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Dr. Jugal K. Shah, MD is a spine surgeon in Rosedale, MD specializing in spine surgery and neurosurgery. He graduated from University of California, San Francisco (UCSF), School of Medicine in 2014 and has 10 years of experience. Dr. Jugal K. Shah, MD is affiliated with MedStar Harbor Hospital, MedStar Good Samaritan Hospital, MedStar Franklin Square Medical Center, MedStar Health, MedStar Union Memorial Hospital and MEDSTAR MEDICAL GROUP II LLC.
9103 Franklin Square Drive Suite 301
Rosedale, MD 21237
2900 S Hanover Street
Baltimore, MD 21225
9501 Old Annapolis Road Suite 220
Ellicott City, MD 21042
Hydrocephalus
Normally, the brain is bathed in a liquid called cerebrospinal fluid. This fluid cushions and nurtures the brain cells as it flows around and through the brain. Sometimes, cerebrospinal fluid does not get reabsorbed into the body properly, or a blockage in the brain can stop it from flowing. This causes a buildup of pressure called hydrocephalus. This condition affects a wide range of people, but it is much more prevalent among infants and older adults. Left untreated, hydrocephalus can cause uncomfortable symptoms, such as headaches and blurred vision, and eventually may cause brain damage.
Hydrocephalus is most often treated with an implanted device called a shunt. A shunt is a long, thin tube that is used to drain excess fluid. One end is placed within the brain. The tube runs under the skin, along the neck behind the ear, and to another part of the body where the fluid can be reabsorbed. Most often this is the abdomen, but the chest or other areas can also be used. Shunts have a valve that allows doctors to monitor and control the pressure within the brain. Insertion of a shunt is a surgical procedure that takes one to two hours. Incisions are made in the head and the abdomen, and the shunt is threaded into place before the openings are stitched closed.
In cases where hydrocephalus is caused by a blockage, a procedure called endoscopic third ventriculostomy, or ETV, may be performed. During this procedure, a surgeon makes a dime-sized hole in the skull and uses a thin tube with a camera on the end (called an endoscope) to see inside the brain. The surgeon punctures a hole in the floor of the third ventricle, a fluid-filled space within the brain. The hole provides an opening for cerebrospinal fluid to flow around the blockage, normalizing pressure. The entire procedure usually takes less than an hour and patients can often go home the following day. ETV can provide a permanent and safe alternative to a shunt, but it is only useful for patients whose hydrocephalus is caused by a blockage.
Spinal Fusion
Spinal fusion is a surgical procedure to permanently join together two or more vertebrae, the bones in the spine. Certain spinal disorders can lead to instability and pain, and the idea behind spinal fusion is that fusing vertebrae together can both make them stronger and reduce motion, which can sometimes reduce pain.
There are several different types of spinal fusion surgery available, mostly depending on where a patient's pain is located and whether his or her surgeon will perform the procedure through the back, front, or side. In general, a fusion is performed by packing the vertebrae to be fused with grafted bone. This bone may be taken from the patient's hip, may be donated from a cadaver, or it may be a manufactured synthetic material. The bone is placed along the vertebrae, and sometimes, the disc that lies in between the vertebrae is removed and replaced with grafted bone. The bone material will grow and cement the two vertebrae together. After the bone graft is placed, the vertebrae are sometimes held in place with rods, screws, plates, or cages, depending on the weakness of the spine and needs of the graft.
Spinal fusion is a significant surgery and can take three to four hours or more. Recovery is typically two to four days in the hospital. After surgery, it is important to remember that the fusion takes time to grow from the bone graft. So, the actual fusion is not complete for several months. Patients will probably feel somewhat better right away, but it may take a while to feel the full effects of the fusion as the bone grows into place. In the meantime, doctors might have patients wear a brace to protect their spine and keep it properly aligned.
