Sports Page
The neurosurgeons at Tri-State Neurosurgical
Associates-UPMC, led by neurosurgeon Dr. Joseph C. Maroon, have always been at
the forefront of neurosurgical advances in sports medicine. Dr. Maroon who
is Vice Chairman and Professor of the Department of Neurological Surgery and
also designated the Dennis and Rose Heindl Scholar in Neurosciences has been the
team neurosurgeon for the Pittsburgh Steelers Football Club for the past 20
years and has developed innovated programs for the management of athletes with
cerebral concussions.
ImPACT© (Immediate Post-Concussion Assessment and Cognitive Testing) was
developed by Doctor Maroon and his colleague, neuropsychologist Mark Lovell,
Ph.D. It is the first computerized evaluation system used that may help
determine concussion severity as well as if and when it is safe for an athlete
to return to contact sports. This program has now been adopted by the NFL, NHL,
NBA and many other professional, college and high schools throughout the United
States and more recently by the DOD for soldiers in Iraq. This program can help
medical personnel determine when a person has recovered from a concussion and
can return to play (or duty) and reduce the risk of going back to soon and
sustaining a potentially worse brain injury if another concussion were to
occur. Learn more at www.impacttest.com.
Click
on the links below to learn more about our Sport Medicine:
Pittsburgh Steelers Medical Team
Dr. Joseph Maroon, Team Neurosurgeon for the
Pittsburgh Steelers for the past 25 years, along with Dr. Daniel Wecht
celebrated following the Team victory after winning the 40th Super bowl in
Detroit this year.
NFL
GRANT FOR CARDIOVASCULAR DISEASE DETECTION AND PREVENTION
Dr. Maroon, along with Head Team Physician of
the Pittsburgh Steelers, Dr. Anthony Yates, have received a grant from NFL
Charities, the community service division of the National Football League NFL
for $68,000 to evaluate cardiovascular risk factors, as found in specialized
blood test, to determine whether omega-3 EFAs, found in fish oil can reduce
these factors. Additional researchers at the University of Pittsburgh Medical
Center, including Dr. Wecht will be lead by Dr. Yates, who is an internal
medicine specialist at the University and a member of the NFL Cardiovascular
Risk Subcommittee that evaluates player health risk factor intervention and
prevention, plan to start the study in the 2005-2006 season. John Norwig, head
athletic trainer for the Steelers and the other Steelers training staff will
also participate. Additionally, the research is intended to evaluate whether
omega-3 EFAs might reduce joint pain.
Neurosurgery for the Pros
Mike Alstott Retirement
August 7, 2007 - St. Petersburg Times
Ben Roethlisberger Concussion -
Tuesday, October
24, 2006 - Pittsburgh Post Gazette
Tuesday, October
24, 2006 - Pittsburgh Post Gazette
Chukky Okobi Surgery
August 29, 2006 - Pittsburgh Post Gazette
August 17, 2006 -
Pittsburgh Post Gazette
August 10, 2006 -
Pittsburgh Post Gazette
Terry Long Controversy
January 26, 2006 -
Pittsburgh Post Gazette
Golfer Greg Norman Undergoes
Successful Back Surgery at UPMC
UPMC
Press Release-March
22, 2005
Surgery on Jerry Azumah and Ruben Brown
December 11, 2005,
Pittsburgh Post Gazette
Older Releases:
ImPACT Articles
ImPACT
Reliability and Validity |
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Measurement of Symptoms Following
Sports-related Concussion: Reliability and Normative Data for the
Post-Concussion Symptom Scale |
Tracking Neuropsychological Recovery
Following Concussion In Sports |
No Cumulative Effects for One or Two
Previous Concussions |
| Authors: |
Lovell, Iverson, Collins, Podell,
Johnston, Pardini, Pardini, Norwig, Maroon |
| Publication: |
Applied Neuropsychology |
| Date: |
In Press |
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| Authors: |
Iverson, Brooks, Collins, Lovell |
| Publication: |
Brain Injury |
| Date: |
In Press |
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| Authors: |
Iverson, Brooks,
Collins, Lovell |
| Publication: |
British Journal of
Sports Medicine |
| Date: |
In Press |
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Recovery From Sports Concussion in High School and Collegiate Athletes |
Validity of ImPACT for Measuring Attention and Processing Speed
Following Sports-Related Concussion |
The 'Value Added' of Neurocognitive Testing After Sports-Related
Concussion |
| Authors: |
McClincey, Lovell, Collins, Pardini |
| Publication: |
Brain Injury |
| Date: |
In Press |
| Abstract: |
| Neuropsychological testing is a variable tool in
concussion diagnosis and management. ImPACT, a computerized
neuropsychological testing program, consists of eight cognitive
tasks and a 21-item symptom inventory. ImPACT was used to examine
the cognitive performance of 104 concussed athletes at baseline, 2,
7, and 14 days post-injury. Dependent measures included composite
scores from the ImPACT computerized test battery, as well as a total
symptom score from the Post-Concussion Symptom Scale. |
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version) |
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| Authors: |
Iverson, Lovell, Collins |
| Publication: |
Journal of Clinical and Experimental Neuropsychology |
| Date: |
In Press |
| Abstract: |
| The purpose of this study was to examine the
validity of ImPACT, a computerized neuropsychological test battery,
for measuring attention and processing speed in athletes with
concussions. This was accomplished by comparing the computerized
testing to a traditional neuropsychological measure, the Symbol
Digit Modalities Test. Participants were 72 amateur athletes who
were seen within 21 days of sustaining a sports-related concussion.
