Cerebrovascular & Endovascular Professor of Neurosurgery Johns Hopkins Views are my own
Joined January 2010
- Tweets 1,440
- Following 384
- Followers 2,663
- Likes 1,288
197 Photos and videos
Pinned Tweet
2 Jul 2018
Just got this from a #patient reminds me of #privilege of doing what I love #brainsurgery . #Thankful for the #opportunity to serve @Dukeneurosurg
11
17
158
L Fernando Gonzalez retweeted
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
196
Another great talk by star @DrRuchika97 @HopkinsNsurg @AANSNeuro @cvsection on #moyamoya #outcomes #stroke
6
30
2,465
Apr 24
Very nice paper showing benefit using a prophylactic IT approach rather than a delayed therapy. #SAH #vasospasm #DCI #intrathecal
Apr 21
IT cardene works best when started before any sign of ischemia in aneurysmal SAH @URNeurosurgery @URNeuroscience
1
6
495
L Fernando Gonzalez retweeted
Apr 21
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…
ALT Infographic of the article by NotebookLM
3
13
1,997
Mar 24
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
486
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
200
10,391
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
4,169
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
70
8,861
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
691
L Fernando Gonzalez retweeted
Jan 22
@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
968
L Fernando Gonzalez retweeted
3
7
1,069
5 Nov 2025
Grateful for a pop-up visit! From my old friend Howard Riina @NYUneurosurgery @nyulangone
@HopkinsNsurg @DrNTheodore What a treat!
4
1
19
830
4 Nov 2025
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
2,018
4 Nov 2025
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
7
1,227
14 Sep 2025
Very proud of our star fellow @DrRuchika97 received a @BAFOUND #grant from @chrisogilvyMD @mtlawton to continue #vasospasm #research At #HunterianLab @HopkinsNsurg @cvsection
3
4
33
2,210
L Fernando Gonzalez retweeted
19 Aug 2025
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
45
3,673
10 Aug 2025
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
954
L Fernando Gonzalez retweeted
10 Aug 2025
Grateful to @BAFOUND for the opportunity & for supporting our efforts to treat vasospasm after SAH.
This would not have been possible without the mentorship of @fegomd, Prof. Betty Tyler & Dr. Henry Brem. Everything I am & ever will be is because of your grace. @HopkinsNsurg
8 Aug 2025
The Brain Aneurysm Foundation is awarding $580,000 in 2025 to fund 14 innovative projects advancing early detection, treatment, and patient outcomes. Researchers will be introduced soon, with awards presented Sept. 11 at our Research Grant Symposium in Arizona.
3
18
601
10 Aug 2025
Grateful to @BAFOUND @DrRuchika97 from the historical @HopkinsNsurg #HunterianLab showing our #cerebrovascular research. @smerb14 Betty Tyler @cvsection x.com/bafound/status/1953888…
8 Aug 2025
The Brain Aneurysm Foundation is awarding $580,000 in 2025 to fund 14 innovative projects advancing early detection, treatment, and patient outcomes. Researchers will be introduced soon, with awards presented Sept. 11 at our Research Grant Symposium in Arizona.
1
1
14
642