Spinal fusion is not used for all kinds of back pain. Changing the way the spine moves can lead to strain on the other joints in the back, and fusion is only performed when the benefits outweigh the risks. Some spine disorders that are treated with fusion include:
Regardless of the diagnosis, there is always a possibility of 'failure' with spinal fusion, or of the surgery not fully solving the pain. This is more likely when fusion is used primarily to treat pain instead of structural problems. Patients can improve their chances of a successful outcome by stopping smoking, maintaining a healthy weight, moving their body every day, and following their doctor's instructions for any physical therapy that they are prescribed.
Stroke
A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.
Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.
Risk factors for stroke include:
There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.
Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.
Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.
Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:
-Disorientation or confusion
-Difficulty speaking
-Difficulty walking
-Impaired vision
-Weakness in the face, legs, or arms
-Severe headaches
When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.
Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.
Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.
Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.
If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.
Dr. Jugal K. Shah, MD graduated from University of California, San Francisco (UCSF), School of Medicine in 2014. He completed residency at NYU Langone Medical Center. He is certified by the American Board of Neurological Surgery, Neurological Surgery American Board of Internal Medicine, Internal Medicine and has a state license in Maryland.
Medical School: University of California, San Francisco (UCSF), School of Medicine (2014)
Residency: NYU Langone Medical Center (2021)
Board Certification: American Board of Neurological Surgery, Neurological Surgery American Board of Internal Medicine, Internal Medicine
Licensed In: Maryland
Dr. Jugal K. Shah, MD is associated with these hospitals and organizations:
Dr. Jugal K. Shah, MD appears to accept the following insurance providers: Aetna Medicare PPO, CIGNA EPO, CIGNA Indemnity, Private Healthcare Systems (PHCS), Medicare Advantage, MAMSI, AARP, HealthSpring, Coventry National Network PPO, Aetna, United Healthcare Choice Plus, Blue Choice, United Healthcare Choice, First Health PPO, TRICARE Prime, United Healthcare, Great-West Healthcare, Medicaid, Cigna, TRICARE, Coventry, Aetna Managed Choice POS, First Health, Aetna HMO, Kaiser Permanente, Optimum Choice Preferred (POS) & OCI Direct (HMO), MedStar Family Choice - Maryland Health Choice, Medicare Fee for Service, Choice Fund PPO, CFBSBC Blue Preferred PPO, M.D. IPA (HMO), CFBCBS (NCA) Indemnity, Open HMO, M.D. IPA Preferred (POS), POS OA & OA Plus, MedStar Select (MedStar Associates' Plan), Network OA, Innovation Health: PPO, Opoen HMO Option, CFBCBS Maryland Indemnity or PPO, CFBCBS EPO, Innovation Health: Indemnity, Innovation Health: POS, CFBCBS Maryland Point of Service Plan (MPOS), Innovation Health: Open POS Plus, Choice POS & Choice POS II, Select HMO/HealthFund/Health Network, United Student Resources, HealthyBlue PPO, CFBCBS Federal Employee Program (Std/Basic PPO/Blue Focus), Open EPO Plus, Innovation Health: Open Network Only Plus, Open POS II, PPO and PPO Plus and Innovation Health: POS Plus.
According to our sources, Dr. Jugal K. Shah, MD accepts the following insurance providers:
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Dr. Jugal Shah practices spine surgery and neurosurgery. His areas of expertise include artificial disc replacement, minimally invasive spinal fusion, and anterior lumbar interbody fusion (ALIF). Dr. Shah's hospital/clinic affiliations include MedStar Franklin Square Medical Center, MedStar Good Samaritan Hospital, and MedStar Harbor Hospital. He is in-network for several insurance carriers, including Blue California, Coventry, and Coventry Health Care Plans. Dr. Shah welcomes new patients at his office inRosedale, MD as reported by Doctor.com. He obtained his medical school training at the University of California, San Francisco (UCSF), School of Medicine and performed his residency at NYU Langone Medical Center. In addition to English, he speaks Gujarati.