As predicted, the SDMT correlated most highly with the Processing
Speed and Reaction Time composites from ImPACT. |
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version) |
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| Authors: |
Van Kampen, Lovell, Pardini, Collins, Fu |
| Publication: |
The American Journal of Sports Medicine |
| Date: |
Jun 1st, 2006 |
| Abstract: |
| Neuropsychological testing is a variable tool in
concussion diagnosis and management. ImPACT, a computerized
neuropsychological testing program, consists of eight cognitive
tasks and a 21-item symptom inventory. ImPACT was used to examine
the cognitive performance of 104 concussed athletes at baseline, 2,
7, and 14 days post-injury. Dependent measures included composite
scores from the ImPACT computerized test battery, as well as a total
symptom score from the Post-Concussion Symptom Scale. |
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ImPACT Normative Data for Children (Ages 11-14) |
Sensitivity and Specificity of the ImPACT Test Battery for Concussion in
Athletes |
Grade 1 or 'Ding' Concussions in High School Athletes |
| Authors: |
Lovell, Collins, Maroon |
| Publication: |
The ImPACT Test |
| Date: |
May 18th, 2006 |
| Abstract: |
| Normative Data for the ImPACT Composite Scores A
sample of 205 elementary, junior high, and high school students was
initially used for this project. Three of these subjects had
incomplete test data and were subsequently dropped from the
normative sample. The current normative sample consists of 102 boys
and 100 girls between the ages of 11 and 14. Multiple analysis of
variance (MANOVA) was performed to allow an analysis of performance
differences between gender and age across multiple
neuropsychological domains. |
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| Authors: |
Schatz, Pardini, Lovell, Collins, Podell |
| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Aug 3rd, 2005 |
| Abstract: |
| This study explored the diagnostic utility of the
composite scores of Immediate Post-Concussion Assessment and
Cognitive Testing and Post Concussion Symptom Scale scores. Recently
concussed high school athletes were tested within 72h of sustaining
a concussion, and data were compared to non-concussed high school
athletes with no history of concussion. |
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version) |
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| Authors: |
Lovell, Collins, Iverson, Johnston, Bradley |
| Publication: |
American Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
| Abstract: |
| Normative Data for the ImPACT Composite Scores A
sample of 205 elementary, junior high, and high school students was
initially used for this project. Three of these subjects had
incomplete test data and were subsequently dropped from the
normative sample. The current normative sample consists of 102 boys
and 100 girls between the ages of 11 and 14. Multiple analysis of
variance (MANOVA) was performed to allow an analysis of performance
differences between gender and age across multiple
neuropsychological domains. |
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| New Developments in the
Management of Sports Concussion |
Athlete Concussion Management
Guidelines Using Functional Magnetic Resonance Imaging |
Interpreting Change on ImPACT Following Sports Concussion |
| Authors: |
Collins, Stump, Lovell |
| Publication: |
Current Opinion in Orthopaedics |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Lovell, Collins, Fu, Stump |
| Publication: |
Orthopaedic Technology Review |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Iverson, Lovell, Collins |
| Publication: |
The Clinical Neuropsychologist |
| Date: |
May 1st, 2003 |
| Abstract: |
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version) |
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| Differential Sensitivity of
Symptoms and Neuropsychological Testing Following Sports Related
Concussion |
Relationship Between
Post-Concussion Headache and Neuropsychological Test Performance in High
School Athletes? |
Recovery From Mild Concussion in High School Athletes |
| Authors: |
Lovell, Collins, Bradley, Van Kampen, Moritz, McClincey |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2003 |
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| Authors: |
Collins, Field, Lovell, Iverson, Johnston, Maroon, Fu |
| Publication: |
American Journal of Sports Medicine |
| Date: |
Jan 1st, 2003 |
| Abstract: |
| The relevance of headache to outcome following
sports concussion is poorly understood and no studies exist
examining this issue. The current study was conducted to investigate
whether post-concussion headaches are associated with neurocognitive
deficits and/or presence of other post-concussion symptoms at
approximately one-week post injury. Study participants included 110
high school athletes who sustained concussion. Concussed athletes
were divided into two groups, those reporting no headache at
approximately day 7 post-injury and those reporting headaches.
