Harold J. Pikus, MD

Neurosurgery

Harold J. Pikus, MD is a leading neurosurgeon who joined UVNN in 2014.  Prior to joining UVNN Dr. Pikus was the Chief of Neurosurgery and the Medical Director of Radiosurgery at Doctors Hospital in Florida. He has expertise in minimally invasive spinal surgery as well as restorative and motion-preserving spinal procedures, cerebrovascular diseases, brain tumors, sacroiliac (SI) joint disease, trigeminal neuralgia, radiosurgery, and cranial/spinal trauma.

Harold J. Pikus, MD

Education

PRE DOCTORAL 

  • University: McGill University,Montreal, Quebec, Canada (BS Physics) (Sept. 1982 - June 1986)
  • Graduate: Hahneman University Graduate School, Philadelphia, Pennsylvania (Physiology) (1986 - 1987)
  • Medical: University of Maryland School of Medicine,Baltimore, Maryland (MD) (Aug. 1987 - June 1991)


POST DOCTORAL 

  • Surgical Internship: Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire (July 1991 - June 1992).
  • Neurosurgical Residency: Dartmouth-Hitchcock Medical Center,Lebanon, New Hampshire (Chief Resident) (July 1992 - June 1997).
  • Fellowship: Cerebrovascular and Skull Base Surgery Jackson Memorial Hospital University of Miami School of Medicine Miami, Florida (July 1997 - Dec. 1998).

Clinical Interests & Specialties

  • Minimally Invasive Spinal Surgery
  • Sacroiliac Joint Disease
  • Neck Surgery
  • Low Back Surgery
  • Peripheral Nerve Procedures
  • Brain Tumors
  • Cerebrovascular Diseases
  • Trigeminal Neuralgia

Appointments & Affiliations

ACADEMIC APPOINTMENTS 

  • Assistant Professor of Neurosurgery New York Medical College (Jan. 1999 - Dec. 1999).


HOSPITAL APPOINTMENTS

  • UVNN Lebanon, NH; Neurosurgery (Present)
  • Alice Peck Day Memorial Hospital; Neurosurgery (Present)
  • Gifford Medical Center; Neurosurgery (Present)
  • New London Hospital; Neurosurgery (Present)
  • Chief of Neurosurgery Medical Director of Radiosurgery Doctors Hospital


PROFESSIONAL ASSOCIATION

  • North Carolina Neurosurgical Association Buncombe County Medical Association
  • North Carolina Medical Association
  • American Association of Neurological Surgeons
  • Congress of Neurological Surgeons
  • Joint Section on Cerebrovascular Surgery
  • Stroke Council of the American Heart Association
  • AANS/CNS Committee on Outcomes
  • CNS Information and Technology Committee

Honors & Awards

  • Resident Award; University of Maryland Medical School teaching fellowship (1988).
  • Annual Meeting of the American Association for the Study of Headache, (1995)
  • Fellow of the American Heart Association, Council on Stroke.

Publications

  • Goldman D, Pikus HJ. 14 genetically variant proteins of mouse brain: discovery of two new variants and chromosomal mapping of four loci. Biochemical Genetics 24:183-94, (1986).
  • Goldman D, Pikus HJ. Genetically variant, chromosomally mapped and identified mouse brain proteins for behavioral analysis. Proceedings of the IV World Congress for Behavioral Analysis, (1986).
  • Pikus HJ, Holmes B, Harbaugh RE. Teratoma of the cavernous sinus: case report. Neurosurgery 36:1020-3, (1995).
  • Pikus HJ, Ball PE. Characteristics of cerebral gunshot injuries in the rural setting. Neurosurgery Clinics of North America 6:611-20, (1995).
  • Pikus HJ, Phillips JM. Characteristics of patients successfully treated for cervicogenic headache by surgical decompression of the second cervical root. Headache 35:621-9, (1995).
  • Mendel E, Levy ML, Raffel C, McComb JG, Pikus HJ, Nelson MD, Gans W. Surveillance imaging in children with primitive neuroectodermal tumors. Neurosurgery 38:692-5, (1996).
  • Pikus HJ, Phillips JM. Outcome of surgical decompression of the second cervical root for cervicogenic headache. Neurosurgery 39:63-71, 1996.
  • Marinov MB, Harbaugh KS, Hoopes PJ, Pikus HJ, Harbaugh RE. Neuroprotective effects of preischemic, intraarterial magnesium sulfate in reversible focal cerebral ischemia. Journal of Neurosurgery 85:117-24, (1996).
  • Harbaugh KS, Pikus HJ, Shumaker GH, Perron AD, Harbaugh RE. Increasing the value of carotid endarterectomy. Journal of Neurovascular Disease 1:39-46, (1996).
  • Pikus HJ, Harbaugh RE, Cromwell L. Intraoperative digital subtraction angiography: implications of initial experience. Journal of Neurovascular Disease 2:5-12; (1997).
  • Pikus HJ, Gans W, Mendel E, Levy ML, McComb JG. Outcome and cost analysis in pre-term infants with massive grade IV germinal matrix hemorrhage and progressive hydrocephalus. Neurosurgery 40:983-8, (1997).
  • Pikus HJ, Beach ML, Harbaugh RE. Microsurgical treatment of arteriovenous malformations: analysis and comparison to stereotactic radiation. J Neurosurg 88:641-646, (1998)
  • Saunders RL, Pikus HJ, Ball PA. Four level cervical corpectomy. Spine 23:2455-2461, (1998).
  • Pikus HJ, Heros RC. Surgical treatment of internal carotid and posterior communicating artery aneurysms. Neurosurgery Clinics of North America 9:785-795, (1998).
  • Pikus HJ, Heros RC. Stroke: Indications for emergent surgical intervention. Clin Neurosurg 45:113-127, (1999).
  • Liu JK, Nwagu C, Pikus HJ, Couldwell WT. Laparoscopic anterior lumbar interbody fusion precipitating pituitary apoplexy. Acta Neurochir (Wien) 143:303-306, (2001).
  • Harbaugh RE, Pikus HJ. Carotid endarterectomy with regional anesthesia. Neurosurgery 49:642-645, (2001).

