, Hawaii, HI
Fairmont Orchid Resort
September 14-17, 2018
            For our 64th annual meeting, we return to the Kohala Coast on the big island of Hawaii, this time for our first visit to the Fairmont Orchid Hawaii resort.  The resort is adjacent to the Mauna Lani hotel where we have met 4 times in the past so many of our members will be familiar with the area. 
Fairmont Orchid Hawaii is a Four Diamond resort hotel featuring an award-winning Spa, a 10,000 square foot ocean side pool, six restaurants, beach club, year-round children's program, golf, fitness center and tennis pavilion.
We have negotiated room rates to include a Fairmont garden view room for $269/night, Partial Ocean View rooms for $279 and Ocean View rooms for $299.  Taxes will add 14.4% to each room’s daily cost.  All rooms the same size and same amenities of complimentary Wi-Fi access, 42” LCD HD television with built in media hub and iPod adapter, refrigerator, Keurig coffee maker, spacious marble bathroom with separate shower and bathtub, and a private furnished lanai.
The $30/night resort fee has been waived for our group but we still will enjoy the amenities of unlimited basic internet access in guest rooms and resort public areas, self-parking for one vehicle per room, any local, domestic long distance and 1-800 access calls from your guest room, nightly housekeeping turndown service with bottled water for each registered guest, 24 hour access to the fitness center, on-demand shuttle transportation within the Mauna Lani Resort area, one-hour snorkel equipment rental (based on two sets per room, per day) and various cultural hikes including one to the nearby petroglyph field, lei making ocean side on a grassy knoll, Hawaiian outrigger canoe paddling in the open ocean, stand up paddle boarding in the bay and snorkeling adventures.
The resort is 22 miles from the Kona airport along highway 19.  A shared shuttle from the airport to the Orchid ( is about $125 plus tips for 2 persons round trip while a cab (—minivan or SUV) for up to 6 folks is $75 one-way plus tip.  Renting a full-size car at the airport will run you $270/week (Dollar).  Rental cars available at the Orchid.
The resort has a Keiki Aloha children's program designed to enhance your keiki's (child's) Hawaiian vacation experience.  Children between 5-12 can take part on a daily basis with a half day (9-12) costing $85 and a full day (9-4) going for $105.  There is also a Keiki kid friendly cuisine at Brown's Beach House, Hale Kai Restaurant, Norio's Steakhouse and Sushi Bar, and Luana Lounge.   Children five years of age and under eat for free when ordering from the Keiki Menu and dining with a registered adult guest. Children 6-12 years of age can order from the Keiki Menu or order a half portion from the regular dining menu with 50% off menu pricing.
Afternoon activities including golf and tennis are described on the meeting registration form located on the WNS Website at in the Forms menu item. 

As of July 8th, there were still a few rooms left at our Orchid special rate.  A link to reserve a room is  You will be required to make a deposit consisting of the cost of two room nights plus taxes.

We note that quite a few of you have reserved rooms but have yet to register for the meeting.  The registration cost goes up on 8/8 so coughing up your $1100 now would be wise.


Hawaii Venue Far From Volcano

Unless you have been in coma for the last few weeks, you have repeated heard about the eruption of the Kilauea volcano on the big Island and the broadcast press has, in their usual scare-you-so-as-to-improve-ratings mode, described devastation, home destruction and lava flow to the sea along with air fouled by life-threatening chemicals.

While there has been a significant threat to property in the region of the volcano, that region is 80 miles from the Kona Coast where our meeting venue, the Fairmont Orchid, is located.  It is also about 75 miles from the Kona Airport where almost every one attending our annual meeting in September will land.

Occasionally, when the prevailing winds briefly abate (those winds blow the volcanic emissions south and not toward the Orchid) , the vog (volcanic smog) can reach the resort.  Jay Morgan, our meeting Local Arrangements Chairperson, reports that the weather in the Orchid resort area is only occasionally affected and then in a mild fashion--certainly not enough to
interfere with any resort activities including golf and tennis and outdoor dinning.  He does recommend making early reservations for helicopter rides as the quite spectacular views from the air are very popular now.  Weather updates provided by Hawaii officials are located at:

Considering that our meeting is two months from now, it would seem likely that Kilauea will have settled down by then.

So the message is:  See you in Hawaii !!!!