Dependent measures included symptom and neurocognitive test results
collected via ImPACT, a computerized neuropsychological test
battery. |
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| Authors: |
Lovell, Collins, Iverson, Field, Maroon, Cantu, Podell, Powell,
Belza, Fu |
| Publication: |
Journal of Neurosurgery |
| Date: |
Jan 1st, 2003 |
| Abstract: |
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ImPACT Normative Data |
Construct Validity of ImPACT in Athletes with Concussion |
New Developments in the
Management of Sports Concussion |
| Authors: |
Iverson, Lovell, Collins |
| Publication: |
The ImPACT Test |
| Date: |
Jan 1st, 2003 |
| Abstract: |
| The purpose of this handout is to provide normative
data for ImPACT Version 2.0. ImPACT is a computerized
neuropsychological test battery developed specifically for the
evaluation of sports concussion. |
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(pdf
version) |
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| Authors: |
Iverson, Franzen, Lovell, Collins |
| Publication: |
Presented at the National Academy of Neuropsychologist's Annual
Meeting |
| Date: |
Jan 1st, 2003 |
| Abstract: |
| The purpose of this study was to examine the
convergenet and divergent validity of computerized
neuropsychological testing in a sample of athletes with conscussion.
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version) |
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| Authors: |
Lovell, Collins |
| Publication: |
Current Sports Medicine Reports |
| Date: |
Jan 1st, 2002 |
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| Validity of ImPACT for
Measuring the Effects of Sports-Related Concussion |
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| Authors: |
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| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Jan 1st, 2002 |
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| Published Abstracts |
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| ImPACT of Sleep Deprivation
on Symptoms and Neurocognitive Performance of Orthopaedic Residents |
Sensitivity and Specificity
of the ImPACT Test Battery in Athletes' Concussion Status |
Validity of ImPACT For
Measuring Attention & Processing Speed Following Sports-Related
Concussion |
| Authors: |
Rohde, Collins, Lovell, Pardini, Fu |
| Publication: |
Proceedings of the American Academy of Orthopaedic Surgeons |
| Date: |
In Press |
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| Authors: |
Stump, Shatz, Lovell, Collins |
| Publication: |
In International Neuropsychological Society: 32nd Annual Meeting
Program and Abstracts |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Iverson, Lovell, Collins |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Tracking Neuropsychological
Recovery Following Conccusion |
No Cumulative Effects For One
or Two Prior Concussions |
Symptom Recovery Following
Concussion: Implications for Return to Play |
| Authors: |
Iverson, Collins, Gaetz, Lovell |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Iverson, Lange, Lovell, Collins |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Stump, Collins, Lovell, Norwig, Lowe, McClincy, Fu |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Sex Differences in Acute
Recovery Following Concussion in Athletes |
Sensitivity and Specificity
of the ImPACT Test Battery in Athletes' Concussion Status |
Posttraumatic Migraine
Following Sports-Related Mild Traumatic Brain Injury |
| Authors: |
Mihalik, Stump, Lovell, Collins, Norwig, Hagan, Fu |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Schatz, Lovell, Collins, Moritz, Bradley |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Mihalik, Collins, Lovell, Lowe, Maroon |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| The Post-Concussion Symptoms
Scale (PCSS): A Factor Analysis |
Functional Neurimaging and
Neurocognitive Recovery After Sports-Related Concussion |
Differential Sensitivity of
Symptoms and Neuropsychological Testing Following Sports-Related
Concussion |
| Authors: |
Pardini, Stump, Lovell, Collins, Moritz, Fu |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Stump, Lovell, Eddy, Roush, Welling, Bakal, Becker, Collins,
Lowe |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Lovell, Collins, Bradley, Van Kampen, Moritz, McClincey |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Concussion in Sports:
Relationship of Activity Level After Conccusion to Post-Concussive
Symptoms and Neurocognitive Performance |
Cognitive Recovery Patterns
Following Sports Related Concussion |
Reliable Change in ImPACT
Version 2.0 Following Sports Concussion |
| Authors: |
