Inpatient and Emergency Neurology

Beginning in August 2018, the Department of Neurology initiated a dedicated inpatient service covering inpatient consults 7 days a week with seasoned veteran neurohospitalists working with Vanderbilt residents. The service allows for optimal availability of consultations and consistency in care. It has become a model system for inpatient care throughout VUMC.

Beginning in July 2020, we combined Consult, General Inpatient, and Emergency Neurology services into an expanded Inpatient and Emergency Neurology division, which has become one of the busiest divisions in the department and one of the busiest services at Vanderbilt University Hospital, seeing over 6,000 new consults per year.

From 2020 to the present the service has continued to grow in provider numbers and service volume with participation of subspecialists to further enhance expert neurologic care. With a new critical care tower under construction and needed expansion of Emergency Department space and staff, the service will continue to expand, delivering excellence in acute care and hospital neurology.

Education & TrainingEducation & Training

The Inpatient and Emergency Neurology faculty manages the consult, inpatient, and emergency neurology care alongside junior and senior residents. The faculty service allows for protected time for residents to engage in didactic work such as conferences, Grand Rounds, and other tasks. Residents gain invaluable training and hands-on experience through the service. 

Recent & Notable PublicationsRecent & Notable Publications

Alsallom F, Casassa C, Akkineni K, Lin L. Early Detection of Cerebral Herniation by Continuous Electroencephalography and Quantitative Analysis. Clin EEG Neurosci. 2022 Mar;53(2):133-137.

Johnson EM, Misulis KE; Neurophysics: Physics and Engineering of Neurology. Oxford University Press 2022.

Stubblefield K, Zahoor S, Sonmezturk H, Haas K, Mattingly D, Abou-Khalil B. Perampanel is effective against Lance-Adams syndrome.Epileptic Disord. 2021 Oct 1;23(5):769-771. 

Mithani F, Poursheykhi M, Ma B, Smith RG, Hsu SH, Gotur D. New-Onset Seizures in Three COVID-19 Patients: A Case Series. J Clin Neurophysiol. 2021 Mar 1;38(2):e5-e10.

Acosta LMY, Stubblefield K, Conwell T, Espaillat K, Koons H, Konrad P, Fang J, Kirshner H, Davis T. Protocolizing the Workup for Idiopathic Normal Pressure Hydrocephalus Improves Outcomes. Neurol Clin Pract. 2021 Aug;11(4):e447-e453. 

Poursheykhi M, Mithani F, Garg T, Cajavilca C, Jaijakul S, Fung S, Klucznik R, Gadhia R. A case of cerebral vasculitis due to neurobartonellosis. Neurol Neuroimmunol Neuroinflamm. 2020 Jun 4;7(5):e791.

Eaton JE, Meriweather MT, Abou-Khalil BW, Sonmezturk HH. Avoiding anaesthetics after multiple failed drug-induced comas: an unorthodox approach to management of new-onset refractory status epilepticus (NORSE). Epileptic Disord. 2019 Oct 1;21(5):483-491.

Han Y, Iyamu ID, Clutter MR, Mishra RK, Lyman KA, Zhou C, Michailidis I, Xia MY, Sharma H, Luan CH, Schiltz GE, Chetkovich DM. Discovery of a small-molecule inhibitor of the TRIP8b-HCN interaction with efficacy in neurons. J Biol Chem. 2022

Zimmerman EE, Kirshner HS, Samuels MA, Misulis KE; Neurologic Localization and Diagnosis: How Neurologists Think; Elsevier 2022

Hess EP, Misulis KE. Clinical decision support is an effective approach to improving the quality of imaging selection in patients with transient ischemic attack or minor stroke. CJEM. 2021 Nov;23(6):731-732.

Johnson K, Wei WQ, Weeraratne D, Frisse ME, Misulis KE, Zhao J, Snowdon JL; Ai, Precision Medicine, And The Future Of Personalized Health Care. 2020.

Abou-Khalil BA, Sonmezturk H, Ess K, Misulis KE, Atlas of EEG, Seizure Semiology, and Management 3/e. Oxford University Press, 2020.

Hacker ML, Ploucher S, Naik AG, Turchan M, Meystedt JC, Harper K, Hedera P, Pirtle CJ, Stubblefield K, Charles D. A Simple Bedside Screening Tool for Spasticity Referral. Clin Interv Aging. 2020;15:655-662. 

Frisse ME, Misulis KE, Essentials of Clinical Informatics. Oxford University Press, 2019.

Misulis KE and Murray EL: Essentials of Hospital Neurology 2018 Oxford University Press. 

Murray EL, Misulis KE; Chapter 26: Hemiplegia and monoplegia. In Neurology in Clinical Practice. 8/e Elsevier 2020

Murray EL, Misulis KE; Chapter 31: Sensory abnormalities of the limbs, trunk, and face. In Neurology in Clinical Practice. 8/e Elsevier 2020

Murray EL, Misulis KE; Chapter 33: Lower back and lower limb pain. In Neurology in Clinical Practice. 8/e Elsevier 2020

Acosta L, Stubblefield K, Cooper T, Espaillat K, Koons H, Konrad P, Fang J, Kirshner H, Davis T. Protocolizing Work-up for Normal Pressure Hydrocephalus Improves Evaluation and Outcomes. Neurology. 2018 April; 90:15

Misulis KE, Head TC; Netter’s Concise Neurology 2/e. Elsevier, Philadelphia 2017