Resident Award--Clinical Science

Yevgeniy Freyvert, MD  
Congratulations to Dr. Yevgeniy (Yev) Freyvert for winning the Clinical Science award for this year’s Western Neurosurgical Society meeting. 
Yev was born in St. Petersburg, Russia and immigrated to the San Francisco Bay Area in the early nineties with his family. In the spirit of Silicon Valley innovation, he became fascinated with biomedical engineering while attending high school.  He explored his interest through a research assistant position at Stanford where he helped develop electrosurgical instruments, new methods of in-vivo gene delivery, and the first generation of retinal prostheses.  He was accepted to UC Berkeley, where he completed his BA in Neuroscience and Integrative Biology.  While attending Berkeley, Yev was recruited by Sangamo Biosciences as a research associate to develop transgenic organisms and cell lines for multinational scientific collaborations.
After four years in biotech, Yev decided to pursue his MD at SUNY Upstate, where he resumed his work with cortical and retinal electrophysiology.  He was elected into the Alpha Omega Alpha Honor Society in 2013 and graduated Cum Laude in 2014. Yev was elated to return to California for his neurosurgical residency at UCLA.  For the last few years, he has worked to harness the effects of spinal cord stimulation in spinal injury under the mentorship of Dr. Daniel Lu.
Yevgeniy won many awards while at SUNY and has been involved with research and scientific innovation throughout much of his education.  Dr. Freyvert is well published and has presented much of his work at well-established venues.
While not engaged in research or his own studies, Yev loves the outdoors; he is an avid hiker and has visited 26 National Parks to date.  He also enjoys climbing and is attempting to ascend the highest point in each state – I think Florida will be his easiest.  He has done 23 states so far and ultimately hopes to summit the highest point on every continent.  He also enjoys regular sports such as running, tennis, and whitewater rafting.
Unfortunately, it does not sound like his family will be able to attend the Hawaii meeting, but he hopes that his girlfriend Melissa Mazariegos will be able to escape her studies as a first-year medical student to join him on the big island for a few days.

Dr. Freyvert's presentation at the meeting is entitled "Transcutaneous electrical stimulation and a serotonin agonist re-enable volitional hand control in tetraplegic patients".

--Greg Gerras
WNS Communications Committee
Resident Award--Basic Science

Allen Ho, M.D.
Allen Ho was born in Irvine, CA into a Taiwanese family whose patriarch was an ophthalmologist in Taiwan.  In high school he knew he wanted to be a doc so matriculated into the BA/MD program at UCSD.  After completing the BA requirements (Phi Beta Kappa), he opted out of that program and attended Harvard Medical School, adding a year to complete a Howard Hughes Medical Research Fellowship at MD Anderson.  Interning at Stanford is where he got the Palo Alto bug and joined the training program at the Farm in 2015 where he today is a PGY5.
He attributes his interest in neurosurgery to his interactions with Ben U (a Western member) and Mike Levy (pediatric neurosurgeon) when he was at UCSD.
Considering Allen’s research oriented path into medicine, it is not surprising he has a significant bibliography, one that most candidates for Associate Professorship might envy.  He has co-authored 71 peer reviewed articles, co-edited two textbooks and co-authored 23 book chapters.
For his award presentation, Dr. Ho will discuss some of his work with potential major social impact as the title implies: Initial Optimization of Nucleus Accumbens DBS with Coordinated Reset Stimulation for Binge Drinking.
We look forward to meeting Dr. Ho and his friend Jane Shin in Hawaii.
--R. Smith
Communications Committee
Robert Edmund Florin, MD   1928-2018
It really pains this writer to have to pen an obituary about such a good old friend as Bob Florin.  I met Bob at the Western oh so many years ago and enjoyed his quiet, pleasant demeanor and how well he meshed with his wife Greta.  My wife Florence and I found it quite easy to be around Bob and Greta and to relax in the aura of his demeanor and his low, slightly gravely voice.  Bob served as President of the Western, which he joined in 1964, when I was in my first year as Secretary/Treasurer in 1997 and working with him and his gracious and gentlemanly manner falsely led me to assume the ST job was going to be a piece of cake.