Book Chapters

  • Pikus HJ, Saunders RL. Complete anterior subaxial decompression for cervical spondylotic myelopathy. In: Advances in Clinical Neurosciences, (1996); 6:349-64.
  • Pikus HJ, Heros RC. PICA aneurysms. In: Operative Neurosurgery. Eds Kaye A and Black P; Churchill Livingstone, (2000); 1043-50.
  • Pikus HJ, Heros RC. Supratentorial-Perisylvian arteriovenous malformations. In: Intracranial Arteriovenous Malformations. Eds Steig P, Batjer HH,
    Samson D

Lectures

  • Outcomes of carotid artery treatments. Annual meeting of the Joint Section on Cerebrovascular Surgery, Orlando, Florida; (February, 1998).
  • Luncheon Seminar on Carotid Endarterectomy. Annual meeting of the Joint Section on Cerebrovascular Surgery, Orlando, Florida; (February, 1998).
  • Carotid endarterectomy: an interactive video clinic. Annual meeting of the American Association of Neurological Surgeons, Philadelphia, Pennsylvania; (April, 1998).
  • Relational databases. Course: Computer skills – basic database design. Congress of Neurological Surgeons, Seattle, Washington; (October, 1998).
  • Carotid endarterectomy: an interactive video clinic. Annual meeting of the American Association of Neurological Surgeons, New Orleans, Louisianna; (April, 1999).
  • Acute Ischemia. Annual meeting of the American Association of Neurological Surgeons, New Orleans, Louisianna; (April, 1999).
  • Relational databases. Course: Computer skills – basic database design. Congress of Neurological Surgeons, Boston, Massachusetts; (October, 1999).
  • Course Faculty: Internet computer applications. Congress of Neurological Surgeons,Boston, Massachusetts; (October, 1999).
  • Breakfast seminar on carotid endarterectomy verses stent. Annual meeting of the American Association of Neurological Surgeons, San Francisco, California; (April, 2000).
  • Course director: PDAs in Medical Practice. Annual Meeting of the Congress of Neurological Surgeons, San Diego, California, (September 2001).
  • Course director: PDAs in Medical Practice. Annual Meeting of the American Association of Neurological Surgeons, Toronto, Ontario, (April 2002).
  • Course director: PDAs in Medical Practice. Annual Meeting of the Congress of Neurological Surgeons, Philadelphia, Pennsylvania, (September 2002).
  • Faculty: Spine and Spinal Cord Injury Guidelines. Western North Carolina Trauma Symposium, Asheville, North Carolina, (October 19, 2002).
  • Faculty: Intracerebral Hemorrhage. Breakfast Seminar. Section on Cerebrovascular Surgery Annual Meeting, San Diego, California, (February, 2003).
  • Faculty: Surgical Management of Intracerebral Hemorrhage. Lunch Seminar. Section on Cerebrovascular Surgery Annual Meeting, New Orleans, Louisiana, (February 2004).
  • Update on Central Nervous System Trauma. Western North Carolina Trauma Symposium, Asheville, North Carolina, (November, 2005).
  • Faculty: Baptist Health International Bahamian Multidisciplinary Medical Conference. Gamma Knife Stereotactic Radiosurgery & Other Minimally Invasive Neurosurgical Procedures. (May 4, 2012).
  • Faculty: Baptist Health International Second Annual Insurance Leadership Summit. Gamma Knife Stereotactic Radiosurgery & Other Minimally Invasive Neurosurgical Procedures. (June 15, 2012).
  • UHZ Sports Medicine Fellowship Conference Series. Current Trends in Assessment and Treatment of Mild Head Injury and Concussion. (August 21, 2012).

