Richard L Rovit's research while affiliated with New York Medical College and other places

Publications (24)

Article
General George S. Patton Jr. died as the result of quadriplegia sustained in a car crash in Germany in 1945. His x-ray films revealed a fractured C-3 vertebra and a posterior dislocation of C-4 on C-5. The likely cause of death was a pulmonary embolus. Details of his medical treatment are reviewed and compared with therapies that a patient with a s...
Article
Here I describe the clinical symptoms of autonomic failure that I began experiencing when I turned 80, a treatment combination that has been remarkably effective, and the recent finding of high titers of antibodies against the ganglionic nicotinic receptor.
Article
Neurosurgeons are a high-risk group for allegations of malpractice. To determine the kinds of cases and the neurosurgical practice patterns associated with the highest proportion of litigation, the authors examined the experience over a 5-year period of a major physician-owned and -administered insurance company dealing with this issue, the Medical...
Article
The purpose of this study was to evaluate the US neurosurgery workforce by reviewing journal recruitment advertisements published during the past 10 years. The number of available academic and private neurosurgical staff positions was determined based on recruitment advertisements in the Journal of Neurosurgery and Neurosurgery for the 10-year peri...
Article
Between 1870 and 1884, as both a medical student and a member of the faculty, Sir William Osler performed approximately 1000 postmortem examinations at McGill University in Montreal. He conducted 786 of these examinations during his 7 years (1877--1884) of service as a pathologist at the Montreal General Hospital. The results of these were carefull...
Article
Neurosurgery has designed a rigid curriculum that must be followed precisely by those who wish to enter the specialty. A similar process at the other end of the practice cycle has never been formalized except for mandatory retirement from certain administrative positions at a particular age. Basic considerations for strategic decision making about...
Article
Prolactinomas are a common cause of reproductive and sexual dysfunction and account for a large proportion of pituitary adenomas. The objectives for treatment of hyperprolactinemia due to microprolactinomas are to suppress excessive hormone secretion, preserve residual pituitary function, and prevent disease recurrence. These objectives may be achi...
Article
In this article, the authors trace the evolution of subspecialty development in the relatively young specialty of neurosurgery. The current categorization of neurosurgical subspecialties represents an incongruent group of "areas of interest" whose origins are historical in their development and whose boundaries are indistinct, artificial, and often...
Article
In this article, the authors trace the evolution of subspecialty development in the relatively young specialty of neurosurgery. The current categorization of neurosurgical subspecialties represents an incongruent group of “areas of interest” whose origins are historical in their development and whose boundaries are indistinct, artificial, and often...
Article
Pituitary apoplexy is an uncommon complication of pituitary adenomas. The syndrome is manifest by an abrupt onset of signs and symptoms associated with infarction or hemorrhage into a preexisting pituitary adenoma. The lesion swells and expands, leading to compression of local suprasellar and parasellar structures. The incidence of pituitary apople...
Article
William Williams Keen was the catalyst for the advent of neurosurgery in the United States. He served in the Civil War and collaborated with Silas Weir Mitchell in studying injuries sustained to the nervous system. These studies culminated in the publication in 1864 of "Gunshot Wounds and Other Injuries of the Nerves and Reflex Paralysis," which fi...
Article
Dr. Irving Cooper (1922-1985) was a pioneer in the field of functional neurosurgery. After years of treating patients with tremor by creating deep lesions with either anterior choroidal artery ligation or cryogenic thalamotomy, he began to utilize methods of electrical cerebral stimulation as treatment for a variety of disorders. Chronic cerebellar...
Article
Full-text available
Stereotactic radiosurgery is being used with increased frequency in the treatment of residual or recurrent pituitary adenomas. The major risk associated with radiosurgical treatment of residual or recurrent pituitary tumor adjacent to normal functional pituitary gland is radiation of the pituitary, which frequently leads to the development of hypop...
Article
The authors elucidate the strong personal relationship that developed between Dr. Harvey Cushing and Franklin Delano Roosevelt (FDR) from 1928 to 1939, as manifested in their frequent letters to each other. The relationship was initiated by the marriage of their children. Through his correspondence with FDR, Cushing was able to affect several medic...
Article
Full-text available
Irving S. Cooper was a pioneer in the field of functional neurosurgery. During his very productive and controversial career, he proposed the surgical treatment of Parkinson disease (PD) by ligating the anterior choroidal artery to control tremor and rigidity. Subsequently, he developed seminal techniques for chemopallidectomy and cryothalamectomy f...
Article
Irving S. Cooper (1922-1985), the son of a salesman, worked his way through high school, college, and medical school to become one of the pioneers in functional neurosurgery. He developed several novel techniques for the surgical management of Parkinson's disease and other crippling movement disorders. A keen interest in the physiology of movement...
Article
The indications, advantages, complications, and benefits of peripheral neurectomy in patients with trigeminal neuralgia were studied in detail in 40 patients treated between 1982 and 1991. Twenty-eight patients had previously received radiofrequency thermocoagulation: peripheral neurectomy was performed for pain recurrence. These patients had excel...
Article
An unusual instance of severe and potentially lethal depression of the bone marrow is described as a result of the administration of phenytoin for seizure prophylaxis. The patient was treated successfully by prompt cessation of phenytoin and intravenous administration of human recombinant granulocyte-macrophage colony-stimulating factor.