Bob was known as the procedure coding guru, a title he inherited when Cone Pevehouse stepped back, and he spoke often to neurosurgical groups and at some length about how the payors tried to flummox us docs and he reveled in the coding improvements he was able to get through the Federal thicket.  It was of no surprise that his efforts led to receiving the Distinguished Service Award from the AANS, the Pevehouse Distinguished Service Award form the California Association of Neurological Surgeons and the Leibrock Lifetime Achievement Award from the Council of State Neurosurgical Societies. The Robert Florin Resident Award was created in Bob's name and is given at each AANS meeting to the best resident presentation on a socioeconomic topic.

Bob was Born on June 15th, 1928 and after a full life of 90 years, died on February 15th, 2018.  He began his tertiary education at the age of 15 at the University of Chicago and completed his undergraduate degree at UC Berkeley (Phi Beta Kappa) followed by a medical degree at USC where, after a 2-year stint in the US Air Force, he also underwent his neurosurgical training in 4 years as was common in those days of yore. Following his residency, he went directly into private practice in Whittier in 1960 and remained there until his retirement in 1996.  Bob was venerated by those among whom he practiced, particularly those at Whittier Presbyterian Hospital where he mostly practiced and where he was Chief of Staff in 1971.  At his funeral service in February, those attending were peppered with many of the hospital's nursing staff.  Nurses, as we all know, recognize quality when they see it.

Bob enjoyed woodworking, Porches, classical music, photography and chocolate.  He and Greta were fond of touring Europe which his unfortunate affliction with spinal column degenerative disease curtailed as he aged and also led to his absence at Western meetings since the millennium.

He is survived by dear Greta and daughter Tina (both helped me with this obituary) plus his son Christopher and three grandsons Christian, Andrew and Steven.

They say that the good die young.  They also die old.

Randy Smith
Communications Committee, friend
Homer G. McClintock, MD   1917-2017
The Western lost long-time member Homer McClintock in October of 2017 in his 90th year.  He had been one of our Denver area members since 1970.
Homer was born and raised in Pittsburgh, Pennsylvania and attended the University of Pittsburgh for his undergraduate work as well as his MD training.  He took his sheepskin into the Navy during WWII serving 4 years as a doc in the South Pacific.  Following the war, he went on to get his neurosurgical training at the University of Michigan and then briefly practiced in Pittsburgh before moving to Denver in 1952 where he practiced neurosurgery for 40 years predominantly at Denver’s Presbyterian hospital.
Dr. McClintock was particularly interested in microneurosurgery and studied in its use in Switzerland in 1968 and introduced the machine’s use in his hospital.
Homer was also interested in the Rocky Mountain Neurosurgical Society of which he was a founding member and served as its first President.
He was an avid and accomplished golfer (he lettered in that plus hockey at Pitt). He served on the Board of the Colorado Golf Association from 1965-1982. During his tenure, he helped establish the Eisenhower Scholarship Program at the University of Colorado. In 1977, Homer was honored to receive a lifetime membership in the Colorado Professional Golf Association. In 2016, the Colorado Golf Hall of Fame honored Homer with a lifetime achievement award.
Homer and his first wife Priscilla had 4 children: Richard, Jeffrey, Susan and Mark and after his 1998 marriage to Shirley he garnered stepsons David and Daniel.  He thus left 9 grandchildren and 9 great-grandchildren to survive him along with Shirley and his brother Jack.

