Patricio Sebastion Espinosa, MD

Current Employment

North Oaks Neuroscience Institute: Neurology Division Director, Medical Director, Chairman

E-Community Research

Centro International en Neurociencias 

Clinical Interests

Epilepsy, Global Neurology, Clinical Trials & Epidemiology 

Medical School

2000 Universidad Central del Ecuador

Residency

2003-2007 Residency (Neurology), University of Kentucky, Lexington, KY 

Fellowship

Harvard Medical School - BWH

Certification

ABPN Neurology

Academic Appointments

2009-present Visiting Associate Professor Universidad San Francisco de Quito, Ecuador

Awards & Honors

2000 Fulbright Scholar

Resident Teaching Award, UK-CM

Publications

Laccheo I, Espinosa PS. International Issues: Neurology mission in the Ecuadorian Amazon rainforest. Neurology. 2012 Feb 28;78(9):e60-2. doi: 10.1212/WNL.0b013e318248ded7. PubMed PMID: 22371418.

Espinosa PS, Berger JR. Delayed fingolimod-associated asystole. Mult Scler. 2011 Nov;17(11):1387-9. doi: 10.1177/1352458511410344. Epub 2011 Jun 7. PubMed PMID: 21652609.

Espinosa PS, Perez DL, Abner E, Ryan M. Association of antiepileptic drugs, vitamin D, and calcium supplementation with bone fracture occurrence in epilepsy patients. Clin Neurol Neurosurg. 2011 Sep;113(7):548-51. doi: 10.1016/j.clineuro.2011.03.011. Epub 2011 Apr 19. PubMed PMID: 21507568.

Espinosa PS, Bensalem-Owen MK, Fee DB. Sporadic Creutzfeldt-Jakob disease presenting as nonconvulsive status epilepticus case report and review of the literature. Clin Neurol Neurosurg. 2010 Jul;112(6):537-40. doi:    10.1016/j.clineuro.2010.03.025. Epub 2010 Apr 28. Review. PubMed PMID: 20430517.

Espinosa PS, Lee JW, Tedrow UB, Dworetzky BA. Effects of seizures on cardiac function. J Clin Neurophysiol. 2010 Apr;27(2):139; author reply 139. doi: 10.1097/WNP.0b013e3181d64a04. PubMed PMID: 20375715.

Karakis I, Montouris GD, Otis JA, Douglass LM, Jonas R, Velez-Ruiz N, Wilford K, Espinosa PS. A quick and reliable EEG montage for the detection of seizures in the critical care setting. J Clin Neurophysiol. 2010 Apr;27(2):100-5. doi: 10.1097/WNP.0b013e3181d649e4. PubMed PMID: 20234318.

Espinosa PS, Lee JW, Tedrow UB, Bromfield EB, Dworetzky BA. Sudden unexpected near death in epilepsy: malignant arrhythmia from a partial seizure. Neurology. 2009 May 12;72(19):1702-3. doi: 10.1212/WNL.0b013e3181a55f90. PubMed PMID: 19433745.

Baumann RJ, Espinosa PS. Neuroepidemiology of HIV/AIDS. Handb Clin Neurol. 2007;85:3-31. doi: 10.1016/S0072-9752(07)85002-0. PubMed PMID: 18808973.

Das RR, Lucey BP, Chou SH, Espinosa PS, Zamani AA, Dworetzky BA, Bromfield EB, Lee JW. The utility of conductive plastic electrodes in prolonged ICU EEG monitoring. Neurocrit Care. 2009;10(3):368-72. doi: 10.1007/s12028-008-9142-3. Epub 2008 Sep 20. PubMed PMID: 18807217.

Espinosa PS, Salazar JC, Yu L, Mendiondo MS, Robertson WC, Baumann RJ. Lack of valproic acid-associated weight gain in prepubertal children. Pediatr Neurol. 2008 Sep;39(3):177-80. doi: 10.1016/j.pediatrneurol.2008.05.006. PubMed PMID: 18725062.

Espinosa PS, Baumann RJ, Vaishnav AG. Elastosis perforans serpiginosa, Down syndrome, and moyamoya disease. Pediatr Neurol. 2008 Apr;38(4):287-8. doi: 10.1016/j.pediatrneurol.2007.12.014. PubMed PMID: 18358411.

Espinosa PS, Pettigrew LC, Berger JR. Hereditary hemorrhagic telangectasia and spinal cord infarct: case report with a review of the neurological complications of HHT. Clin Neurol Neurosurg. 2008 May;110(5):484-91. doi: 10.1016/j.clineuro.2008.01.005. Epub 2008 Mar 4. Review. PubMed PMID: 18304727.

Espinosa PS. Teaching NeuroImage: one-and-a-half syndrome. Neurology. 2008 Jan 29;70(5):e20. doi: 10.1212/01.wnl.0000286933.31574.f4. PubMed PMID: 18227412.

Espinosa PS, Choudry B, Wilbourn R, Espinosa PH, Vaishnav AG. Pituitary apoplexy: a neurological emergency case report. J Ky Med Assoc. 2007 Nov;105(11):538-40. PubMed PMID: 18183804.

Espinosa PS, Berger JR. Acute central cord syndrome with bodybuilder sign. Clin Neurol Neurosurg. 2007 May;109(4):354-6. Epub 2007 Jan 16. PubMed PMID: 17224234.

