Neurological Surgeons, Neurologist (brain, nervous system), Surgical Specialist
10 years of experience
Video profile
Accepting new patients
5503 South Congress Avenue Suite 204
Atlantis, FL 33462
(561) 410-5110
Locations and availability (1)

Education ?

Medical School Score Rankings
University of Michigan Medical School (2000)
Surgery
  • Currently 4 of 4 apples
Top 25%

Awards & Distinctions ?

Awards  
MEDICAL HONOR SOCIETY
Compassionate Doctor Recognition (2012)

Affiliations ?

Dr. Kouri is affiliated with 7 hospitals.

Hospital Affilations

Score

Rankings

  • Cedars-Sinai Medical Center
    8700 Beverly Blvd, West Hollywood, CA 90048
    • Currently 4 of 4 crosses
    Top 25%
  • JFK Medical Center
    5301 S Congress Ave, Lake Worth, FL 33462
    • Currently 4 of 4 crosses
    Top 25%
  • Palms West Hospital
    13001 Southern Blvd, Loxahatchee, FL 33470
    • Currently 4 of 4 crosses
    Top 25%
  • Jupiter Medical Center
    1210 S Old Dixie Hwy, Jupiter, FL 33458
    • Currently 4 of 4 crosses
    Top 25%
  • Wellington Regional Medical Center
    10101 Forest Hill Blvd, Wellington, FL 33414
    • Currently 4 of 4 crosses
    Top 25%
  • J F K Medical Center
  • JFK Medical Center Limited Partners
  • 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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