Randy Smith
Communications Committee 
Friday, September 14th, 2018
12pm – 4pm Executive Committee Meeting                     The Boardroom
12:30pm – 11pm Exhibits/Setup Salon 3
2pm – 5pm Registration Salon 3 Foyer
6pm – 9:30pm Welcome Reception Croquet Lawn
Saturday, September 15th, 2018
6:45am – 7:25am Breakfast with Exhibitors Salon 3
6:30 - 12:00pm Registration Salon 3 Foyer
7:35am – 8:30am Scientific Session 1 Plaza Ballroom
8:30am – 10am Spouses Breakfast Nanea Lanai
8:30am – 9:15am Scientific Session 2 Plaza Ballroom
9:15am -9:45am General Interest Topic/The Volcano Plaza Ballroom
9:45am – 10:15am Coffee Break with Exhibitors Salon 3
10:15a, - 10:45am Tribute to Charlie Wilson Plaza Ballroom
10:45-12pm Scientific Session 3  Plaza Ballroom
Noon Adjourn for day  
1pm - 5pm *Tennis Tennis Courts
1pm – 5pm *Golf Meet at Front Entrance for Shuttle
1:30pm – 5:00pm *Snorkeling/Boat ride Meet near Self Parking Lot
6pm – 9:30pm Local Night/Dinner Coconut Grove
Sunday, September 16th, 2018
6:30am – 8:00am Business Meeting (Members Breakfast) Promenade 12
6:30am –8:00 am Breakfast w/Exhibitors (nonmembers) Salon 3
6:30 - 12:00pm Registration Salon 3 Foyer
8 am – 9:00am Scientific Session 4 Plaza Ballroom
9:45- 10:35 Ablin Award Lecture/Michael Edwards Plaza Ballroom
8:30 am – 10am Spouses’ Breakfast Nanea Lanai
10:35am – 11am Coffee Break with Exhibitors Salon 3
11am – 12:30 Cloward Award Lecture/Ed Laws Plaza Ballroom
12:30pm Adjourn for the Day  
1pm – 5pm *Golf Meet at Front Entrance for Shuttle
1pm – 5pm *Tennis Tennis Courts
2pm – 5pm *Cultural Petroglyphs & Historical Hike Meet at Beach Shack
2pm – 5pm *Helicopter Ride Meet at Shuttle Pick up
5:45pm – 10pm Keiki Club (children) Maile
5:45pm – 6:00pm New Member w/Executive Committee Reception Ballroom Courtyard
6pm – 10:30pm Reception/Black Tie Dinner/Dancing Salon 12 & Foyer
Monday, September 17th, 2018
6:45am – 7:30am Breakfast with Exhibitors Salon 3 Room
7:30am – 12pm Registration Salon 3 Foyer
7:30am – 8am Resident Presentations Plaza Ballroom
8:30am – 10am Spouses Breakfast Nanea Lanai
8am -10am Scientific Session/TBD Plaza Ballroom
9:50am–10:15am Coffee Break with Exhibitors Salon 3 Room
10:15am – 12pm Tumor Symposium Plaza Ballroom
12pm Meeting Adjourns See you in Arizona!
WNS Members in Print  (Journals followed: AANS journals, CNS journals, Spine, SNI)

AANS Neurosurgeon Spring 2018
Sharona Ben-Haim, MD Serving the Underprivileged: Alexa Irene Canady, MD, FAANS(L)
Bob Carter, MD, PhD Cautery: Hot Tips
JNS-Peds May 2018
Nathan R. Selden, MD, PhD Incidence of symptomatic tethered spinal cord in pediatric patients presenting with neurofibromatosis types 1 and 2

