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Credentials

Education ?

Medical School Score Rankings
University of Michigan Medical School (2000)
Surgery
  •  
Top 25%

Awards & Distinctions ?

Awards  
American Society of Civil Engineering Outstanding Student Award Nominee
elected to the University of Michigan Medical School Committee on Student Biomedical Research
NIH Clinical Research Training Program Scholar
Ellison Onizuka (Engineer of the Year) Award Finalist
Medical honor society alpha omega alpha
NIH NINDS Exceptional Summer Student Research Award
University of Colorado Milo Ketchum Outstanding Student Award
National Science Foundation Undergraduate Research Fellowship
Ball Aerospace John W. Fisher Scholar
Federal Aviation Administration Scholar
Alpha Omega Alpha (AOA) medical honor society
NIH Surgical Neurology Branch fellowship in neuro-oncology
Tau Beta Pi, Chi Epsilon, and Golden Key Honor Societies
Highest score on UF internship general surgery inservice exam
Alpha omega alpha medical honor society
Compassionate Doctor Recognition (2012)
Associations
Congress of Neurological Surgeons
American Association of Neurological Surgeons

Affiliations ?

Dr. Kouri is affiliated with 7 hospitals.

Hospital Affiliations

Score

Rankings

  • JFK Medical Center
    5301 S Congress Ave, Lake Worth, FL 33462
    •  
    Top 25%
  • Jupiter Medical Center
    1210 S Old Dixie Hwy, Jupiter, FL 33458
    •  
    Top 25%
  • Shands Hospital at The Univ. of Florida
    1600 Sw Archer Rd, Gainesville, FL 32610
    •  
    Top 25%
  • Palms West Hospital
    13001 Southern Blvd, Loxahatchee, FL 33470
    •  
    Top 25%
  • Wellington Regional Medical Center
    10101 Forest Hill Blvd, Wellington, FL 33414
    •  
    Top 25%
  • JFK Medical Center Limited Partners
  • J F K Medical Center
  • Publications & Research

    Dr. Kouri has contributed to 4 publications.
    Title Odontoid Screw Placement Using Isocentric 3-dimensional C-arm Fluoroscopy.
    Date June 2008
    Journal Journal of Spinal Disorders & Techniques
    Excerpt

    STUDY DESIGN: We describe the use of isocentric 3-dimensional fluoroscopy to place odontoid screws in 9 patients. OBJECTIVE: We wanted to show the benefits of using isocentric 3-dimensional fluroscopy in odontoid screw placement. SUMMARY OF BACKGROUND DATA: Odontoid screw fixation for treatment of type II odontoid fractures has gained popularity since its introduction in the early 1980s. During the last several years, a multitude of new techniques have improved the ease of odontoid screw placement, including biplanar fluoroscopy, cannulated screw systems, and beveled bedside-fixed retractor systems. The use of isocentric C-arm fluoroscopy can improve the ease and facilitate placement of odontoid screws. CLINICAL PRESENTATION: Nine patients, ranging in ages from 30 to 89 years, presented with type II odontoid fractures. All fractures were either nondisplaced or minimally displaced (<4 mm) and occurred as a result of acute trauma. No patient had evidence of transverse atlantal ligament disruption. METHODS: Isocentric 3-dimensional fluoroscopy, in conjunction with image-guided navigational software, was used to place 1 or 2 odontoid screws in each patient. Three-dimensional images were acquired intraoperatively, which were then reconstructed and uploaded to the navigational workstation. Screw trajectory was planned and performed with the use of tracked instruments. RESULTS: Successful screw placement, as judged by intraoperative computerized tomography, was attained in all 9 patients. CONCLUSIONS: Isocentric 3-dimensional fluoroscopy, in conjunction with an image-guided navigational software system, obviates the need for cumbersome biplanar fluoroscopy, allows for intraoperative image acquisition after surgical exposure, reduces intraoperative registration time, reduces both surgeon and patient radiation exposure, and allows immediate computerized tomographic imaging in the operating room to verify screw position.

    Title Rejection of Rg-2 Gliomas is Mediated by Microglia and T Lymphocytes.
    Date January 2007
    Journal Journal of Neuro-oncology
    Excerpt

    Immunotherapy holds great promise for the treatment of invasive brain tumors, and we are interested specifically in evaluating immune stimulation of microglial cells as one potential strategy. In order to better understand the tumor fighting capabilities of microglial cells, we have compared the responses of syngeneic (Fisher 344) and allogeneic (Wistar) rat strains after intracranial implantation of RG-2 gliomas. Animals were evaluated by clinical examination, magnetic resonance imaging (MRI) and immunohistochemistry for microglial and other immune cell antigens. While lethal RG-2 gliomas developed in all of the Fisher 344 rats, tumors grew variably in the Wistar strain, sometimes reaching considerable sizes, but eventually all of them regressed. Tumor regression was associated with greater numbers of T cells and CD8 positive cells and increases in MHC I and CD4 positive microglia. Our findings suggest that the combined mobilization of peripheral and CNS endogenous immune cells is required for eradicating large intracranial tumors.

    Title A Twin with Cushing's Disease.
    Date May 2005
    Journal Lancet
    Title Resection of Suprasellar Tumors by Using a Modified Transsphenoidal Approach. Report of Four Cases.
    Date June 2000
    Journal Journal of Neurosurgery
    Excerpt

    Generally accepted contraindications to using a transsphenoidal approach for resection of tumors that arise in or extend into the suprasellar region include a normal-sized sella turcica, normal pituitary function, and adherence of tumor to vital intracranial structures. Thus, the transsphenoidal approach has traditionally been restricted to the removal of tumors involving the pituitary fossa and, occasionally, to suprasellar extensions of such tumors if the sella is enlarged. However, conventional transcranial approaches to the suprasellar region require significant brain retraction and offer limited visualization of contralateral tumor extension and the interface between the tumor and adjacent structures, such as the hypothalamus, third ventricle, optic apparatus, and major arteries. In this paper the authors describe successful removal of suprasellar tumors by using a modified transsphenoidal approach that circumvents some of the traditional contraindications to transsphenoidal surgery, while avoiding some of the disadvantages of transcranial surgery. Four patients harbored tumors (two craniopharyngiomas and two hemangioblastomas) that arose in the suprasellar region and were located either entirely (three patients) or primarily (one patient) within the suprasellar space. All patients had a normal-sized sella turcica. Preoperatively, three of the four patients had significant endocrinological deficits signifying involvement of the hypothalamus, pituitary stalk, or pituitary gland. Two patients exhibited preoperative visual field defects. For tumor excision, a recently described modification of the traditional transsphenoidal approach was used. Using this modification, one removes the posterior portion of the planum sphenoidale, allowing access to the suprasellar region. Total resection of tumor was achieved (including absence of residual tumor on follow-up imaging) in three of the four patients. In the remaining patient, total removal was not possible because of adherence of tumor to the hypothalamus and midbrain. One postoperative cerebrospinal fluid leak occurred. Postoperative endocrinological function was worse than preoperative function in one patient. No other new postoperative endocrinological or neurological deficits were encountered. This study demonstrates the feasibility of using a modified transsphenoidal approach for resection of certain suprasellar, nonpituitary tumors.

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