Presentations

  • Teratoma of the cavernous sinus: case report.1994 Joint Annual Meeting of the North American Skull Base Society and the German Skull Base Society, February 18-23, (1994). Pikus HJ, Holmes B, Harbaugh RE, Rhodes CH.
  • Outcome and cost analysis in pre-term infants with massive grade IV germinal matrix hemorrhage and progressive hydrocephalus. 23rd Annual Meeting of the Section on Pediatric Neurological Surgery of the American Association of Neurological Surgeons, (December 6-9, 1994). Pikus HJ, Gans W, Mendel E, Levy ML, McComb JG.
  • Surveillance imaging in children with PNET. 23rd Annual Meeting of the Section on Pediatric Neurological Surgery of the American Association of Neurological Surgeons, (December 6-9, 1994). Levy ML, Gans W, Mendel E, Pikus HJ, Raffel C, McComb JG.
  • Intraoperative digital subtraction angiography: review of initial experience. Dartmouth Symposium on Neurovascular Disease, (January 6, 1995). Pikus HJ, Harbaugh KS, Harbaugh RE, Cromwell L.
  • Microsurgical treatment of arteriovenous malformations: analysis and comparison to stereotactic radiosurgery. Winter Meeting of the New England Neurosurgical Society, (February 24, 1995). Harbaugh RE, Pikus HJ, Beach ML.
  • Outcome and cost analysis in pre-term infants with massive grade IV germinal matrix hemorrhage and progressive hydrocephalus. 63rd Annual Meeting of the American Association of Neurological Surgeons, (April 22-27, 1995). Pikus HJ, Gans W, Mendel E, Levy ML, McComb JG.
  • Decompression of the second cervical root for treatment of cervicogenic headache. 63rd Annual Meeting of the American Association of Neurological Surgeons, (April 22- 27, 1995). Pikus HJ, Phillips JM.
  • Surveillance imaging in children with PNET. 63rd Annual Meeting of the American Association of Neurological Surgeons, (April 22- 27, 1995). Levy ML, Gans W, Mendel E, Pikus HJ, Raffel C, McComb JG.
  • Characteristics of patients successfully treated for cervicogenic headache by surgical decompression of the second cervical root. Annual Meeting of the American Association for the Study of Headache, (June 23-25, 1995). Pikus HJ, Phillips JM.
  • Cardiopulmonary bypass for posterior circulation aneurysms. Fall Meeting of the New England Neurosurgical Society, (September 29, 1995). Shumaker GH, Pikus HJ, Harbaugh RE.
  • Craniocerebral gunshot wound suicide attempts in the rural setting. Fall Meeting of the New England Neurosurgical Society, (September 29, 1995). Pikus HJ, Ball PA.
  • Intraoperative digital subtraction angiography: implications of initial experience. Congress of Neurol. Surg., 45th Annual Meeting, (October 14-19, 1995). Pikus HJ, Harbaugh RE, Cromwell L.
  • RE.Intracarotid magnesium sulfate is cytoprotective in a rat model of reversible cerebral ischemia. Congress of Neurological Surgeons, 45th Annual Meeting, (October 14-19, 1995). Marinov MB, Harbaugh KS, Hoopes, PJ, White LM, Pikus HJ, Amidon J, Harbaugh
  • Microsurgical treatment of arteriovenous malformations: analysis and comparison to stereotactic radiosurgery. Congress of Neurological Surgeons, 45th Annual Meeting, (October 14-19, 1995). Harbaugh RE, Pikus HJ, Beach ML.
  • Outcome of carotid endarterectomy in the octogenarian. Annual Meeting of the Joint Section on Cerebrovascular Surgery, (January 25, 1996). Pikus HJ, Shumaker GS, Harbaugh RE.
  • Microsurgical treatment of grade 1-3 arteriovenous malformations is superior to stereotactic radiosurgery. 21st International Joint Conference on Stroke and Cerebral Circulation, (January 25, 1996). Harbaugh RE, Pikus HJ, Beach ML.
  • Outcome of carotid endarterectomy with regional anesthesia. 64th Annual Meeting of the American Association of Neurological Surgeons, (April 27-May 2, 1996). Shumaker GS, Pikus HJ, Harbaugh KS, Perron AD, Harbaugh RE.
  • Outcome of carotid endarterectomy in the octogenarian. 64th Annual Meeting of the American Association of Neurological Surgeons, (April 27-May 2, 1996).
    Pikus HJ, Shumaker GS, Harbaugh RE.
  • Microsurgical treatment of arteriovenous malformations: analysis and comparison to stereotactic radiosurgery. 64th Annual Meeting of the American Association of Neurological Surgeons, (April 27-May 2, 1996). Harbaugh RE, Pikus HJ, Beach ML.
  • Cardiopulmonary bypass for posterior circulation aneurysms. 64th Annual Meeting of the American Association of Neurological Surgeons, (April 27 May 2, 1996). Shumaker GH, Pikus HJ, Harbaugh RE.
  • Characteristics and outcome of craniocerebral gunshot wound suicide attempts in the rural setting. 64th Annual Meeting of the American Association of Neurological Surgeons, (April 27-May 2, 1996). Pikus HJ, Ball PA.
  • Comprehensive neurosurgical database: a necessary analytical tool of modern practice and residency training. 64th Annual Meeting of the American Association of Neurological Surgeons, (April 27-May 2, 1996). Shumaker GS, Pikus HJ, Ball PA.
  • Complete anterior subaxial decompression for cervical spondylotic myelopathy. 65th Annual Meeting of the American Association of Neurological Surgeons, (April 12-17, 1997). Pikus HJ, Saunders RL.
  • Occult vascular malformations: association of angiogenic and proliferative activity with clinical behavior. 65th Annual Meeting of the American Association of Neurological Surgeons, (April 12-17, 1997). Wecht DA, Awad IA, Kim JH, Pikus HJ, Harbaugh RE.
  • Management of grade V arteriovenous malformations. Meeting of the American Academy of Neurological Surgeons. (September 11-13, 1997). Heros RC, Pikus HJ.
  • Indications for emergent surgical intervention in stroke. Congress of Neurological Surgeons Annual Meeting, (September 27 - October 2, 1997). Heros RC, Pikus HJ.
  • Risk stratification for carotid surgery. Congress of Neurological Surgeons Annual Meeting, (September 27 - October 2, 1997). Pikus HJ, Shumaker GH, Beach MA, Harbaugh RE.
  • Microsurgical treatment of arteriovenous malformations: analysis and comparison to stereotactic radiation. Congress of Neurological Surgeons Annual Meeting, (September 27 - October 2, 1997). Pikus HJ, Beach MA, Harbaugh RE.
  • The incidence and factors associated with supratentorial hemorrhage remote from the operative site following craniotomy for aneurysm. Congress of Neurological Surgeons Annual Meeting, (September 27 - October 2, 1997). Papavasiliou AK, Harbaugh KS, Pikus HJ, Ball PA, Harbaugh RE.
  • Intracerebral hemorrhage: Rationale for an aggressive approach to management. Fifty Years of Neurosurgery at Dartmouth: A Symposium Honoring Richard L. Saunders, MD. (November 7, 1997). Pikus HJ.
  • Spinal epidural abscess: Recent experience in a large suburban medical center. American Association of Neurological Surgeons Annual Meeting, (April 8-13, 2000). Chiles BW, Sutherland AK, Pikus HJ, Couldwell WC, Benzil DL.