Espinosa PS, Smith CD, Berger JR. Alien hand syndrome. Neurology. 2006 Dec 26;67(12):E21. PubMed PMID: 17190927.

Ryan M, Romanelli F, Nee JK, Anochie L, Espinosa PS. Characteristics of participants enrolled in a Quit and Win smoking cessation program. J Ky Med Assoc. 2006 Oct;104(10):469-74. PubMed PMID: 17087044.

Espinosa PS, Smith CD, Berger JR. Homonymous hemianopsia complicating treatment of postoperative epistaxis. Neurology. 2006 Oct 10;67(7):1305. PubMed PMID: 17030776.

Espinosa PS, Kryscio RJ, Mendiondo MS, Schmitt FA, Wekstein DR, Markesbery WR, Smith CD. Alzheimer's disease and head circumference. J Alzheimers Dis. 2006 Mar;9(1):77-80. PubMed PMID: 16627937.

Espinosa PS, Berger JR. Volitional opsoclonus. Neurology. 2005 Sep 13;65(5):E11. PubMed PMID: 16157893.

Berger JR, Espinosa PS, Kissel J. Brachial amyotrophic diplegia in a patient with human immunodeficiency virus infection: widening the spectrum of motor neuron diseases occurring with the human immunodeficiency virus. Arch Neurol. 2005 May;62(5):817-23. Review. PubMed PMID: 15883271.

Presentations

Course Speaker: Vagal neurostimulation,7th Latin American Congress on Epilepsy Saturday, Nov 17th, 2012 Quito Ecuador

Course Speaker: 64th Annual Meeting American Academy of Neurology (AAN); 3EC.002 - International Colloquium: Risk Factors and Prevalence For Dementia and Alzheimer’s Disease in Pichincha, Ecuador. April 23. New Orleans, LA

Grand Rounds Presenter: Advances in Neurocysticercosis & Epilepsy. Neurology Department, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine. El Paso, Texas. Friday, March 23, 2012

Nursing Grand Rounds: Stroke update. North Oaks Health System, Thursday, March 1, 2012

Stroke 101, Change of Heart Health Fair, North Oaks Health System, February, 3, 2012

Epilepsy Case Studies - Spanish Symposium. University of Kentucky Neurology Department, Epilepsy Division. Inaugural Epilepsy Symposium, UK Albert B Chandler Medical Center. Lexington, KY. Friday November 11, 2011.

Concussion in Sports. Sports Medicine Seminar. North Oaks Health System, August 13, 2011

Acute Stroke Management. North Oaks Health System, Hammond, LA. August 2nd 2011

The Epilepsy Treatment Gap. Kiwanis Club, Hammond, LA. June 3, 2011

Current Treatment Options in Epilepsy: The Rotary Club, Hammond, LA. March 23, 2011

Treatment Options in Epilepsy: North Oaks Hospital, Hammond, LA. February 12, 2011

The Epilepsy Treatment Gap in Ecuador: ILAE Partnering Epilepsy Centers in the Americas (PECA) Program Retreat. University of Texas Health Science Center - Dec. 7-8, 2010 - San Antonio, TX

Multiculturalism in Healthcare: Neurology in the Developing World , College of Arts and Sciences, Department of Phylosophy and Religious Studies, Louisiana State University February 25th 2010, Baton Rouge, LA

The Epilepsy Treatment Gap in Ecuador. Rotary Club International – Hammond, February, 18th 2010

Case Presentation: Sudden Unexpected Near Death in Epilepsy (SUNDEP): Malignant ventricular arrhythmia from a partial seizure, Boston Epilepsy Society. Boston, MA December 2nd 2008

Grand Rounds presenter, Department of Neurology, University of Kentucky; Neuroimaging Cases 8/8/2007

Neurology & Neurosurgery Stroke Conference presenter: Down’s syndrome and Stroke, 4/21/06

Neurology & Neurosurgery Stroke Conference presenter: Hereditary Hemorrhagic Telangiectasia, 1/21/2006

Personal Message

Dr. Espinosa received his MD from Universidad Central del Ecuador in 2000. He was the recipient of a Fulbright Scholarship to complete a Masters’ Degree in Public Heath from Johns Hopkins University, Baltimore, MD in 2002. In 2003, he completed a post-doctoral fellowship in Dementia at the Alzheimer’s Disease Research Center at University of Kentucky followed by an internship and residency in Neurology at the University of Kentucky where he served as Chief Resident in the Department of Neurology. He completed a Fellowship in Neurophysiology, Epilepsy and Sleep Disorders at the Brigham and Women’s Hospital, Harvard Medical School, Boston, MA in 2008.

Dr. Espinosa has been Board Certified in Neurology by the American Board of Psychiatry and Neurology since 2009 and has been conducting clinical trials since 2001 at the University of Kentucky, Brigham and Women’s Hospital, and at North Oaks Hospital, LA.

Currently he is the Director of the Neurology Division of the Neurociescience Institute at North Oaks Hospital in Hammond, LA and founder of ECommunity Research, LLC.

Dr. Espinosa regularly authors scientific publications for medical journals and presents his research around the world. He serves on scientific editorial and advisory boards and performs peer reviews articles.

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