Cerebrovascular & Endovascular Professor of Neurosurgery Johns Hopkins Views are my own

Baltimore, MD
Joined January 2010
Just got this from a #patient reminds me of #privilege of doing what I love #brainsurgery . #Thankful for the #opportunity to serve @Dukeneurosurg
12
16
3
155
L Fernando Gonzalez retweeted
Congrats to a stellar @HopkinsNsurg resident and even better friend @theconnorliu !
👏Congratulations to resident @theconnorliu who was awarded the 2026-27 @NREFORG & Bagan Family Foundation Research Fellowship Grant for his project: Targeting Monocarboxylate Transporter-1 with an Antibody-Drug Conjugate for the Treatment of Glioblastoma tinyurl.com/5er4h9fj
1
1
10
1,223
L Fernando Gonzalez retweeted
👏Congratulations to resident @theconnorliu who was awarded the 2026-27 @NREFORG & Bagan Family Foundation Research Fellowship Grant for his project: Targeting Monocarboxylate Transporter-1 with an Antibody-Drug Conjugate for the Treatment of Glioblastoma tinyurl.com/5er4h9fj
1
1
36
3,231
Cartagena Diaries: A busy long day ended w celebration ‘the Colombian way’ #ICR2026 We were all asked to dress white - helps w the heat & humidity Sea of attendees - rad leaders - residents all from the conference chilling!
1
6
213
Very nice paper showing benefit using a prophylactic IT approach rather than a delayed therapy. #SAH #vasospasm #DCI #intrathecal
IT cardene works best when started before any sign of ischemia in aneurysmal SAH @URNeurosurgery @URNeuroscience
1
6
528
L Fernando Gonzalez retweeted
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…
3
1
14
2,230
Congrats @salia_farrokh well deserved
Congratulations to our very own lead clinical pharmacist and Assistant Professor Dr. @salia_farrokh for induction into the FCCM, fellow of the American College of Critical Care Medicine! Also a big congrats to our Hopkins NCCU Alumni @LaurenKoffman!! Go @HopkinsNCCU
1
8
505
L Fernando Gonzalez retweeted
Congrats to @JohnsHopkins medical students who matched in neurosurgery at other programs – we’re so excited for you! Kelly Jiang @kellyjjiang, Anita Kalluri @KalooryAnita, Arjun Menta @MentaArjun, Kathleen Ran @kathleen_ran, Denis Routkevitch & Max Saint-Germain @hopkinsmedicine
2
24
1
198
10,550
L Fernando Gonzalez retweeted
Very excited to spend the next year treating our spine patients and learning from the best! @AB93849971 @DanielLubelski
We are over the 🌙 to share that our chief resident @jkhalifeh_md will remain with us as a spine fellow starting July 1.
2
5
41
4,599
L Fernando Gonzalez retweeted
We are over the 🌙 to share that our chief resident @jkhalifeh_md will remain with us as a spine fellow starting July 1.
2
10
2
70
9,596
TOMORROW: The next #SNISInsightswebinar: “Introduction to NRMP” is 1/29 at 4PM ET. Moderators Krisztina Moldovan, MD and @JPTsaiMD will sit down with Jeanette Calli, the Chief of Match Operations at NRMP. Register: register.gotowebinar.com/reg…
3
4
697
L Fernando Gonzalez retweeted
Replying to @HopkinsNsurg
@HopkinsNsurg 2027 #NEUROENDOVASCULAR fellowship #MATCH >1100 procedures, 3 Faculty, #3 Brand new @SiemensHealth #ArtisIcono and more... our program bit.ly/4sTLhIt APPLY here: bit.ly/4jVSYKm more info #DM me @DrRishengXu justincaplan
4
12
998
Grateful for a pop-up visit! From my old friend Howard Riina @NYUneurosurgery @nyulangone @HopkinsNsurg @DrNTheodore What a treat!
4
1
17
836
Crowd consult… for elective, uncomplicated flow diverter do you :
62%ICU Admit/observation
0%PACU recover monitor be
25%PACU-floor
12%ICU for 6-8 hrs then DC
8 votes • Final results
8
2,340
Crowd consult… for MMMe do you:
0%ICU observation x 1d
29%PACU- DC home
71%Admit Monitored Bed (IMC)
0%Other…
7 votes • Final results
6
1,442
On #WorldHumanitarianDay, we honor Dr. Nick Hopkins, a visionary in stroke and vascular care. As the father of endovascular neurosurgery, his legacy lives on through innovation, mentorship, and a lifelong devotion to saving lives. 💙
11
10
1
45
3,845
L Fernando Gonzalez retweeted
1
1
1
26
3,795
During cerebral #aneurysm coil embolization intraoperative rupture is a rare complication. A daring salvage solution presented here. #endovascular #neurosurgery . @HopkinsNsurg @OrlandoDiazMD Ryan Lee @cvsection @JNIS_BMJ doi.org/10.1136/jnis-2023-02…
1
2
24
960