Laboratory Research

  • Rat middle cerebral artery occlusion model of stroke. Neuroprotective agents. (see publication 8, presentation 13).
  • CNS-1 rat model of intrinsic brain tumor. Novel tumor for characterization and study of bloodbrain (blood-tumor) barrier and RMP7.
  • Molecular genetics of alcohol tolerance in rats. (see publications 1 & 2)

Dr. Pikus is awesome. He really shows that he cares about his patients and goes above and beyond in his practice for patient care. I have not come across a better physician than Dr, Pikus and I am truly grateful to have been treated by him. His staff was wonderful, personal, attentive, and gave top notch care not only before, and during the procedure but also after in follow up care. Anywhere he is working, is very lucky to have him as a part of their team.

I love dr. pikus. he genuinely cared about me and for me. i'm sorry that he left the practice here and am trying to get a new address to stay in touch w him. he gave it to me but i misplaced it or accidentally burned it.

Dr Pikus, saved my daughters life, she had an AVM and was given a 1% chance to live, she was 36 at the time and 5 months pregnant, now 12 yrs later she is well, with very little impairment, other than short term memory..and her son is at the top of his class..I still keep in touch with him to this day is a very caring DR..

Dr. Pikus treated my husband for a brain tumor on the third ventricle of his brain in Jan. 2008. He was very up front with us about the dangers and supportive for us during my husband's care. He performed a craniotomy on my husband. God used this man to perform a miracle in our lives. I told Dr. Pikus if he was the doctor, GOD would show us and Dr. Pikus was. It has been 2 yrs and there are no signs of return. We praise the LORD for guiding this doctor's hands to heal my husband.

In addition to great medical care, he provided support to my spouse when it was sorely needed. Made himself much more available than other physicians I have known.

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