Citations

... The etiology of pituitary apoplexy due to pituitary adenoma is not fully understood. Various predisposing factors, such as anticoagulant use 5 , head trauma 6 , bromocriptine treatment 7 and endocrine stimulation tests 8 have been reported, and pregnancy itself has also been reported to be a predisposing factor 9 . It would appear that a poor blood supply to the tumor or fragile blood vessels within it lead to ischemia and hemorrhagic infarction or bleeding 10 . ...
... He stressed that, in general, surgeons have been reluctant to plan for retirement; and he cited Rovit's reasons that surgeons forestall consideration of retirement including fear of death, lack of self esteem and resistance to change. 30 Blasier also discussed that in the United States there is no federally mandated retirement age for surgeons. In the United Kingdom, surgeons in the public health service were mandated to stop performing surgery at age 65 and retire from practice at age 70, until 2011 when the United Kingdom phased out mandatory retirement at age 65 for all professions. ...
... The patient initially did well but eventually died after an intracranial procedure with carotid ligation under hypothermia. 10,11 ...
... However, there are contrary views as well, considering the wisdom of specialization. The opponents of specialization point to the fact that the current categorization of neurosurgical subspecialties represents an incongruent group of Bareas of interest^whose origins are historical in their development and whose boundaries are indistinct, artificial, and often fail to share a common theme [10]. ...
... In contrast, another study believed drug-induced toxicity caused by selective inhibition of DNA synthesis in erythroid precursors, most likely at the deoxyribose production phase, leads to aplastic anemia [27]. This is managed by using IV human recombinant granulocyte-macrophage colony-stimulating factor [28]. Also, drugs like phenytoin and carbamazepine should be avoided in patients with porphyria as they may lead to hemolysis. ...
... Peripheral neurectomy is the surgical destruction of the offending branch of the trigeminal nerve. 45,46 It is often reserved for cases whereby medical therapy is ineffective or contraindicated or for patients in whom gangliolysis and microvascular decompression surgery (MVD) are contraindicated due to medical comorbidities. The success rate of peripheral neurectomies is variable, and they are associated with an increased risk of developing painful posttraumatic trigeminal neuropathy (PPTTN). ...
... These anastomotic connections are not easily assessed and therefore their presence or ability to undertake supply of the AChoA territory, if this vessel is impaired, is difficult to judge. For these reasons the most feared consequence of treatment of aneurysms aris-ing from AChoA is infarction within the territory of this vessel that can but does not always, result in a devastating outcome for patients [24,25]. Friedman et al. [17] reported a case series of 51 AChoA aneurysms in 50 patients, 33 of whom presented with acute subarachnoid hemorrhage (SAH), 3 patients died, 2 from treatment-related complications and 8 patients (16%) demonstrated clinical and computed tomography (CT) evidence of infarction within the AChoA territory. ...
... He was an accomplished artist (Fig. 2), a Pulitzer Prize-winning author, a physician-scientist, a soldier, and a teacher. 3,7,13,15,17,[19][20][21] The revered position of the brain surgeon in American culture is due, in large part, to the accomplishments of our iconic founder. 9 I maintain that the principles to which Cushing adhered are the founding principles of our specialty. ...
... Although scientific leadership still resided in central Europe [29], its surgeons recognized that some of their former students had been remarkably successful in the New World. In 1902, William W. Keen was accorded the rare distinction of honorary membership in the Deutsche Gesellschaft für Chirurgie (DGCh) [30,31]. William S. Halsted, who had developed the Johns Hopkins surgical residency based on the German model, visited Europe often and was welcomed as a peer by Eiselsberg, Kocher, and others [18,32,33]. ...
... These factors contribute to a low standard of secondary and tertiary modern medicine, in which neurosurgery and pediatric neurosurgery have a very small place; (2) the budget for health is inferior to the resources for the ministries of defense and government-in charge of the police. A short-term or even midterm solution to this issue is complex considering the financial resources of the healthcare systems to implement more incomes to health and improve professionals' education [16,17]. ...