Majerske, Collins, Mihalik, Lovell, Wagner, Burke |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Collins, McClincey, Lovell, Stump, Lowe, Maroon, Fu |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Iverson, Lovell, Collins |
| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Jan 1st, 2003 |
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| Computerized
Neuropsychological Testing in Sports-Related Concussion: Reliability and
Validity of ImPACT |
Outcome From Concussion in
Amateur Soccer Players |
Tracking Recovery From
Concussion Using ImPACT: Applying Reliable Change Methodology |
| Authors: |
Iverson, Lovell, Podell, Collins |
| Publication: |
Journal of International Neuropsychological Society |
| Date: |
Jan 1st, 2003 |
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| Authors: |
Iverson, Moseley, Collins, Lovell |
| Publication: |
Journal of the International Neuropsychological Society |
| Date: |
Jan 1st, 2003 |
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| Authors: |
Iverson, Lovell, Collins, Norwig |
| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Jan 1st, 2002 |
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| Validity of ImPACT for
Measuring the Effects of Sports-Related Concussion |
Relation Between Fogginess
and Outcome Following Concussion |
Cumulative Effects of
Concussion in Amateur Athletes |
| Authors: |
Iverson, Lovell, Collins |
| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Jan 1st, 2002 |
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| Authors: |
Iverson, Gaetz, Lovell, Collins |
| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Jan 1st, 2002 |
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| Authors: |
Iverson, Gaetz, Collins, Lovell |
| Publication: |
Archives of Clinical Neuropsychology |
| Date: |
Jan 1st, 2002 |
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| Inaccuracy of Symptom
Reporting Following Concussion in Athletes |
Memory Dysfunction Eight-Days
Post Injury in High School Athletes |
Recovery Patterns Following
Concussion: Implications for Return to Play |
| Authors: |
Lovell, Collins, Maroon, Cantu, Hawn, Burke, Fu |
| Publication: |
Medicine and Science in Sports Exercise |
| Date: |
Jan 1st, 2002 |
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| Authors: |
Collins, Lovell, Maroon, Cantu, McKeag |
| Publication: |
Medicine and Science in Sports and Exercise |
| Date: |
Jan 1st, 2002 |
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| Authors: |
Collins, Lovell, Hawn, Maroon, Norwig, Grove, White, Grollman |
| Publication: |
Journal of Athletic Training |
| Date: |
Jan 1st, 2002 |
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| Neuropsychological Testing in
Sports: Past, Present, and Future |
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| Authors: |
Lovell, Collins, Fu, Burke, Maroon, Podell, Powell |
| Publication: |
British Journal of Sports Medicine |
| Date: |
Jan 1st, 2001 |
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| Textbook Chapters |
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| Neuropsychological Testing in
Professional Sports. |
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| Authors: |
Lovell, Collins |
| Publication: |
Sports Medicine and Neurosurgery |
| Date: |
Jan 1st, 1999 |
| Abstract: |
| Sports Medicine and Neurosurgery |
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| Textbooks |
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| Traumatic Brain Injury in
Sports: An International Neuropsychological Perspective |
Sports-Related Concussion |
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| Authors: |
Lovell, Echemendia, Barth, Collins |
| Publication: |
Swets-Zeitlinger |
| Date: |
Jan 1st, 2004 |
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| Authors: |
Bailes, Lovell, Maroon |
| Publication: |
Quality Medical Publishers |
| Date: |
Jan 1st, 1999 |
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Disclaimer:
Every effort has been made by the author (s) to provide accurate, up-to-date
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held responsible for errors, omissions in information herein nor liable for
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part, from any viewer(s)' use of or reliance upon, this material.
CLINICAL DISCLAIMER:
Clinical information is provided for
educational purposes and not as a medical or professional service. Person(s)
who are not medical professionals should have clinical information reviewed
and interpreted or applied only by the appropriate health professional(s).
For questions or comments, please contact:
bostj@msx.upmc.edu
©
2006 Tri-State Neurosurgical Associates - UPMC
Last Updated: October 28, 2006
