Acute Neurotherapeutics and Neuromonitoring Fellowship

Overview

The fellowship provides training in management of neurologic emergencies, neurocritically-ill patients, and in-depth training in neuromonitoring. The comprehensive curriculum includes training in the application of neuromonitoring tools, including continuous EEG, invasive neuromonitoring (e.g ICP, brain oxygenation, intracranial EEG), bedside US, and TCD in the NeuroICU setting.

For more information on the fellowship and application instructions please contact Mia Falco.

Curriculum

1. Neurosonology with Transcranial Doppler Ultrasound (TCD) and Carotid Duplex Ultrasound Performance and Interpretation
   Fellows get hands on experience in performing and interpreting TCDs, including for detection of vasospasm in subarachnoid hemorrhage patients.
2. Continuous EEG, Evoked Potential, invasive neuromonitoring:
   Fellows learn to interpret and report critical care continuous EEG, including interpretation of quantitative EEG trends. Fellows also learn to interpret and apply invasive neuromonitoring (eg ICP, brain oxygenation, brain temperature) in the neuroICU. Fellows join weekly EEG case review conferences.
3. Neurocritical Care:
   Neurocritical care rotations provide comprehensive training in management of patients with a wide spectrum of severe brain, spine and peripheral nervous system injuries and diseases. These include traumatic brain injury, cerebrovascular diseases, status epilepticus, neuromuscular emergencies, brain tumors, and infectious and autoimmune diseases.
4. Acute stroke:
   During this rotation, the fellow works closely with the acute stroke attending and residents for acute stroke cases that need to be evaluated for acute intervention. Fellows also receive training in TeleStroke and TeleMedicine.
5. Elective:
   Available electives include Surgical ICU, Medical ICU, Cardiac ICU, interventional pulmonology, airway management and mentored academic projects.