JNS-April 2018
Andrew S. Little, MD Immediate ex-vivo diagnosis of pituitary adenomas using confocal reflectance microscopy: a proof-of-principle study
Bob S. Carter, MD, PhD Oligodendroglioma resection: a Surveillance, Epidemiology, and End Results (SEER) analysis
Gerald A. Grant, MD Improved operative efficiency using a real-time MRI-guided stereotactic platform for laser amygdalohippocampotomy
Andres M. Lozano, MD, PhD Deep brain stimulation for Parkinson’s disease: meta-analysis of results of randomized trials at varying lengths of follow-up
JNS-May 2018
Mitchel S. Berger, MD Intraoperative perception and estimates on extent of resection during awake glioma surgery: overcoming the learning curve
Mitchel S. Berger, MD Wavelength-specific lighted suction instrument for 5-aminolevulinic acid fluorescence-guided resection of deep-seated malignant glioma: technical note
Nathan R. Selden, MD, PhD A microcontroller-based simulation of dural venous sinus injury for neurosurgical training
Bob S. Carter, MD, PhD Impact of neurosurgeon specialization on patient outcomes for intracranial and spinal surgery: a retrospective analysis of the Nationwide Inpatient Sample 1998–2009
JNS-June 2018
Michael T. Lawton, MD Isolated abducens nerve palsy associated with subarachnoid hemorrhage: a localizing sign of ruptured posterior inferior cerebellar artery aneurysms
JNS-July 2018
William T. Couldwell, MD, PhD and Joel D. MacDonald, MD Validation of the unruptured intracranial aneurysm treatment score: comparison with real-world cerebrovascular practice
Michael T. Lawton MD Revascularization of the upper posterior circulation with the anterior temporal artery: an anatomical feasibility study
Marc S. Schwartz, MD Translabyrinthine microsurgical resection of small vestibular schwannomas
Michael T. Lawton MD Contralateral posterior interhemispheric approach to deep medial parietooccipital vascular malformations: surgical technique and results
JNS-Spine April 2018
Jefferson W. Chen, MD, PhD A historical recount of chordoma
Praveen V. Mummaneni, MD Editorial. Damage capitation as malpractice reform
JNS-Spine June 2018
Praveen V. Mummaneni, MD Editorial. The relevance of sagittal radiographic parameters
JNS-Spine July 2018
Michael T. Lawton, MD The subatlantic triangle: gateway to early localization of the atlantoaxial vertebral artery
Jan Paul Muizelaar, MD, PhD Multiple extraspinal recurrences of ependymoma 13 years after spinal cordectomy: case report
Neurosurgical Focus April 2018
Michael W. McDermott, MD Introduction. Skull base meningioma treatment strategies
Michael W. McDermott, MD Relationship between tumor location, size, and WHO grade in meningioma
William T. Couldwell, MD Preoperative embolization of skull base meningiomas: current indications, techniques, and pearls for complication avoidance
Mitchel S. Berger, MD and Michael W. McDermott, MD Tuberculum sellae meningiomas: grading scale to assess surgical outcomes using the transcranial versus transsphenoidal approach
Neurosurgical Focus May 2018
Neil A. Martin, MD Introduction. Neurosurgical economics and cost-effectiveness
William T. Couldwell, MD, PhD Analysis of cerebrovascular aneurysm treatment cost: retrospective cohort comparison of clipping, coiling, and flow diversion
Andrew S. Little, MD and Michael T. Lawton, MD Patient out-of-pocket spending in cranial neurosurgery: single-institution analysis of 6569 consecutive cases and literature review VIDEO
Frank P. K. Hsu, MD, PhD Strategic hospital partnerships: improved access to care and increased epilepsy surgical volume
William T. Couldwell, MD, PhD and Andrew Dailey, MD Assessment of cost drivers and cost variation for lumbar interbody fusion procedures using the Value Driven Outcomes database
Mitchel S. Berger, MD and Michael W. McDermott, MD Cost-effectiveness development for the postoperative care of craniotomy patients: a safe transitions pathway in neurological surgery
Neurosurgical Focus June 2018
Michael W. McDermott, MD and Mitchel S. Berger, MD Safety and outcomes of resection of butterfly glioblastoma
Bob S. Carter, MD Chimeric antigen receptor T-cell immunotherapy for glioblastoma: practical insights for neurosurgeons
Michael W. McDermott, MD and Mitchel S. Berger, MD Disparities in health care determine prognosis in newly diagnosed glioblastoma
Neurosurgical Focus July 2018
William T. Couldwell, MD, PhD Cerebral venous sinus thrombosis after vestibular schwannoma surgery: a call for evidence-based management guidelines
Neurosurgery April 2018
Bob S Carter, MD, PhD Superior Prognostic Value of Cumulative Intracranial Tumor Volume Relative to Largest Intracranial Tumor Volume for Stereotactic Radiosurgery-Treated Brain Metastasis Patients
Neurosurgery May 2018
Gerald A Grant, MD Neurosurgical Randomized Controlled Trials—Distance Travelled
Bob S Carter, MD, PhD Risk Factors for Readmission with Cerebrospinal Fluid Leakage Within 30 Days of Vestibular Schwannoma Surgery
Operative Neurosurgery May 2018
Michael T Lawton, MD Clip Reconstruction of Large Posterior Inferior Cerebellar Artery Aneurysm: 3-Dimensional Operative Video
Spine Journal April 2018
Christopher I. Shaffrey Geographic variations in clinical presentation and outcomes of decompressive surgery in patients with symptomatic degenerative cervical myelopathy: analysis of a prospective, international multicenter cohort study of 757 patients
Surgical Neurology International April 2018
Bob S. Carter Carotid artery stenting vs. carotid endarterectomy in the management of carotid artery stenosis: Lessons learned from randomized controlled trials
James I. Ausman Editorial: The coming economic world crisis
Surgical Neurology International May/June 2018
James I. Ausman, Neil Martin A review of the diagnosis and management of vertebral basilar (posterior) circulation disease
Journal of Translational Medicine May 2018
Linda M. Liau First results on survival from a large Phase 3 clinical trial of an autologous dendritic cell vaccine in newly diagnosed glioblastoma
Copyright © 2018 Western Neurosurgical Society, All rights reserved.

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