Harold J. Pikus, MD

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)

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