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MLB Injuries

Update: Danny Farquhar undergoes second surgery-Dr. Mimran

Ronnie Mimran M.D.

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© Amy Kontras-USA TODAY Sports

Chicago White Sox reliever Danny Farquhar continues to fight for his life and has undergone a second surgery according to a report. Sounds like he had a craniotomy for clipping of the aneurysm. Depending on the location, size, and severity of the bleed, this method for securing the aneurysm is occasionally chosen over the endovascular route.

The second procedure was likely placement of an external ventricular drain, or ventriculostomy procedure. This is done for elevated intracranial pressures, and allows neurosurgeons to measure and manage the pressure inside the skull.

The timeline of 3 weeks in the hospital is typical. This is owing to the fact that these patients are at risk for a condition called vasospasm. The initial hemorrhage causes blood to be on the outside of the blood vessels, which causes irritation, and the vessels can spasm closed. This can cause a stroke. Patients are typically watched for two weeks after a subarachnoid hemorrhage, as vasospasm risk peaks in days 3-7, and decreases after day 14.

If vasospasm occurs, the treatment is usually medications, and to put a tiny balloon in the blood vessel and inflate it to open the spasmed vessels.

Dr. Mimran is board certified in neurosurgery by the American Board of Neurological Surgery. His practice focuses on surgical and non-surgical treatment of brain and spine disorders, with an emphasis on minimally invasive and image-guided techniques for the spine. He has a broad experience with the neurosurgical care of the injured athlete and serves as a consultant for multiple different professional sports teams. Dr. Mimran received his BS in physiology from the University of California, Los Angeles, and his medical training at the University of Southern California, where he graduated with honors. He completed a residency in neurological surgery at the University of Florida. along with a clinical fellowship in minimally invasive spine surgery. Following his neurosurgical residency, Dr. Mimran moved to the Bay Area and joined the team at Pacific Brain and Spine Medical Group, in Danville, California. Dr. Mimran has received numerous awards and honors, earning the Patients’ Choice Award for seven consecutive years, and gaining recognition as a five-year honoree of the Compassionate Doctor Award, among others. He is also a leading educator in the field of minimally invasive spine surgery and navigated spine surgery, and has taught over 200 courses worldwide.

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